Prakt. lékáren. 2009; 5(1): 10-15 [Interní Med. 2008; 10(6): 285-290]

Nutrition support with sipping

doc. MUDr. Miroslav Tomíška CSc
Interní hematoonkologická klinika LF MU a FN Brno

Oral nutrition supplements are complete mixtures of macronutrients and micronutrients, currently available in liquid ready-to-use

forms. Most authors confirm significant increase of energy and nutrient intake during illness by these supplements compared with

dietary advice alone, with little suppression of voluntary food intake. Meta-analyses of many randomized studies in various groups of

patients give strong evidence in reduction of complications, shortening of hospital stay and in many cases even lowering of mortality.

Evidence is the strongest for acute illness, elderly patients, malnutrition and in perioperative care. Oral nutrition supplements are simple

and effective way of treatment of malnutrition in various situations which is currently reflected by many guidelines. In future it will be

necessary to establish the optimal timing of this form of nutrition support and composition of supplements for various types of diseases

and to confirm its influence on functional parameters and clinical outcomes by means of randomized clinical trials.

Keywords: oral nutrition supplements, sipping, malnutrition.

Published: April 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tomíška M. Nutrition support with sipping. Praktické lékárenství. 2009;5(1):10-15.
Download citation

References

  1. Arends J, Bodoky G, Bozzetti F, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology. Clin Nutr 2006; 25: 245-259. Go to original source... Go to PubMed...
  2. Arnaud-Battandier F, Malvy D, Jeandel C, et al. Use of oral suplements in malnourished elderly patients living in the community: a pharmaco-economic study. Clin Nutr 2004; 23: 1096-1103. Go to original source... Go to PubMed...
  3. Baldwin C, Parsons TJ. Dietary advice and nutritional supplements in the management of illness-related malnutrition: systematic review. Clin Nutr 2004; 23: 1267-1279. Go to original source... Go to PubMed...
  4. Braga M, Gianotti L, Nespoli L, Radaelli G, DiCarlo V. Nutritional approach in malnourished surgical patients. Arch Surg 2002; 137: 174-180. Go to original source... Go to PubMed...
  5. Braga M, Gianotti L, Vignali A, et al. Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer. Surgery 2002; 132: 805-814. Go to original source... Go to PubMed...
  6. Crespillo MC, Olveira G, Ruiz De Adana MS, et al. Metabolic effects of an enteral nutrition formula for diabetes: comparison with standard formulas in patients with type 1 diabetes. Clin Nutr 2003; 22: 483-487. Go to original source... Go to PubMed...
  7. Edington J, Barnes R, Bryan F, et al. A prospective randomised controlled trial of nutritional supplementation in malnourished elderly in te community: clinical and health economic outcomes. Clin Nutr 2004; 23: 195-204. Go to original source... Go to PubMed...
  8. Houwing RH, Rozendaal M, Wouters-Wesseling W, et al. A randomised, double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients. Clin Nutr 2003; 22: 401-405. Go to original source... Go to PubMed...
  9. Kreymann KG, Berger MM, Deutz NEP, et al. ESPEN guidelines on enteral nutrition: intensive care. Clin Nutr 2006; 25: 210-23. Go to original source... Go to PubMed...
  10. Lawson RM, Doshi MK, Ingoe LE, et al. Compliance of ortopaedic patients with postoperative oral nutritional supplementation. Clin Nutr 2000; 19: 171-175. Go to original source... Go to PubMed...
  11. Milne AC, Potter J, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database of Systematic Reviews 2002; (3): CD003288. Go to original source...
  12. Norman K, Kirchner H, Freudenreich M, Ockenga J, Lochs H, Pirlich M. Three months intervention with protein and energy rich supplements improve muscle function and quality of life in malnourished patients with non-neoplastic gastrointestinal disease - a randomized controlled trial. Clin Nutr 2008; 27: 48-56. Go to original source... Go to PubMed...
  13. Persson M, Hytter-Landahl A, Brismar K, Cederholm T. Nutritional supplementation and dietary advice in geriatric patients at risk of malnutrition. Clin Nutr 2007; 26: 216-224. Go to original source... Go to PubMed...
  14. Russell C. The impact of malnutrition on healthcare costs and economic considerations for the use of oral nutritional supplements. Clin Nutr Suppl 2007; 2: 25-32. Go to original source...
  15. Schwenk A, Steuck H, Kremer G. Oral supplements as adjunctive treatment to nutritional counselling in malnourished HIV-infected patients: randomized controlled trial. Clin Nutr 1999; 18: 371-374. Go to original source... Go to PubMed...
  16. Stratton R, Elia M. A review of reviews a new look at the evidence for oral nutritional supplements in clinical practice. Clin Nutr Suppl 2007; 2: 5-23. Go to original source...
  17. Tengstrand B, Cederholm T, Soderqvist A, Tidermark J. Effects of protein-rich supplementation and nandrolone on bone tissue after a hip fracture. Clin Nutr. 2007; 26: 460-465. Go to original source... Go to PubMed...
  18. Vlaming S, Biehler A, Hennessey EM, et al. Should the food intake of patients admitted to acute hospital services be routinely supplemented? A randomized placebo controlled trial. Clin Nutr 2001; 20: 517-526. Go to original source... Go to PubMed...
  19. Volkert D, Berner YN, Berry E, et al. ESPEN guidelines on enteral nutrition: geriatrics. Clin Nutr 2006; 25: 330-360. Go to original source... Go to PubMed...
  20. Weimann A, Braga M, Harsanyi L et al. ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr 2006; 25: 224-444. Go to original source... Go to PubMed...
  21. Wouters-Wesseling W, Van Hooijdonk C, Wagenaar L et al. The effect of a liquid nutrition supplement on body composition and physical functioning in elderly people. Clin Nutr 2003; 22: 371-377. Go to original source... Go to PubMed...




Pharmacy for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.