Effects of a Specialized Oral Nutritional Supplement with Dietary Counseling on Nutritional Outcomes in Community-Dwelling Older Adults at Risk of Malnutrition: A Randomized Controlled Trial

Author:

Muangpaisan Weerasak1ORCID,Wichansawakun Sanit2ORCID,Huynh Dieu Thi Thu3,Intalapaporn Somboon1,Chalermsri Chalobol1,Thititagul Ornicha1,Chupisanyarote Kanokkarn4,Chuansangeam Mallika2,Laiteerapong Arunee5,Yalawar Menaka6ORCID,Huang Chengrong7,Tey Siew Ling3ORCID,Liu Zhongyuan3

Affiliation:

1. Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

2. Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand

3. Abbott Nutrition Research and Development, Asia-Pacific Center, Singapore 138668, Singapore

4. Thammasat University Hospital, Thammasat University, Pathum Thani 12120, Thailand

5. Abbott Nutrition Research and Development, Bangkok 10120, Thailand

6. Biostatistics and Statistical Programming, Cognizant Technologies Solution Pvt. Ltd., Bangalore 560092, India

7. Abbott Nutrition Research and Development, Shanghai 200233, China

Abstract

This study investigated the effects of oral nutritional supplements (ONSs) along with dietary counseling (DC) in community-dwelling older adults at risk of malnutrition. In this randomized controlled trial, 196 older adults who were at risk of malnutrition, as identified by the Malnutrition Universal Screening Tool (MUST) were randomly assigned to receive ONSs twice daily with DC (intervention) or DC-only (control) for 60 days. Primary outcome was change in body weight from baseline to day 60. Nutritional status, energy, and macronutrient intakes were measured. A significant larger weight gain was observed in the intervention compared to the control from baseline to day 60 (1.50 ± 0.22 kg, p < 0.0001). The intervention group also showed a significantly greater increase in weight at day 30 (p < 0.0001). Intakes of energy and macronutrients were significantly higher in the intervention group compared to the control group at both days 30 and 60 (all p < 0.0001). The odds of achieving better nutritional status were significantly higher in the intervention group than in the control group (OR:3.9, 95% CI: 1.9, 8.2, p = 0.0001). ONS supplementation combined with DC significantly improved body weight and nutritional outcomes in community-dwelling older adults at risk of malnutrition.

Funder

Abbott Nutrition

Publisher

MDPI AG

Reference50 articles.

1. United Nations Department of Economic and Social Affairs, Population Division (2023). World Social Report 2023: Leaving No One Behind in an Ageing World, United Nations Publication.

2. Paitoonpong, S. (2023). Promotion of Active Aging and Quality of Life in Old Age and Preparation for a Complete Aged Society in Thailand, Thailand Development Research Institute.

3. Population Reference Bureau (2023). 2023 World Population Data Sheet, PRB.

4. Department of Older Persons (2022). Situation of the Thai Older Persons 2022, Foundation of Thai Gerontology Research and Development Institute.

5. Undernutrition in older adults;Morley;Fam. Pract.,2012

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