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

Author and Year:
Soderstrom L, Rosenblad A, et al 2020
PubMed ID:
Article Title:
Dietary advice and oral nutritional supplements do not increase survival in older malnourished adults: a multicentre randomised controlled trial.
Söderström L, Rosenblad A, Bergkvist L, Frid H, Thors Adolfsson E
Upsala Journal of Medical Sciences
Year of publication:
Page numbers:
Study Design:
Randomized Controlled Trial
Risk of Bias Assessment Rating:
Low risk
Inclusion Criteria:
Participants were 65 years of age or greater with primary inclusion criterion of malnutrition or risk of malnutrition as indicated by a full 18-item MNA score of 23.5. Participants also had to have five incorrect answers on the SPMSQ, indicating no or at most moderate cognitive impairment
Exclusion Criteria:
The exclusion criteria were: inability to communicate, does not speak Swedish, decreased cognitive ability, having a body mass index (BMI) 35 kg/m2, receiving a dietary intervention, living in a nursing home, or having an expected survival of <1 year. Since the expected survival was hard to estimate, in practice only those who were given palliative support were excluded according to the last-mentioned criterion.
Research Purpose:
The present multicentre RCT included older adults with malnutrition, or at risk of malnutrition, with the aim of investigating the effect on survival after 6 months of intervention consisting of individual dietary advice, oral nutritional supplements, separately or in combination, or routine care. The hypothesis was that the survival differed between the intervention groups and the control group.
Blinding efforts:
No blinding
Study Location:
Source(s) of Funding:
Please specify names of funders:
Grants from Region V€astmanland, Uppsala-Orebro Regional Research Foundation (RFR), and the Swedish National Board of Health and Welfare