TerminatedNot Applicable

Clinical and Medico-economic Evaluation of Taken Care Associating Nutritional Support and Adapted Physical Activity for Malnourished, or at Risk of Undernutrition, Elderly People on Discharge From Hospital

Stopped: Lack of inclusion of patients

France47 participantsStarted 2019-06-28

Plain-language summary

In the hospital, one out of every two elderly people is malnourished. This condition of undernutrition generally worsens during hospitalization, where the effects of polypathology and psychological distress are added. Muscle loss due to inadequate dietary intake, hypermetabolism and immobilization results in the onset or worsening of mobility disorders and functional decline. After hospitalization, 30-50% of elderly people hospitalized in emergency in medical departments have lost autonomy in daily life. Nutritional management and adaptive physical activity (APA) could have synergistic action to improve the nutritional status and mobility of elderly patients. The short duration of the average stay the acute geriatric units (10-15 days) is not enough to renew, nor to re-educate patients. It seems important to continue these actions at home. The implementation of programs combining nutrition and adapted physical activity (APA) at the hospital exit has not been studied to date. We formulate the hypothesis that in elderly people who are malnourished or at risk of undernutrition, after hospitalization, a personalized home intervention combining nutritional advice and appropriate physical activity will limit their loss of autonomy.

Who can participate

Age range70 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Men or women aged at least 70 * Hospitalized in acute geriatrics (UGA), with expected return to home directly after the UGA * Undernourished or at risk of undernutrition (MNA SF12) * Able to walk 4 metres without third party assistance * Able to understand and consent to the study * Good understanding of the French language * Living in Paris (department 75) * Patient affiliated with a social security scheme * Having read the information note and having agreed to participate in the study by signing the consent. Exclusion Criteria: * Life expectancy less than 6 months * Chronic inflammatory pathology * Progressive cancer * Severe renal failure (creatinine clearance \< 30ml/min/1.73 m2) * NYHA Stage III or IV Dyspnea * Chronic respiratory failure (oxygen therapy at home) * Liver failure (TP \< 50%) * Severe depression * severe dementia, according to DSM V criteria * swallowing disorders with inhalation pneumonia * corticosteroids (\> 10 mg prednisone/day long-term or equivalent) * Systolic blood pressure \>200 mmHg * Unstabilized acute coronary syndrome * decompensated heart failure * Severe, uncontrolled ventricular rhythm disorders * High risk embolic intracardiac thrombus * Presence of medium to large pericardial effusion * Recent history of thrombophlebitis with or without pulmonary embolism * Obstacle to severe and/or symptomatic left ventricular ejection * Severe and symptomatic pulmonary hypertension * Inability to perform appropriate physical act…

What they're measuring

Assessment of level of autonomy according Activities of Daily Living (ADL) score

Timeframe: 18 months

Trial details

NCT IDNCT03979560

SponsorGérond'if

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2021-06-17