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Presentation
Medical nutrition therapy and simple interventions can improve intake in patients who eat poorly in hospital
The Dietitians Association of Australia 30th National Conference (2013)
  • Ekta Agarwal, University of Queensland
  • Maree Ferguson, University of Queensland
  • Merrilyn Banks, University of Queensland
  • Judith Bauer, The University of Queensland
  • Sandra Capra, The University of Queensland
  • Elisabeth Isenring, University of Queensland
Abstract
The Australasian Nutrition Care Day Survey (ANCDS) reported two-in-five patients in Australian and New Zealand hospitals consume ≤50% of the offered food. The ANCDS found a significant association between poor food intake and increased in-hospital mortality after controlling for confounders (nutritional status, age, disease type and severity)1. Evidence for the effectiveness of medical nutrition therapy (MNT) in hospital patients eating poorly is lacking. An exploratory study was conducted in respiratory, neurology and orthopaedic wards of an Australian hospital. At baseline, 24-hour food intake (0%, 25%, 50%, 75%, 100% of offered meals) was evaluated for patients hospitalised for ≥2 days and not under dietetic review. Patients consuming ≤50% of offered meals due to nutrition-impact symptoms were referred to ward dietitians for MNT with food intake re-evaluated on day-7. 184 patients were observed over four weeks. Sixty-two patients (34%) consumed ≤50% of the offered meals. Simple interventions (feeding/menu assistance, diet texture modifications) improved intake to ≥75% in 30 patients who did not require further MNT. Of the 32 patients referred for MNT, baseline and day-7 data were available for 20 patients (68±17years, 65% females, BMI:
22±5kg/m2 , median energy, protein intake: 2250kJ, 25g respectively). On day-7, 17 participants (85%) demonstrated significantly higher consumption (4300kJ, 53g; p<0.01). Three participants demonstrated no improvement due to ongoing nutrition-impact symptoms. “Percentage food intake” was a quick tool to identify patients in whom simple interventions could enhance intake. MNT was associated with improved dietary intake in hospital patients. Further research is needed to establish a causal relationship
Publication Date
May, 2013
Location
Canberra, Australia
DOI
http://dx.doi.org/10.1111/1747-0080.12034
Comments
Published version

Agarwal, E., Ferguson, M., Banks, M., Bauer, J., Capra, S., & Isenring, E. (2013). Medical nutrition therapy and simple interventions can improve intake in patients who eat poorly in hospital. Nutrition & Dietetics. Special Issue: Abstracts of the Dietitians Association of Australia 30th National Conference, 23–25 May 2013, National Convention Centre, Canberra, Australia, 70(S1), 4.

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© 2013 Dietitians Association of Australia
Citation Information
Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Judith Bauer, et al.. "Medical nutrition therapy and simple interventions can improve intake in patients who eat poorly in hospital" The Dietitians Association of Australia 30th National Conference (2013)
Available at: http://works.bepress.com/ekta-agarwal/15/