Customized nutrition intervention and personalized counseling helps achieve nutrition targets in perioperative liver transplant patients

Lovesley, D.; John, Sheila; Rajalakshmi, P. V.; Vaidya, Anil; Khakhar, Anand; Bhuvaneshwari, S; Anand, Raktima

doi:10.1016/j.clnesp.2017.09.014

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The nutrition intervention was mainly carried out using tailored nutrition counselling, but also other means of delivering the intervention were successfully used. Compared with a standard nutrition prescription, an individualized protocol to diagnose malnutrition and follow-up by tailored nutrition counselling helped achieve nutritional targets more effectively in spite of diversity of population in nutritional habits and in some cases reluctance to accept changes [20].…”

Section: Discussionmentioning

confidence: 99%

The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans

et al. 2021

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Background The “Sarcopenia and Physical Frailty in Older People: Multicomponent Treatment Strategies” (SPRINTT) project sponsored a multi-center randomized controlled trial (RCT) with the objective to determine the effect of physical activity and nutrition intervention for prevention of mobility disability in community-dwelling frail older Europeans. We describe here the design and feasibility of the SPRINTT nutrition intervention, including techniques used by nutrition interventionists to identify those at risk of malnutrition and to carry out the nutrition intervention. Methods SPRINTT RCT recruited older adults (≥ 70 years) from 11 European countries. Eligible participants (n = 1517) had functional limitations measured with Short Physical Performance Battery (SPPB score 3–9) and low muscle mass as determined by DXA scans, but were able to walk 400 m without assistance within 15 min. Participants were followed up for up to 3 years. The nutrition intervention was carried out mainly by individual nutrition counseling. Nutrition goals included achieving a daily protein intake of 1.0–1.2 g/kg body weight, energy intake of 25–30 kcal/kg of body weight/day, and serum vitamin D concentration ≥ 75 mmol/L. Survey on the method strategies and feasibility of the nutrition intervention was sent to all nutrition interventionists of the 16 SPRINTT study sites. Results Nutrition interventionists from all study sites responded to the survey. All responders found that the SPRINTT nutrition intervention was feasible for the target population, and it was well received by the majority. The identification of participants at nutritional risk was accomplished by combining information from interviews, questionnaires, clinical and laboratory data. Although the nutrition intervention was mainly carried out using individual nutritional counselling, other assisting methods were used as appropriate. Conclusion The SPRINTT nutrition intervention was feasible and able to adapt flexibly to varying needs of this heterogeneous population. The procedures adopted to identify older adults at risk of malnutrition and to design the appropriate intervention may serve as a model to deliver nutrition intervention for community-dwelling older people with mobility limitations.

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Section: Discussionmentioning

confidence: 99%

The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans

et al. 2021

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“…The current study finding is in contrast to Indian study done by (18) showed that SGA score a composite marker of nutritional status significantly improved in the experimental group, whereas it remained more or less same in the control group. (19) mentioned that an individualized protocol used to diagnose, stratify the severity of malnutrition early, and follow up by customized nutrition planning for patients helped to achieve nutritional targets more effectively. Inspite of patients' diversity in nutritional habits and reluctance to accept change, it is clear that a qualified and dedicated transplant nutrition team can successfully implement perioperative nutrition protocol to achieve better nutritional targets.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of A Nutritional Instructional Program on Health-Related Outcomes for Hemodialysis Patients

2021

IJFMT

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Objective: the study aimed to evaluate the effectiveness of a nutritional instructional program on healthrelated outcomes for hemodialysis patients through utilization of quality of life, and subjective global assessment in pretest; posttest1, posttest 2 and posttest 3.Methodology: quasi-experimental design was conducted at Al-Najaf Al-Ashraf, Specialized Center for Kidney Diseases and Transplantation. The study has been carried out during the period 1 st September 2019 to 20 th May 2020. The dietary instructions program constructed by researcher to measure the purpose of the study. The study sample of (76) patients referred for dialysis to the Specialized Center for Kidney Diseases and Transplantation. During the period of the study patients were selected through non-probability (purposively) and were randomly divided into two groups of ( 40) patients for study group and (36) patients for control group. The study group have been exposed to dietary instructional program by the researcher. The group that has not been exposed to dietary instructional program by the researcher are considered the control group. The measurement of effectiveness of dietary instructional program on patients undergoing hemodialysis through used of Quality-of-Life form and consisted of (5) main items. The subjective global assessment checklist questions and consisted of (6) items. Data was analyzed by using of descriptive data analysis (frequencies, percentages, mean, standard deviation, and graphical presentation) and by using of inferential analysis (chi-square, independent t-test, paired t-test, ANOVA test, and binominal test). Results:The results of the study demonstrated that there was non-significant difference between the study and control groups for quality-of-life score in pre dietary instructional program while; there was highly significant difference between the study and control groups for quality-of-life score in post dietary instructional program. The present study illustrated that there was non-significant difference between study and control groups in pretest at p-value (0.05), while there was highly significant difference in posttest (1,2, and 3) between study and control groups at p-value (0.05) regarding SGA. Conclusions:The study concluded that implementation instructional session will demonstrating a positive change in nutritional status and dietary habits. Difference between the two groups is due to the effectiveness of the dietary instruction program that given to the patients in the study group and not given to the control group. Recommendation:The study recommended that establishing of educational center for the patients in the hospital provided by adequate related materials, medias, audio-visuals aids and booklet for educating all patients how to cope with their medical conditions, when giving information to patients and relatives, nurses have more choices to make information clear and easily understandable.

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“…While others have described improved outcomes with surgical patients who receive preoperative nutritional counselling (Daphnee et al 2018, Ehresman et al 2020, Novelli et al 2020), we analysed the impact of this intervention specifically in oesophageal cancer patients who were intended to undergo resection. In comparing the groups who did and did not receive counselling, we found that they were also different in terms of preoperative feeding tube placement.…”

Section: Discussionmentioning

confidence: 99%

Preoperative nutritional counselling in patients undergoing oesophagectomy

Gongola

Reif

Cosgrove

et al. 2021

Journal of Perioperative Practice

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Background Patients undergoing surgery for oesophageal cancer are at high risk of malnutrition due to pathology and neoadjuvent therapy. This study sought to determine if oesophageal cancer patients undergoing oesophagectomy achieve superior clinical outcomes when preoperative nutritional counselling is performed. Methods Oesophageal cancer patients undergoing oesophagectomy were retrospectively divided into cohorts based on those who received ( n = 48) and did not receive ( n = 58) preoperative nutritional counselling. We compared weight loss, length of stay, 30-day readmission related to nutrition or feeding tube problems, and 90-day mortality. Results Per cent weight loss was less in patients who received preoperative nutritional counselling. There was a trend toward decreased mean length of stay and there were fewer readmissions for feeding tube-related complications in patients who received counselling. Conclusions Nutritional counselling before surgery may lead to decreased weight loss and reduced readmissions for feeding tube-related complications in patients with oesophageal cancer undergoing oesophagectomy.

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Customized nutrition intervention and personalized counseling helps achieve nutrition targets in perioperative liver transplant patients

Cited by 3 publications

References 6 publications

The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans

The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans

Effectiveness of A Nutritional Instructional Program on Health-Related Outcomes for Hemodialysis Patients

Preoperative nutritional counselling in patients undergoing oesophagectomy

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