Fortified Hospital Food as Nutritional Support (DHH)
Positive Effect of Fortified Hospital Food on Nutritional Intake in Patients at Nutritional Risk. A Randomized Controlled Trial.
Background:
The investigators have previously documented that patients at nutritional risk lack sufficient energy and protein intake. In 2009 the investigators conducted a non-randomized historically controlled intervention study of 40 patients at nutritional risk. The study indicated that a tailored food concept increased nutritional intake in this patient group.
The objective of the current study is therefore to investigate these findings in a randomized clinical trial. Our target is for 75% of patients in the intervention group to reach 75% of their energy and protein requirements.
Methods:
The study will compare standard nutritional care (control group) with tailored nutritional care (the possibility to order small energy and protein-enriched dishes called "Delights of Herlev Hospital"). 96 patients at nutritional risk, according to the NRS-2002 criteria, will be included in the study.
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Copenhagen
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Herlev、Copenhagen、丹麦、2730
- Herlev University Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- patients at nutritional risk, according to the NRS-2002 system
- patients must be able to understand the information and be able to give a written informed consent (sufficient cognitive functioning)
- well-functioning gastrointestinal tract
- anticipated length of hospitalization of more than 3 days
Exclusion Criteria:
- terminal patients
- dysphagia
- food allergy or intolerance
学习计划
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Nutritional intervention
The study will compare standard nutritional care (control group) with tailored nutritional care (the possibility to order small energy and protein-enriched dishes called "Delights of Herlev Hospital")(intervention group).
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The study is af 12 week randomized clinical trail with inclusion of 96 patients at nutritional risk, according to the NRS-2002 system.
The intervention group is is given a tailored nutritional care(the possibility to order small energy and protein-enriched dishes called "Delights of Herlev Hospital").
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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The primary endpoint was the percentage of patients reaching >75% of their protein and energy requirements.
大体时间：Energy and protein intake will be calculated on an average of 3 and up to 7 days of dietary. Number of days of food intake recording depends on how long the patient is hospitalized.
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The patients energy requirement will be estimated both from the factorial method and by Harris and Benedicts formula. Protein requirement will be 18E% of the energy requirement. Recording of the dietary intake will be carried out on a daily basis over a periode of minimum 3 days and maxium 7 days |
Energy and protein intake will be calculated on an average of 3 and up to 7 days of dietary. Number of days of food intake recording depends on how long the patient is hospitalized.
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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handgrip strength
大体时间：at day 3, 5 and 7
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Handgrip strength (HGS)will be measured with a Jamar Digital Hand Dynanometer.
HGS will only be measured in the right hand because the right hand i significantly stronger in right-handed subjects and there is no significant difference between the two sides in left-handed subjects.
Subjects will be encouraged to perform maximal contractions three times with a 15-s interval and the average value will be recorded.
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at day 3, 5 and 7
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average daily energy and protein intake
大体时间：Patient und energy and protein intake will be followed during hospitalization from enrollment in the study and until discharge or up to 7 days
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Patient und energy and protein intake will be followed during hospitalization from enrollment in the study and until discharge or up to 7 days
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Use of tube feeding
大体时间：The patients use of tube feeding will be followed from enrollment in the study and until discharge, an expected average of 9 days.
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Use of tube feeding will be registrated (yes or no and amount (ml.)
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The patients use of tube feeding will be followed from enrollment in the study and until discharge, an expected average of 9 days.
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use of parenteral nutrition
大体时间：The patients use of parenteral nutrition will be followed from enrollment in the study and until discharge, an expected average of 9 days.
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Registration of use of parenteral nutrition (yes or no).
If yes how much (ml.).
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The patients use of parenteral nutrition will be followed from enrollment in the study and until discharge, an expected average of 9 days.
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length of stay
大体时间：an expected average of 9 days.
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an expected average of 9 days.
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合作者和调查者
调查人员
- 研究主任：Tina Munk, MSc.、Herlev University Hospital, Denmark
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- H-1-2011-048
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