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...

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Main Authors:	Hamirudin, Aliza Haslinda, Walton, Karen, Charlton, Karen, Carrie, Amanda, Tapsell, Linda, Milosavljevic, Marianna, Pang, Glen, Potter, Jan
Format:	Article
Language:	English
Published:	John Wiley & Sons, Inc. 2017
Subjects:	RM216 Diet Therapy. Clinical Nutrition
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

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spelling	iium-598432018-03-09T07:22:21Z http://irep.iium.edu.my/59843/ Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan RM216 Diet Therapy. Clinical Nutrition 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. John Wiley & Sons, Inc. 2017-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/59843/1/Hamirudin%20et%20al%20%282017%29%20Nutrition%20%26%20Dietetics.pdf Hamirudin, Aliza Haslinda and Walton, Karen and Charlton, Karen and Carrie, Amanda and Tapsell, Linda and Milosavljevic, Marianna and Pang, Glen and Potter, Jan (2017) Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge. Nutrition & Dietetics, 74 (3). pp. 217-223. E-ISSN 1747-0080 http://onlinelibrary.wiley.com/doi/10.1111/1747-0080.12305/full 10.1111/1747-0080.12305
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RM216 Diet Therapy. Clinical Nutrition
spellingShingle	RM216 Diet Therapy. Clinical Nutrition Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
description	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.
format	Article
author	Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan
author_facet	Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan
author_sort	Hamirudin, Aliza Haslinda
title	Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
title_short	Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
title_full	Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
title_fullStr	Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
title_full_unstemmed	Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
title_sort	feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
publisher	John Wiley & Sons, Inc.
publishDate	2017
url	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
first_indexed	2023-09-18T21:24:50Z
last_indexed	2023-09-18T21:24:50Z
_version_	1777412121655508992

Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge

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