{"id":5491,"date":"2019-06-03T08:00:45","date_gmt":"2019-06-03T06:00:45","guid":{"rendered":"https:\/\/www.nutrisens.com\/vitalites\/malnutrition-ons-reduce-risk-of-hospitalisation\/"},"modified":"2022-04-12T21:40:56","modified_gmt":"2022-04-12T19:40:56","slug":"malnutrition-ons-reduce-risk-of-hospitalisation","status":"publish","type":"vitalites","link":"https:\/\/www.nutrisens.com\/en\/vitalites\/malnutrition-ons-reduce-risk-of-hospitalisation\/","title":{"rendered":"Malnutrition: ONS reduce risk of hospitalisation"},"content":{"rendered":"<p>\n\t<em>Malnutrition affects <strong>5 to 10% of elderly people who live at home<\/strong>. This figure is probably underestimated given the huge differences in health of the population not in care. Yet\u00a0<\/em><strong><em><u><a href=\"https:\/\/www.nutrisens.com\/en\/malnutrition\/\">malnutrition<\/a><\/u><\/em><\/strong>\u00a0<em>increases the risk of hospitalisation. Can Oral Nutritional Supplements (ONS) make a difference? A recent French study (ENNIGME) explored the subject.<\/em><\/p>\n<h2>\n\t<strong>ONS are administered to the frailest malnourished patients<\/strong><\/h2>\n<p>\n\tThe survey covered <strong>191 patients aged 70 and over<\/strong>, all malnourished according to French health authority criteria and living in their own homes:\u00a0133 patients were prescribed ONS by their GP and 58 were not.<\/p>\n<p>\n\tThe most frail patients were the ones who had been prescribed ONS. They had less appetite than the others, a significantly lower quality of life and a significantly lower ability to evaluate their health status.<\/p>\n<h2>\n\t<strong>To be effective, ONS must provide over 500 kcal per day<\/strong><\/h2>\n<p>\n\tOne month in, compliance was 83.5% and after 6 months appetite was significantly more improved in the ONS group compared to other patients.<\/p>\n<p>\n\tCalorie and protein intake from ONS was a determining factor in the risk of hospitalisation: \u00a0<\/p>\n<ul>\n<li>\n\t\tWhere ONS provided more than 30g of protein per day, the risk of hospitalisation was reduced by 68% [OR = 0.320 (0.121\u20130.845), p = 0.02];<\/li>\n<li>\n\t\tWhere ONS provided more than 500 kcal per day, the risk of hospitalisation was reduced by 81.5% [OR = 0.185 (0.121\u20130.845), p = 0.002];<\/li>\n<\/ul>\n<p>\n\tHealth costs were reduced by half when ONS when compliance was complete and when they provided over 500 kcal per day (\u20ac1389) compared to when compliance was less good and ONS provided fewer calories (\u20ac3502 &#8211; a significant difference). Altogether, there was no difference in cost between the groups with and without ONS (\u20ac2732 compared to \u20ac2345, p=0.48).<\/p>\n<h2>\n\t<strong>The type of ONS and compliance are determining factors<\/strong><\/h2>\n<p>\n\tThis survey shows that GPs prescribe ONS for malnourished patients who are dependent, anorexic and the most at risk of hospitalisation. Prescribing ONS does not increase cost. On the contrary, good compliance (with high rates of protein and calories) reduces the risk of hospitalisation and health costs.<\/p>\n<p>\n\t\u00a0<\/p>\n<p>\n\t<em>La compliance \u00e0 la compl\u00e9mentation nutritionnelle orale diminue le risque d\u2019hospitalisation chez les patients \u00e2g\u00e9s d\u00e9nutris vivant \u00e0 domicile, sans augmenter les co\u00fbts: \u00e9tude ENNIGME D. Seguy, H. Hubert, J. Robert, J. -P. Meunier, O Guerin, A. Raynaud-Simon. Nutrition Clinique et M\u00e9tabolisme,\u00a033(1), 2019\u00a0<strong><u><a href=\"https:\/\/doi.org\/10.1016\/j.nupar.2019.01.247\">https:\/\/doi.org\/10.1016\/j.nupar.2019.01.247<\/a><\/u><\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Malnutrition affects 5 to 10% of elderly people who live at home. This figure is probably underestimated given the huge differences in health of the population not in care. Yet\u00a0malnutrition\u00a0increases the risk of hospitalisation. Can Oral Nutritional Supplements (ONS) make a difference? A recent French study (ENNIGME) explored the subject. ONS are administered to the [&hellip;]<\/p>\n","protected":false},"featured_media":5492,"template":"","thematique_blog":[27],"tags_blog":[],"class_list":["post-5491","vitalites","type-vitalites","status-publish","has-post-thumbnail","hentry","thematique_blog-maintien-a-domicile"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites\/5491","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites"}],"about":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/types\/vitalites"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media\/5492"}],"wp:attachment":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media?parent=5491"}],"wp:term":[{"taxonomy":"thematique_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/thematique_blog?post=5491"},{"taxonomy":"tags_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/tags_blog?post=5491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}