1 / 1

Rationale

Rationale Falls are a common and serious cause of morbidity and mortality in elderly. This RCT evaluates the effects of a short-term nutritional intervention on falls in malnourished elderly patients. Methods

isanne
Download Presentation

Rationale

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Rationale Falls are a common and serious cause of morbidity and mortality in elderly. This RCT evaluates the effects of a short-term nutritional intervention on falls in malnourished elderly patients. Methods Malnourished elderly patients (≥60 y) received either nutritional intervention (energy and protein enriched diet, oral nutritional support (600 kcal/d, 24 g E/d), Ca/vitamin D supplement (400 IU D3, 500 mg Ca) supported by dietetic counselling) or usual care for 3 months post-discharge. Number of fallers, fall incidents, serum vitamin D levels, and dietary intake were measured at admission and at 3 months after discharge. Results A total of 207 patients (55.2% female) was included. Mean age was 74.6 (SD 9.5) years (range 60-97 years). There were 16 fall incidents (in 10 patients) in the intervention group and 41 fall incidents (in 24 patients) in the control group, HR 0.41 (95% CI 0.19;0.86), p=0.018 (log rank). Fifty six patients were censored due to drop-out and death (Figure 1 and Table 1). Compliance to oral nutritional support, vitamin D supplementation and dietetic counselling was 80%, 96% and 96%, respectively. At three months, energy intake (+280 kcal, 95% CI 37 to 524), protein intake (+11 g, 95% CI 1 to 25) and serum vitamin D levels (+10.9 nmol/L, 95% CI 2.9 ; 18.9) were significantly higher in intervention patients than in controls. We assume that the increased intake attributed to the decreased number of falls in patients in the intervention group. PP024-SUN Fall incidents decrease after short-term oral nutritional intervention in malnourished elderly patients: a RCT F Neelemaat1,2, PTAM Lips2,3, A Thijs4, JC Seidell2,5, MAE van Bokhorst-de van der Schueren1,2 Departments of 1 Nutrition and Dietetics, Internal Medicine 2 EMGO Institute for Health and Care Research 3 Internal Medicine, Section Endocrinology 4 Internal Medicine 5 Health Sciences, Faculty of Earth and Life Sciences VU University Medical Center & VU University, Amsterdam, The Netherlands Figure 1: Kaplan-Meier curve for the time to a fall incident Table 1: Fallers and fall incidents after three months nutritional intervention in malnourished elderly patients. I: intervention group, C: control group, #: Mann Whitney U • Conclusions • Short-term nutritional intervention, consisting of oral nutritional support and vitamin D, supported by dietetic counselling, decreases the number of fallers and fall incidents in malnourished elderly patients. Correspondence: F.Neelemaat@vumc.nl

More Related