The Importance of Dietary Protein in Healing Pressure Ulcers

Breslow, Rosalind A.; Hallfrisch, Judith; Guy, David G.; Crawley, Barbara; Goldberg, Andrew P.

doi:10.1111/j.1532-5415.1993.tb06940.x

Cited by 210 publications

(99 citation statements)

References 23 publications

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“…The dietary intake during the stay in hospital has been shown to be far below the estimated requirement and often less than the intake at home (Weinsier et al, 1979;Sandstrom et al, 1985;Waage et al, 1987;Larsson et al, 1994) Studies have shown that nutritional intervention can improve nutrition status (McWhirter and Pennington, 1994) and clinical outcome (Delmi et al, 1990;Breslow et al, 1993). In the study by Breslow et al it was the quality of the nutritional support that was of signi®cance.…”

Section: Introductionmentioning

confidence: 99%

Validation of a self-administered form for recording food intake in hospital patients

et al. 1998

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Obejctive: Validation a self-administered form used by patients to record their food intake and compare the recorded data with the observed intake. Design: Data were obtained from an unselected cross-sectional group of hospitalized patients. Subejcts: Forty-®ve adult men and women volunteered to participate. Five of these dropped out. Methods: Observed intake at breakfast, lunch and dinner was obtained by recording the servings of food before they were served to the patients and subtracting weighed leftovers. At meal times the patients recorded food items eaten in fractions of amount served to the nearest 25%. Setting: Inpatients from ®ve different wards at Rikshospitalet, Oslo.Results: There was a signi®cant under-reporting of the number of foods served (P`0.005) resulting in a signi®cant underestimation of energy 231 kJ (P`0.02). There was good agreement between the patients and the observers for the portions of most foods (Kappa 0.44 ± 0.92, P`0.00001). The differences in amount had little in¯uence on the difference in total energy. The difference in number of foods correlated with the difference in energy (r 0.68, P`0.001) and with the difference in protein (r 0.50, P`0.01). Patients with an underestimation of energy above 20% had forgotten seven or more food items. Conclusions: For most patients, the self-administered form adapted to the hospital menu appears to have acceptable validity, but for some patients it was unacceptable, mainly owing to food items being omitted and not because of incorrect estimate of amounts of food. Sponsorship: Rikshospitalet,

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Section: Introductionmentioning

confidence: 99%

Validation of a self-administered form for recording food intake in hospital patients

et al. 1998

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“…Some studies (n 19) provided 'recommendations' to patients about when to consume the ONS, although it appeared that patient compliance with this timing was not checked. Suggested times varied considerably, and included between meals (Lipschitz et al 1985;Woo et al 1994;Volkert et al 1996), with meals (Breslow et al 1993), early in the morning (Cederholm & Hellstrom, 1995), during the afternoon (Sondel et al 1987) or in the evening (Fiatarone et al 1994), with the aim to maximally increase total energy intake. Conclusions about the best time and frequency of ONS consumption in different disease groups could not be reached from the studies reviewed, in particular due to a lack of formal comparisons of these different schedules.…”

Section: Interventionmentioning

confidence: 99%

Summary of a systematic review on oral nutritional supplement use in the community

Stratton

2000

Proc. Nutr. Soc.

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Despite a marked increase in the prescription of oral nutritional supplements (ONS) in the community (Department of Health, 1991–7), there is still uncertainty about the value of their use in patients with different diseases. To answer questions about the effects on ONS on body weight and structure, spontaneous food intake and body function, a critical systematic review was undertaken (Stratton & Elia, 1999a). Eighty-four trials were reviewed (forty-five randomized, thirty-nine non-randomized; 2570 patients; diagnoses including chronic obstructive pulmonary disease, Crohn’s disease, cystic fibrosis, human immunodeficiency virus and acquired immune deficiency syndrome and cancer). Most studies (83 %) were conducted in patients living at home. The supplements were typically mixed macronutrients in liquid form, providing < 0.42–10.5 MJ/d for 1 week–2 years. The studies reviewed in patients with predominantly chronic conditions living in the community suggested that: (1) ONS produce demonstrable clinical (including functional) benefits, but the nature and extent of these benefits varies with the underlying chronic condition; (2) ONS increase total energy intake with > 50 % of the energy from ONS typically additional to that from habitual food intake; (3) improvements in body weight, total energy intake and body function following ONS appear to occur more frequently in individuals with a BMI < 20 kg/m2 than in those with a BMI > 20 kg/m2.

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“…It also causes a decrease in muscle mass and strength, leading to gait disorders, falls and fractures (10). Low albuminemia is associated with the development of pressure sores and with poor healing (11). Thus, malnutrition may increase morbidity, leading to a life-threatening vicious circle of disease and malnutrition.…”

Section: Introductionmentioning

confidence: 99%

IGF-I, IGF-I-binding proteins and GH-binding protein in malnourished elderly patients with inflammation receiving refeeding therapy

Raynaud-Simon

Périn²,

Meaume³

et al. 2002

European Journal of Endocrinology

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The Importance of Dietary Protein in Healing Pressure Ulcers

Abstract: High protein diets may improve the healing of pressure ulcers in malnourished nursing home patients.

Cited by 210 publications

References 23 publications

Validation of a self-administered form for recording food intake in hospital patients

Validation of a self-administered form for recording food intake in hospital patients

Summary of a systematic review on oral nutritional supplement use in the community

IGF-I, IGF-I-binding proteins and GH-binding protein in malnourished elderly patients with inflammation receiving refeeding therapy

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