From evidence to clinical practice: Positive effect of implementing a protein-enriched hospital menu in conjunction with individualized dietary counseling
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From evidence to clinical practice : Positive effect of implementing a protein-enriched hospital menu in conjunction with individualized dietary counseling. / Munk, Tina; Bruun, Nina; Nielsen, Michael A.; Thomsen, Thordis.
I: Nutrition in Clinical Practice, Bind 32, Nr. 3, 06.2017, s. 420-426.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - From evidence to clinical practice
T2 - Positive effect of implementing a protein-enriched hospital menu in conjunction with individualized dietary counseling
AU - Munk, Tina
AU - Bruun, Nina
AU - Nielsen, Michael A.
AU - Thomsen, Thordis
PY - 2017/6
Y1 - 2017/6
N2 - Background: The aim of this study was to investigate if a protein-enriched menu in conjunction with individualized dietary counseling would increase energy and protein intake in hospitalized patients at nutrition risk compared with providing the protein-enriched menu as a stand-alone intervention. Method: Data from medical and surgical hospitalized patients were prospectively collected and compared with a historical intervention group (HIG). Primary outcome was the number of patients achieving >75% of energy and protein requirements. Secondary outcomes included mean energy and protein intake (adjusted for body weight [ABW]), readmission rate, and the number of patients with a baseline intake <50% of energy and protein requirement, who increased to ≥50%. Results: In the intervention group (IG), 92% vs 76% in the HIG reached >75% of energy requirements (P = .04); 90% in the IG vs 66% in the HIG reached >75% of protein requirements (p = <0.01). The IG had a significantly higher mean intake of energy and protein compared with the HIG: ABW, 31 kcal kg-1 vs 25 kcal kg-1 (P < .01) and 1.2 g protein kg-1 vs 0.9 g protein kg-1 (P < .001). More than 85% of the patients with a baseline <50% of the EP requirement achieved ≥75% of the energy and protein requirement. No difference between readmission rates was found. Conclusion: Providing a protein-enriched menu in conjunction with individualized dietary counseling significantly increased protein and energy intake in hospitalized patients at nutrition risk.
AB - Background: The aim of this study was to investigate if a protein-enriched menu in conjunction with individualized dietary counseling would increase energy and protein intake in hospitalized patients at nutrition risk compared with providing the protein-enriched menu as a stand-alone intervention. Method: Data from medical and surgical hospitalized patients were prospectively collected and compared with a historical intervention group (HIG). Primary outcome was the number of patients achieving >75% of energy and protein requirements. Secondary outcomes included mean energy and protein intake (adjusted for body weight [ABW]), readmission rate, and the number of patients with a baseline intake <50% of energy and protein requirement, who increased to ≥50%. Results: In the intervention group (IG), 92% vs 76% in the HIG reached >75% of energy requirements (P = .04); 90% in the IG vs 66% in the HIG reached >75% of protein requirements (p = <0.01). The IG had a significantly higher mean intake of energy and protein compared with the HIG: ABW, 31 kcal kg-1 vs 25 kcal kg-1 (P < .01) and 1.2 g protein kg-1 vs 0.9 g protein kg-1 (P < .001). More than 85% of the patients with a baseline <50% of the EP requirement achieved ≥75% of the energy and protein requirement. No difference between readmission rates was found. Conclusion: Providing a protein-enriched menu in conjunction with individualized dietary counseling significantly increased protein and energy intake in hospitalized patients at nutrition risk.
KW - Dietary proteins
KW - Hospital food service
KW - Malnutrition
KW - Menu planning
KW - Nutritional status
U2 - 10.1177/0884533616688432
DO - 10.1177/0884533616688432
M3 - Journal article
C2 - 28145792
AN - SCOPUS:85021742386
VL - 32
SP - 420
EP - 426
JO - Nutrition in Clinical Practice
JF - Nutrition in Clinical Practice
SN - 0884-5336
IS - 3
ER -
ID: 188755173