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dc.contributor.authorMiller, Michelle D.
dc.contributor.authorDaniels, L. A.
dc.contributor.authorBannerman, Elaine
dc.contributor.authorCrotty, M.
dc.date.accessioned2018-06-29T21:34:09Z
dc.date.available2018-06-29T21:34:09Z
dc.date.issued2005-10
dc.identifierER2087
dc.identifier.citationMiller, M., Daniels, L., Bannerman, E. & Crotty, M. (2005) Adherence to Nutrition Supplements Among Patients With a Fall-Related Lower Limb Fracture, Nutrition in Clinical Practice, vol. 20, , pp. 569-578,
dc.identifier.issn0884-5336
dc.identifier.urihttp://dx.doi.org/10.1177/0115426505020005569
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/2087
dc.description.abstractBackground: The purpose of this study was to provide a detailed evaluation of adherence to nutrition supplements by patients with a lower limb fracture. Methods: These descriptive data are from 49 nutritionally at-risk- patients aged 70+ years admitted to the hospital after a fall-related lower limb fracture and allocated to receive supplementation as part of a randomized, controlled trial. Supplementation commenced on day 7 and continued for 42 days. Prescribed volumes aimed to meet 45% of individually estimated theoretical energy requirements to meet the shortfall between literature estimates of energy intake and requirements. The supplement was administered by nursing staff on medication rounds in the acute or residential care settings and supervised through thrice-weekly home visits postdischarge. Results: Median daily percent of the prescribed volume of nutrition supplement consumed averaged over the 42 days was 67% (interquartile range [IQR], 31-89, n = 49). There was no difference in adherence for gender, accommodation, cognition, or whether the supplement was self-administered or supervised. Twenty-three participants took some supplement every day, and a further 12 missed <5 days. For these 35 nonrefusers,- adherence was 82% (IQR, 65-93), and they lost on average 0.7% (SD, 4.0%) of baseline weight over the 6 weeks of supplementation compared with a loss of 5.5% (SD, 5.4%) in the refusers- (n = 14, 29%), p = .003. Conclusions: We achieved better volume and energy consumption than previous studies of hip fracture patients but still failed to meet target supplement volumes prescribed to meet 45% of theoretical energy requirements. Clinicians should consider alternative methods of feeding such as a nasogastric tube, particularly in those patients where adherence to oral nutrition supplements is poor and dietary intake alone is insufficient to meet estimated energy requirements.
dc.format.extent569-578
dc.publisherSage
dc.relation.ispartofNutrition in Clinical Practice
dc.titleAdherence to Nutrition Supplements Among Patients With a Fall-Related Lower Limb Fracture
dc.typearticle
dcterms.accessRightsnone
dc.description.facultysch_die
dc.description.volume20
dc.identifier.doihttp://10.1177/0115426505020005569
dc.description.ispublishedpub
dc.description.eprintid2087
rioxxterms.typearticle
qmu.authorBannerman, Elaine
dc.description.statuspub
dc.description.number5


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