Evidence map›Paper›PMID 32578906›Full record

Observational studyNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2020

During Hospitalization, Older Patients at Risk for Malnutrition Consume <0.65 Grams of Protein per Kilogram Body Weight per Day.

Michelle E G Weijzen, Imre W K Kouw, Phil Geerlings, Lex B Verdijk, Luc J C van Loon

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05502445 (Does the Nutritionist's Educational Intervention Influence Protein Intake in Hospitalized Elderly People?), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05502445 nacompletednot on this mapstarted 2021, after this paper: background citation

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

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2021 to 2022Enrolled58ConditionsOld Age, Cachexia, Dietary Habits, SarcopeniaArmseducational intervention
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michelle E G WeijzenDepartment of Human Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0001-6859-7606
Imre W K KouwDepartment of Human Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0003-4435-0101
Phil GeerlingsDepartment of Dietetics, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Lex B VerdijkDepartment of Human Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-9196-8767
Luc J C van LoonDepartment of Human Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-6768-9231
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition is prevalent in hospitalized patients. To support muscle maintenance in older and chronically ill patients, a protein intake of 1.2-1.5 g/kg/d has been recommended during hospitalization. We assessed daily protein intake levels and distribution in older patients at risk for malnutrition during hospitalization.

methodsIn this prospective, observational study, we measured actual food and food supplement consumption in patients (n = 102; age, 68 ± 14 years; hospital stay, 14 [8-28] days) at risk of malnutrition during hospitalization. Food provided by hospital meals, ONS, and snacks and the actual amount of food (not) consumed were weighed and recorded for all patients.

resultsHospital meals provided 1.03 [0.77-1.26] protein, whereas actual protein consumption was only 0.65 [0.37-0.93] g/kg/d. Protein intake at breakfast, lunch, and dinner was 10 [6-15], 9 [5-14], and 13 [9-18] g, respectively. The use of ONS (n = 62) resulted in greater energy (1.26 [0.40-1.79] MJ/d, 300 [100-430] kcal/d) and protein intake levels (11 [4-16] g/d), without changing the macronutrient composition of the diet.

conclusionDespite protein provision of ∼1.0 g/kg/d, protein intake remains well below these values (∼0.65 g/kg/d), as 30%-40% of the provided food and supplements is not consumed. Provision of ONS may increase energy and protein intake but does not change the macronutrient composition of the diet. Current nutrition strategies to achieve the recommended daily protein intake in older patients during their hospitalization are not as effective as generally assumed.

Indexed as

AgedAged, 80 and overBody WeightDietDietary ProteinsDietary SupplementsEatingFeeding BehaviorFemaleGeriatric AssessmentHospitalizationHumansMaleMalnutritionMealsMiddle AgedDietary Proteinsenergyhospitalizationmalnutritionolder adultsoral nutrition supplementsprotein

Identifiers

PMID32578906
PMCPMC7384011
OpenAlexW3037384388

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.