학술논문
A multi-center prospective study of plant-based nutritional support in adult community-based patients at risk of disease-related malnutrition
Document Type
article
Author
Marta Delsoglio; Corbin Griffen; Rakshan Syed; Tobias Cookson; Hanorah Saliba; Amanda Vowles; Samuel Davies; Nicola Willey; Jennifer Thomas; Nicola Millen; Nour Odeh; Jayne Longstaff; Naomi Westran; Lindsey Allan; Hannah Offer; Chloe Howell; Meg Sanders; Kirsty Gaffigan; Kirby Garrett; Sally Foster; Agnes Salt; Emily Carter; Sarah Moore; Nick Bergin; Jane Roper; Joe Alvarez; Christine Voss; Teresa Connolly; Clare MacDonald; Tracey Thrower; Darren Sills; Janet Baxter; Rhonda Manning; Lynsey Gray; Karen Voas; Scot Richardson; Anne-Marie Hurren; Daniel Murphy; Susan Blake; Paul McArdle; Sinead Walsh; Lucy Booth; Louise Albrich; Sarah Ashley-Maguire; Joanna Allison; Sarah Brook; Rebecca Capener; Gary P. Hubbard; Rebecca J. Stratton
Source
Frontiers in Nutrition, Vol 10 (2023)
Subject
Language
English
ISSN
2296-861X
Abstract
IntroductionThere is an emerging need for plant-based, vegan options for patients requiring nutritional support.MethodsTwenty-four adults at risk of malnutrition (age: 59 years (SD 18); Sex: 18 female, 6 male; BMI: 19.0 kg/m2 (SD 3.3); multiple diagnoses) requiring plant-based nutritional support participated in a multi-center, prospective study of a (vegan suitable) multi-nutrient, ready-to-drink, oral nutritional supplement (ONS) [1.5 kcal/mL; 300 kcal, 12 g protein/200 mL bottle, mean prescription 275 mL/day (SD 115)] alongside dietary advice for 28 days. Compliance, anthropometry, malnutrition risk, dietary intake, appetite, acceptability, gastrointestinal (GI) tolerance, nutritional goal(s), and safety were assessed.ResultsPatients required a plant-based ONS due to personal preference/variety (33%), religious/cultural reasons (28%), veganism/reduce animal-derived consumption (17%), environmental/sustainability reasons (17%), and health reasons (5%). Compliance was 94% (SD 16). High risk of malnutrition (‘MUST’ score ≥ 2) reduced from 20 to 16 patients (p = 0.046). Body weight (+0.6 kg (SD 1.2), p = 0.02), BMI (+0.2 kg/m2 (SD 0.5), p = 0.03), total mean energy (+387 kcal/day (SD 416), p 0.06) with no serious adverse events related.DiscussionThis study highlights that plant-based nutrition support using a vegan-suitable plant-based ONS is highly complied with, improving the nutritional outcomes of patients at risk of malnutrition.