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NCT Number: NCT05502445

The Nutritionist's Educational Intervention on the Protein Intake in Hospitalized Elderly People

The food intake is often compromised in the elderly, and during hospitalization, dietary restrictions may be imposed, making them more susceptible to the risk of malnutrition and sarcopenia. It is essential to make an early identification of the elderly with low intake and involve them in their self-care. The aims will be assess the influence of the nutritionist's educational action to increase protein intake in elderly patients, to analyze the knowledge on its importance in the prevention of sarcopenia and to identify the prevalence of nutritional risk. This is a field, prospective, correlational, comparative and randomized study. The elderly patients will be randomized into a Control Group and Intervention Group.

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Key information

Conditions

Old Age; Cachexia Atrophy Behavior Behavior, Animal Body Weight Body Weight Changes Cachexia Dietary Habits Feeding Behavior Health Behavior Kwashiorkor Malnutrition Muscular Atrophy Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Nutrition Disorders Nutritional and Metabolic Diseases Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Patient Acceptance of Health Care Patient Participation Protein Malnutrition Sarcopenia Severe Acute Malnutrition Signs and Symptoms Thinness Treatment Adherence and Compliance Weight Loss

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospital Israelita Albert Einstein

São Paulo, 05652-900, Brazil

About this study

The Control Group will follow the flow of nutritional assessment and monitoring while the Intervention Group will receive daily visits to monitor food intake, leaflet and educational video on the importance of protein and its source foods. In both groups, a questionnaire on knowledge of protein sources and its importance will be applied, and we will calculated the 24-hour recall of a regular day and for three days of hospitalization. Patients will be assessment by Mini Nutritional Assessment-Short Form and SARC-F and will be the measurements of calf circumference and hand grip strength.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • elderly patients aged 60 years or older,
  • with a prescription of oral feeding, exclusively,
  • minimum period of three days.

Exclusion criteria

  • palliative care,
  • treatment for chronic renal failure,
  • patients with neurological deficit and dysphagia,
  • readmissions during the study,
  • receiving enteral and/or parenteral nutritional therapy,
  • patients in isolation.

Treatment and study plan

Educational Intervention

Other

In this group, the steps below are added:on the first day, the delivery of the leaflet on the importance of nutrition in the hospital environment will be added in addition to verbal guidance. On the second day, an educational institutional video with duration of two minutes, will be shown with the title "Food Intake and Oral Supplement in Nutritional Rehabilitation" via tablet or mobile phone.

When the 24-hour recall will be collected, an assessment of food intake will be performed, mainly of foods that are sources of protein and, when they were less than 75%, strategies must be designed to increase the acceptance or indication of oral nutritional supplements.

Primary outcomes

  1. Total energy and protein needs and intakes from dietary and oral nutritional supplements during hospitalization, according to the study group

    Time frame: three days

    Energy and protein intakes per kg of actual body weight and per day

Secondary outcomes

  1. Assessment and screening of sarcopenia risk by SARC-F questionnaire

    Time frame: one day (first day of assessment)

    Patients who present a result greater than or equal to 4 of this questionnaire are classified as risk of sarcopenia

  2. Assessment of low muscle strength

    Time frame: one day (first day of assessment)

    The values that discriminate the altered exam are different for each age and sex. The result will be expressed as normal or low muscle strength

  3. Assessment of low muscle mass by measuring the calf circumference

    Time frame: one day (first day of assessment)

    the cutoff points of 33cm for females and 34cm for males were used

  4. Assessment and screening of nutritional risk

    Time frame: one day (first day of assessment)

    Assessment by Mini Nutritional Assessment-Short Form, it has the three classifications: 0-7 points: malnourished; 8 -11 points: at risk of malnutrition; or 12-14 points: well-nourished

  5. Dietary prescription of hospitalized elderly

    Time frame: three days

    to evaluate the number of hospitalized elderly who remained with salt and sugar restriction in the diet, according to medical prescription

  6. Questionnaire on previous knowledge of protein source foods and sarcopenia

    Time frame: one day

    The questionnaire has 9 questions related to knowledge of protein source foods and their importance on health and impact when consumption is not adequate. The last question is about physical activity, to assess how many patients follow the World Health Organization's recommendation. Was evaluated how many patients answered the questions correctly and how many practiced physical activity

Sponsors and collaborators

Lead sponsor

Hospital Israelita Albert Einstein

Other

Registry information

Official study title

Does the Nutritionist's Educational Intervention Influence Protein Intake in Hospitalized Elderly People?

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Aug 16, 2022
Registry last updated
Aug 16, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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