Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
Aim: To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. Methods: The Department of Veterans’ Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
John Wiley & Sons, Inc.
2017
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/1/Hamirudin%20et%20al%20%282017%29%20Nutrition%20%26%20Dietetics.pdf |
| Summary: | Aim: To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. Methods: The Department of Veterans’ Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants’ nutritional status. Results: Mean body weight improved significantly (P = 0.048), as well as mean MNA score (21.9 ± 3.5 vs 25.2 ± 3.1) (P < 0.001). Mean energy, protein and micronutrient intakes were adequate at baseline and three months, except for vitamin D. At three months, the underweight group (body mass index (BMI) < 23 kg/m2) had significantly higher mean protein intake per body weight (1.7 ± 0.4 g/kg) compared to those who were a desirable weight (BMI 23–27 kg/m2) (1.4 ± 0.3 g/kg) or overweight (BMI>27 kg/m2) (1.1 ± 0.3 g/kg) peers (P < 0.001). There was significant improvement in energy intake contributed from oral nutrition supplements (+95.5 ± 388.2 kJ/day) and milk (+259.6 ± 659.8 kJ/day). Conclusions: Dietetic intervention improved nutritional status 3 months after hospital discharge in older adults living in the community. |
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