Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge
Aim: To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. Methods: The Department of Veterans’ Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales...
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| Format: | Article |
| Language: | English |
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John Wiley & Sons, Inc.
2017
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| Online Access: | http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/1/Hamirudin%20et%20al%20%282017%29%20Nutrition%20%26%20Dietetics.pdf |
| _version_ | 1848785386445209600 |
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| author | Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan |
| author_facet | Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan |
| author_sort | Hamirudin, Aliza Haslinda |
| building | IIUM Repository |
| collection | Online Access |
| description | Aim: To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. Methods: The Department of Veterans’ Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants’ nutritional status. Results: Mean body weight improved significantly (P = 0.048), as well as mean MNA score (21.9 ± 3.5 vs 25.2 ± 3.1) (P < 0.001). Mean energy, protein and micronutrient intakes were adequate at baseline and three months, except for vitamin D. At three months, the underweight group (body mass index (BMI) < 23 kg/m2) had significantly higher mean protein intake per body weight (1.7 ± 0.4 g/kg) compared to those who were a desirable weight (BMI 23–27 kg/m2) (1.4 ± 0.3 g/kg) or overweight (BMI>27 kg/m2) (1.1 ± 0.3 g/kg) peers (P < 0.001). There was significant improvement in energy intake contributed from oral nutrition supplements (+95.5 ± 388.2 kJ/day) and milk (+259.6 ± 659.8 kJ/day). Conclusions: Dietetic intervention improved nutritional status 3 months after hospital discharge in older adults living in the community. |
| first_indexed | 2025-11-14T16:52:19Z |
| format | Article |
| id | iium-59843 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T16:52:19Z |
| publishDate | 2017 |
| publisher | John Wiley & Sons, Inc. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-598432018-03-09T07:22:21Z http://irep.iium.edu.my/59843/ Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan RM216 Diet Therapy. Clinical Nutrition Aim: To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. Methods: The Department of Veterans’ Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants’ nutritional status. Results: Mean body weight improved significantly (P = 0.048), as well as mean MNA score (21.9 ± 3.5 vs 25.2 ± 3.1) (P < 0.001). Mean energy, protein and micronutrient intakes were adequate at baseline and three months, except for vitamin D. At three months, the underweight group (body mass index (BMI) < 23 kg/m2) had significantly higher mean protein intake per body weight (1.7 ± 0.4 g/kg) compared to those who were a desirable weight (BMI 23–27 kg/m2) (1.4 ± 0.3 g/kg) or overweight (BMI>27 kg/m2) (1.1 ± 0.3 g/kg) peers (P < 0.001). There was significant improvement in energy intake contributed from oral nutrition supplements (+95.5 ± 388.2 kJ/day) and milk (+259.6 ± 659.8 kJ/day). Conclusions: Dietetic intervention improved nutritional status 3 months after hospital discharge in older adults living in the community. John Wiley & Sons, Inc. 2017-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/59843/1/Hamirudin%20et%20al%20%282017%29%20Nutrition%20%26%20Dietetics.pdf Hamirudin, Aliza Haslinda and Walton, Karen and Charlton, Karen and Carrie, Amanda and Tapsell, Linda and Milosavljevic, Marianna and Pang, Glen and Potter, Jan (2017) Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge. Nutrition & Dietetics, 74 (3). pp. 217-223. E-ISSN 1747-0080 http://onlinelibrary.wiley.com/doi/10.1111/1747-0080.12305/full 10.1111/1747-0080.12305 |
| spellingShingle | RM216 Diet Therapy. Clinical Nutrition Hamirudin, Aliza Haslinda Walton, Karen Charlton, Karen Carrie, Amanda Tapsell, Linda Milosavljevic, Marianna Pang, Glen Potter, Jan Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title | Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title_full | Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title_fullStr | Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title_full_unstemmed | Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title_short | Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| title_sort | feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge |
| topic | RM216 Diet Therapy. Clinical Nutrition |
| url | http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/ http://irep.iium.edu.my/59843/1/Hamirudin%20et%20al%20%282017%29%20Nutrition%20%26%20Dietetics.pdf |