The Effectiveness of a High-Protein Liquid Dietary Supplementation in Improving Nutritional Status of Malnourished Patients in Hospital Care: a Preliminary Study

Authors

  • Marcellus Simadibrata Division of Gastroenterology, Department of Internal Medicine University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta
  • Murdani Abdullah Division of Gastroenterology, Department of Internal Medicine University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta
  • Fiastuti Witjaksono Department of Nutrition, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Virly Nanda Muzellina Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Amanda Pitarini Utari Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Yohannessa Wulandari Department of Nutrition, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Ari Wijayanti Nutrition and Food Production Unit, Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Dewi Mustikarani Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Raja Mangatur Haloho Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Aditya Rachman Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Daniel Martin Simadibrata Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Rizka Mutiara Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta
  • Kaka Renaldi Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/ Dr. Cipto Mangunkusumo National General Hospital, Jakarta

DOI:

https://doi.org/10.24871/231202243-51

Keywords:

Malnutrition, high-protein diet, nutritional status, hospitals, hand strength, body mass index, nutrition assessment, preliminary data

Abstract

Background: Malnutrition is a very common problem in hospitalized patients. Based on studies conducted in various countries, the prevalence of hospital malnutrition ranges from 20-45%. Hospital malnutrition can occur as a result of insufficient nutrient intake, impaired absorption of nutrients in the gastrointestinal (GI) tract, loss of nutrients due to disease, or increased metabolic requirement during illness. Nutrition is the basis for the healing process as it requires good nutrients through various enzymatic reactions. Some studies have shown that hospital malnutrition increases morbidity, mortality, prolongs the duration of hospitalization, and delays recovery. To improve nutritional status, a high-protein diet can be given. Liquid diet is one of the alternative forms of nutrition because it is easier to swallow.

Method: This study was a double-blind randomized controlled trial conducted to assess the effectiveness of high protein liquid dietary supplementation in malnourished hospitalized patients. The patients were assessed for their nutritional status based on ESPEN 2015 criteria. Patients who experienced malnutrition will be divided into 2 groups, namely the control group which was given normal protein liquid diet, while the intervention group was given high protein liquid diet supplementation as much as 2 bottles (200 mL) per day for 7-10 days. Furthermore, the nutritional status of the patient was assessed.

Results: By administering high-protein liquid diet supplementation, there was a tendency to increase the strength of the right handgrip in 3 subjects (50%), the tendency to increase body mass index (BMI) in 3 subjects (50%), Subjective Global Assessment (SGA) score improved in 2 subjects with mild/moderate malnutrition (33.3%) and 1 subject with normal nutrition (16.7%), and the tendency to increase the fat-free mass in 3 subjects (50%).

Conclusion: The administration of high protein liquid dietary supplementation tended to increase the strength of the right handgrip, BMI, SGA score, and body fat-free mass index.

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Published

2022-05-15

How to Cite

Simadibrata, M., Abdullah, M., Witjaksono, F., Muzellina, V. N., Utari, A. P., Wulandari, Y., … Renaldi, K. (2022). The Effectiveness of a High-Protein Liquid Dietary Supplementation in Improving Nutritional Status of Malnourished Patients in Hospital Care: a Preliminary Study. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 23(1), 44–51. https://doi.org/10.24871/231202243-51

Issue

Vol. 23 No. 1 (2022): VOLUME 23, NUMBER 1, April 2022

Section

Original Articles

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