Pp035-Mon Low-Volume, Energy- And Nutrient-Dense Oral Nutritional Supplement Improves Nutritional Status of Nursing Home Residents

Energy-dense, low-volume paediatric oral nutritional supplements improve total nutrient intake and increase growth in paediatric patients requiring nutritional support: results of a randomised controlled pilot trial

“…Effective management of faltering growth requires the provision of optimal energy, protein and micronutrients important for growth [ 21 ], and nutrition support strategies can include dietary advice, food fortification and the use of ONS. There is significant evidence supporting the use of ONS, particularly in adults [ 5 – 7 , 10 , 13 , 17 , 18 , 26 , 38 , 39 , 41 , 42 , 45 , 47 – 51 ], but also in children [ 1 , 4 , 12 , 15 , 19 – 21 , 24 , 25 , 31 , 33 , 34 , 36 , 43 , 49 , 53 ], showing improved nutrient intakes, weight, quality of life, and reduced hospital admissions and readmissions, complications and healthcare costs. However, there is a lack of evidence for the use of ONS in the general faltering growth population and for the use of ready-made (liquid) ONS.…”

“…One possible strategy to improve nutrient intake in children with faltering growth is to reduce the volume of ONS by increasing the energy and nutrient-density, which when undertaken with food has been shown to increase energy intake and appetite without affecting fullness [ 3 , 8 , 22 , 28 – 30 ]. Indeed, a positive correlation between ONS compliance and ONS energy-density has been shown [ 18 ] and studies in adults have shown that energy-dense (2.4 kcal/ml), low-volume (125 ml) multi-nutrient ready-made liquid ONS (or ‘compact-style’) significantly increase compliance, total energy and protein intakes, body weight, and play a key role in oral nutrition support strategies for adult disease-related malnutrition in clinical practice in the EU and other countries [ 7 , 13 , 16 , 17 , 38 , 39 , 41 , 42 , 51 ]. Whilst it can be hypothesised that a similar effect would be seen with energy-dense, low-volume ONS in children, no comparative studies have been published to date.…”