Observational studyBMC geriatrics2026
A community programme of home visits by dieticians after discharge from geriatric acute care wards: baseline characteristics according to weight change during follow-up.
Observational study in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04016532 (Personalized Dietary Advice After Discharge From Hospital in Geriatrics), which is not on this map. Not yet cited in PubMed.
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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.
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Personalized Dietary Advice After Discharge From Hospital in Geriatrics: Factors Associated With Improved Nutritional Status and Autonomy
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundsMalnutrition is common among hospitalised older adults, and weight may continue to decline after discharge without nutritional support. Post-discharge home visit programmes by dieticians show positive outcomes, but not all participants experience improvement of their nutritional status. We compared participant’s characteristics according to weight change groups in a 3-month public community programme of dietician home visits.
methodsThis observational retrospective study included older adults at risk of malnutrition or malnourished in geriatric acute care wards and discharged home. Hospital data included pre-hospital basic (ADL) and instrumental (IADL) activities of daily living, comorbidity (Cumulative Illness Rating Scale-Geriatric), plasma albumin and CRP, and oral nutritional supplement prescription at discharge. The programme consisted in four or five home visits over three months, depending on the first full home Mini Nutritional Assessment (MNA) score. Dieticians provided individualised counselling and recorded weight, appetite, energy and protein intake, ADL, IADL, handgrip strength (HS), self-perceived health status (SPHS), and quality of life (QoL). The number of family or professional caregivers was noted. Participants were classified according to weight change between the first and last visit: gain > 1 kg, loss > 1 kg, or stability.
resultsAmong 351 participants (mean age 87.3 ± 6.1), 197 (56%) completed ≥ 2 visits, weight change was available for 189 (54%), and 149 (42%) completed all planned visits. A higher number of caregivers at home was associated with completing ≥ 2 visits (1.9 ± 1.3 vs. 1.6 ± 1.1; p = 0.01). Between the first and last visit, 46% gained weight, 33% remained stable, and 21% lost weight. No baseline characteristic was significantly different between weight change groups. Over time, weight (median + 0.9 kg; Q1–Q3 [0.5–1.2]), appetite, QoL, SPHS, MNA, and HS improved significantly (all p < 0.01).
conclusionsAlmost half of participants gained weight during the dietician-led home visit programme. Baseline geriatric assessment did not allow discrimination between weight change groups. In older adults discharged from geriatric acute care, factors influencing dietary counselling efficacy remains to be identified in order to support individualised care plans.
trial registration(ClinicalTrials.gov):NCT04016532
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