Dietetic intervention for inpatients on fluid-only diets helps to achieve nutritional requirements

Deacon, Sarah, Moran, Natalie, Laskey-Gilboy, Bonnie, De Jonge, Maree, Rothery, Shonnel, Ahnon, Kristina, Witing, Melissa, Emeto, Theophilus, and Pain, Tilley (2018) Dietetic intervention for inpatients on fluid-only diets helps to achieve nutritional requirements. Nutrition and Dietetics, 75 (1). pp. 17-23.

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Abstract

Aim: The present study aimed to assess whether dietetic intervention helps patients on fluid-only diets to meet their energy and protein requirements. This topic has not been previously investigated.

Methods: A quasi-experimental study of 57 patients receiving fluid-only diets was conducted at The Townsville Hospital. The fluid consumption of participants was observed over 24 hours and was used to calculate total energy and protein intakes. The percentage of protein and energy requirements met was compared between patients receiving dietetic intervention and patients who were not.

Results: Patients receiving dietetic interventions met a higher percentage of their energy requirements (75.88) than the control group (18.10) based on median intakes (P < 0.001). Patients receiving dietetic intervention also met a higher percentage of their protein requirements (75.99) than the control group (13.80) based on median intakes (P < 0.001). Stratification for age, body mass index (BMI) and fluid diet type showed no change in effect.

Conclusions: This study shows that dietetic intervention enabled patients on fluid-only diets to meet up to 80% more of their energy requirements and up to 95% more of their protein requirements. These results were consistent across age, BMI and fluid diet type. The significance of these differences has resulted in a change of clinical practice at the study hospital. All patients on fluid-only diets for three days or longer are now blanket referred for dietetic intervention.

Item ID: 48861
Item Type: Article (Refereed Research - C1)
Keywords: diet therapy, energy, fluid-only diet, inpatients, malnutrition, protein
ISSN: 1747-0080
Date Deposited: 15 Jun 2017 05:21
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1111 Nutrition and Dietetics > 111102 Dietetics and Nutrigenomics @ 80%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111716 Preventive Medicine @ 20%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 60%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine @ 40%
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