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Effectiveness of Nutritional Intervention Led by Clinical Dietitian in Patients at Risk of Malnutrition at the Primary Healthcare Level in Slovenia - Evaluation Study Cover

Effectiveness of Nutritional Intervention Led by Clinical Dietitian in Patients at Risk of Malnutrition at the Primary Healthcare Level in Slovenia - Evaluation Study

Open Access
|Mar 2024

Figures & Tables

Figure 1.

Participants in the nutrition intervention and the reasons for exclusion or dropout from the study.
Participants in the nutrition intervention and the reasons for exclusion or dropout from the study.

Figure 2.

Proposed clinical nutrition pathway.
Proposed clinical nutrition pathway.

Contingency table showing frequencies and proportions of patients based on the risk groups (MUST) at the beginning and after six months_

MUST score at the beginningMUST score after 6 months

01≥2SUM
0160117
94%0%6%100%
1254130
83%13%3%100%
≥22712847
57%26%17%100%

Comparison of changes in nutritional status, nutritional intake and functional status in a subgroup of patients with MUST≥1 (n=77)_

Nutritional status values1st assessment2nd assessment3rd assessment4th assessmentImprovement (p value*)
BM (kg)60.9 (56.50)60.9 (56.50)63.3 (59.0)64.0 (60.0)<0.001
[14.9][14.9][15.4][15.3]
(39.1, 100.0)(39.1, 100.0)(39.5, 102.3)(40.0, 103.7)
BMI (kg/m2)22.0 (20.7)22.0 (20.7)22.8 (21.3)23.1 (21.9)<0.001
[4.9][4.9][4.8][4.7]
(14.5, 41.1)(14.5, 41.1)(14.1, 39.0)(14.3, 39.0)
FFM (kg)41.5 (38.6)41.5 (38.6)42.7 (39.7)42.8 (39.2)<0.001
[11.4][11.4][11.8][11.7]
(19.8, 73.0)(19.8, 73.0)(20.2, 77.2)(20.4, 76.1)
FFMI (kg/m2)14.8 (14.5)14.8 (14.5)15.3 (14.8)15.3 (14.8)<0.001
[3.0][3.0][3.0][3.0]
(9.2, 22.5)(9.2, 22.5)(7.9, 23.8)(8.1, 23.5)

Nutritional intake

Energy (kcal/kg TM)20.7 (20.3)20.7 (20.3)28.1 (28.7)30.3 (30.0)<0.001
[7.6][7.6][7.7][7.1]
(5.6, 41.0)(5.6, 41.0)(3.1, 46.7)(13.3, 53.3)
Energy (kcal/d)1217 (1121)1217 (1121)1722 (1744)1876 (1945)<0.001
[415][415][438][377]
(369, 2339)(369, 2339)(155, 3176)(850, 2749)
Protein (g/kg TM)0.9 (0.9)0.9 (0.9)1.3 (1.3)1.4 (1.4)<0.001
[0.4][0.4][0.4][0.4]
(0.1, 2.3)(0.1, 2.3)(0.3, 2.6)(0.5, 2.5)

Functional status

PA (°)4.7 (4.7)4.7 (4.7)5.0 (4.9)5.0 (4.9)<0.001
[1.0][1.0][1.0][0.9]
(2.4, 7.6)(2.4, 7.6)(2.5, 8.8)(2.8, 7.5)
Grip strength (kg)24 (23)24 (23)26 (24)26 (24)0.080
[11][11][12][12]
(1, 62)(1, 62)(1, 64)(1, 64)

Baseline characteristics of the sample_

CharacteristicsValues (n=94)
Basic variables
Female59 (63%)
Male35 (37%)
Age, y68 [15] (20–92)
Living conditions
Alone21 (22%)
Community (family)31 (33%)
With partner42 (45%)
Comorbidities
Cardiovascular diseases (including CAF)37 (39%)
Pulmonary diseases4 (4%)
Diabetes and other endocrine diseases12 (13%)
Kidney diseases4 (4%)
Gastrointestinal diseases26 (28%)
Diseases of the liver and pancreas3 (3%)
Oncological diagnoses29 (31%)
Wounds2 (2%)
Neurological diseases6 (6%)
Rheumatological diseases2 (2%)
COVID-192 (2%)
Other13 (14%)

Comorbidity distribution based on the risk groups (MUST)_

CharacteristicsMUST= 0MUST≥1
One comorbidity953%4660%
Two comorbidities741%2634%
Three or more comorbidities16%56%
Total17100%77100%
DOI: https://doi.org/10.2478/sjph-2024-0012 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 81 - 88
Submitted on: Sep 18, 2023
Accepted on: Feb 5, 2024
Published on: Mar 20, 2024
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Denis Mlakar-Mastnak, Milena Blaž Kovač, Mila Terčelj, Samo Uhan, Neža Majdič, Nada Rotovnik Kozjek, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.