Clinical trial NCT05502445: The Nutritionist's Educational Intervention on the Protein Intake in Hospitalized Elderly People
Official title: Does the Nutritionist's Educational Intervention Influence Protein Intake in Hospitalized Elderly People?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Old Age; Cachexia
Dietary Habits
Sarcopenia
Protein Malnutrition
Patient Participation
Keywords: Malnutrition
Sarcopenia
Hospitalized Patients
Elderly
Patient-Centered Care
Food Intake
Protein
Nutritional Supplements
Lead sponsor: Hospital Israelita Albert Einstein
Sponsor class: OTHER
First posted: 2022-08-16
Enrollment: 58
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A prospective, correlational, comparative and randomized study, with hospitalized elderly over 60 years, at a private hospital.

Patients will be randomized through a numerical sequence list, into Intervention Group (IG) or Control Group (CG). Before the nutritionist performs the first assessment, the envelope to determine which group the patient would be allocated will be selective.

The CG will follow the flow of nutritional assessment and monitoring while the IG 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.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Total energy and protein needs and intakes from dietary and oral nutritional supplements during hospitalization, according to the study group
timeFrame: three days
Secondary outcomes:
measure: Assessment and screening of sarcopenia risk by SARC-F questionnaire
timeFrame: one day (first day of assessment)
measure: Assessment of low muscle strength
timeFrame: one day (first day of assessment)
measure: Assessment of low muscle mass by measuring the calf circumference
timeFrame: one day (first day of assessment)
measure: Assessment and screening of nutritional risk
timeFrame: one day (first day of assessment)
measure: Dietary prescription of hospitalized elderly
timeFrame: three days
measure: Questionnaire on previous knowledge of protein source foods and sarcopenia
timeFrame: one day
Other outcomes:
Locations:
city: São Paulo
country: Brazil
facility: Hospital Israelita Albert Einstein
state: SP
Study officials:
affiliation: Hospital Israelita Albert Einstein
name: Ana P Lottenberg
role: PRINCIPAL_INVESTIGATOR
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