Evaluation of a Strategy for the Presentation of Oral Nutritional Supplements in Verrines for Managing Undernutrition in the Elderly Undergoing Follow-up Care and Geriatric Rehabilitation

Study Overview
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Brief Summary
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Protein-energy malnutrition results from an imbalance between the body's intake and needs. Among the elderly in long-term care, the prevalence of undernutrition varies from 30% to 70%. It is responsible for or aggravates a state of fragility or dependence, and promotes the occurrence of morbidities. It is also associated with worsening prognosis for underlying diseases and increases the risk of death. Nutritional management of undernutrition is an issue, especially in health facilities. Among the various existing nutritional care methods, oral nutritional supplements should be considered in the event of failure of food enrichment measures or even at the outset in undernourished elderly people. However, compliance or acceptance of these products among the elderly remains limited and variable with consumption of oral nutritional supplements ranging between 48% and 94% according to studies, and, because of their ease of prescription, oral supplements are sometimes the only nutritional intervention.

Official Title
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Evaluation of a Strategy for the Presentation of Oral Nutritional Supplements (ONS) in Verrines for Managing Undernutrition in the Elderly Undergoing Follow-up Care and Geriatric Rehabilitation. Biomedical, Monocentric, Comparative, Clustered and Open Randomized Research Study

Conditions
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Patients Hospitalized in Follow up Care or Rehabilitation

Intervention / Treatment
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* Other: Food weighing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Undernourished or at-risk individuals with blood albumin levels below 35 g/L or prealbumin levels below 200 mg/L, Person admitted to geriatric follow up care less than 48 hours ago, Person fed orally, Person with a prescription for an ONS, Person who speaks and understands French. Exclusion Criteria: Person not affiliated to a national health insurance scheme Person requiring enteral or parenteral feeding Person refusing to consume ONS People at the very end of their lives

Ages Eligible for Study
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Minimum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Verrine<br>Patients served verrines | Other: Food weighing<br>* Quantification of food intake over three consecutive days (D5, D6 and D7 then D26, D27 and D28) by weighing the food served and the leftovers at and after mealtimes.<br>|
| CNO<br>Patients served wrapped supplements | Other: Food weighing<br>* Quantification of food intake over three consecutive days (D5, D6 and D7 then D26, D27 and D28) by weighing the food served and the leftovers at and after mealtimes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantity of oral nutritional supplements consumed daily |  | through study completion, an average of 1 month |