MiOA: Intervention: Post-Discharge: Registered Dietitian Nutritionists' Interventions (2023)

Author and Year:
Feldblum I, German L, et al. 2011
PubMed ID:
Article Title:
Individualized nutritional intervention during and after hospitalization: the nutrition intervention study clinical trial.
Feldblum I, German L, Castel H, Harman-Boehm I, Shahar D
Journal of the American Geriatrics Society
Year of publication:
Page numbers:
Study Design:
Randomized Controlled Trial
Risk of Bias Assessment Rating:
Inclusion Criteria:
Age 65 and older; admitted to one of four internal medicine departments at Soroka University Medical Center between September 2003 and September 2005; screened within 72 hours of admission to determine nutritional status; score <10 on MNA-SF or had lost more than 10% of their weight in the previous 6 months; informed consent
Exclusion Criteria:
Current diagnosis of cancer; cognitive impairment (Mini Mental State Examination score <23); inability to be interviewed; language difficulties; unwillingness to provide informed consent.
Research Purpose:
To test the hypothesis that individualized nutritional treatment would reduce mortality and improve nutritional outcomes of acute hospitalization in older adults.
Blinding efforts:
Randomly assigned to one of 3 groups initially, but two of the groups were combined for data analysis due to change in hospital policy shortly before beginning the study and staffing shortage (both groups received essentially the same treatment and were combined to form the control group). Each month, the internal medicine groups were randomly assigned a treatment group, and participants admitted to these departments received the assigned treatment. Trained interviewers who assessed outcomes were blinded to treatment group allocation; clinic and laboratory staff were unaware of treatment allocation; the study coordinator was blinded to all outcome data until the end of the intervention.
Study Location:
Soroka University Medical Center, Israel
Source(s) of Funding:
Please specify names of funders:
Israel National Institute for Health Policy and Health Services Research