The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement

This real-world study evaluated the evolution of the morphofunctional assessment of patients at risk of malnutrition using a leucine-enriched hyperproteic oral nutritional supplementation (ONS). A prospective observational one-arm study was used for 65 patients at risk of malnutrition, comparing med...

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Main Authors: Juan J. López-Gómez, Olatz Izaola-Jauregui, David Primo-Martín, Emilia Gómez-Hoyos, Beatriz Torres-Torres, Rebeca Jiménez-Sahagún, Paloma Pérez-López, Daniel A. De Luis-Román
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Functional Foods
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1756464623004966
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author Juan J. López-Gómez
Olatz Izaola-Jauregui
David Primo-Martín
Emilia Gómez-Hoyos
Beatriz Torres-Torres
Rebeca Jiménez-Sahagún
Paloma Pérez-López
Daniel A. De Luis-Román
author_facet Juan J. López-Gómez
Olatz Izaola-Jauregui
David Primo-Martín
Emilia Gómez-Hoyos
Beatriz Torres-Torres
Rebeca Jiménez-Sahagún
Paloma Pérez-López
Daniel A. De Luis-Román
author_sort Juan J. López-Gómez
collection DOAJ
description This real-world study evaluated the evolution of the morphofunctional assessment of patients at risk of malnutrition using a leucine-enriched hyperproteic oral nutritional supplementation (ONS). A prospective observational one-arm study was used for 65 patients at risk of malnutrition, comparing medical nutrition therapy with an adapted diet and leucine-enriched ONS once or twice daily. All patients were studied at baseline and three months after intervention with a morphofunctional assessment. The age of patients was 57.99(17.97) years. Forty-three(66.2%) patients were women. A decrease in the percent of weight loss was observed after intervention (men: baseline = 6.38[8.64]%; 3 months = -1.48[4.42]%; p < 0.01; women: baseline = 9.42[10.13]; 3 months = -1.49[4.11]; p < 0.01). An improvement in the phase angle in patients who consumed ONS twice daily (baseline = 4.43[0.88]; 3 months = 4.64[0.69]; p = 0.01). There was an increase in rectus femoris area adjusted by BMI in those who consumed two ONSs per day (baseline = 0.23[0.06]; 3 months = 0.24[0.06]; p = 0.01). Medical Nutrition Therapy with diet and a leucine enriched ONS in community patients with disease-related malnutrition stopped the percent of weight loss. The patients who consumed ONS twice daily showed an improvement in phase angle and ultrasonographic parameters.
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spelling doaj.art-affa77ca258040a286a9a83d7097aa2f2023-12-01T05:01:13ZengElsevierJournal of Functional Foods1756-46462023-12-01111105896The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplementJuan J. López-Gómez0Olatz Izaola-Jauregui1David Primo-Martín2Emilia Gómez-Hoyos3Beatriz Torres-Torres4Rebeca Jiménez-Sahagún5Paloma Pérez-López6Daniel A. De Luis-Román7Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, Spain; Corresponding author at: Avenida Ramón y Cajal, n 2, 47003 Valladolid, Spain.Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainServicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Spain; Centro de Investigación Endocrinología y Nutrición, Universidad de Valladolid, SpainThis real-world study evaluated the evolution of the morphofunctional assessment of patients at risk of malnutrition using a leucine-enriched hyperproteic oral nutritional supplementation (ONS). A prospective observational one-arm study was used for 65 patients at risk of malnutrition, comparing medical nutrition therapy with an adapted diet and leucine-enriched ONS once or twice daily. All patients were studied at baseline and three months after intervention with a morphofunctional assessment. The age of patients was 57.99(17.97) years. Forty-three(66.2%) patients were women. A decrease in the percent of weight loss was observed after intervention (men: baseline = 6.38[8.64]%; 3 months = -1.48[4.42]%; p < 0.01; women: baseline = 9.42[10.13]; 3 months = -1.49[4.11]; p < 0.01). An improvement in the phase angle in patients who consumed ONS twice daily (baseline = 4.43[0.88]; 3 months = 4.64[0.69]; p = 0.01). There was an increase in rectus femoris area adjusted by BMI in those who consumed two ONSs per day (baseline = 0.23[0.06]; 3 months = 0.24[0.06]; p = 0.01). Medical Nutrition Therapy with diet and a leucine enriched ONS in community patients with disease-related malnutrition stopped the percent of weight loss. The patients who consumed ONS twice daily showed an improvement in phase angle and ultrasonographic parameters.http://www.sciencedirect.com/science/article/pii/S1756464623004966LeucineOral nutritional supplementDisease related malnutritionMorphofunctional assessmentSarcopenia
spellingShingle Juan J. López-Gómez
Olatz Izaola-Jauregui
David Primo-Martín
Emilia Gómez-Hoyos
Beatriz Torres-Torres
Rebeca Jiménez-Sahagún
Paloma Pérez-López
Daniel A. De Luis-Román
The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
Journal of Functional Foods
Leucine
Oral nutritional supplement
Disease related malnutrition
Morphofunctional assessment
Sarcopenia
title The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
title_full The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
title_fullStr The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
title_full_unstemmed The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
title_short The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement
title_sort morphofunctional evaluation of patients at risk of malnutrition receiving a leucine enriched nutritional supplement
topic Leucine
Oral nutritional supplement
Disease related malnutrition
Morphofunctional assessment
Sarcopenia
url http://www.sciencedirect.com/science/article/pii/S1756464623004966
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