Protein intake falls below 0.6 g.kg-1d-1 in healthy, older patients admitted for elective hip of knee arthroplasty

Journal article

Weijzen, M. E. G., Kouw, Imre W. K., Verschuren, A. A. J., Muyters, R., Geurts, Jan A. P., Emans, P. J., Geerlings, P., Verdijk, Lex B. and Van Loon, Luc J. C.. (2019). Protein intake falls below 0.6 g.kg-1d-1 in healthy, older patients admitted for elective hip of knee arthroplasty. Journal of Nutrition, Health and Aging. 23(3), pp. 299 - 305. https://doi.org/10.1007/s12603-019-1157-2
AuthorsWeijzen, M. E. G., Kouw, Imre W. K., Verschuren, A. A. J., Muyters, R., Geurts, Jan A. P., Emans, P. J., Geerlings, P., Verdijk, Lex B. and Van Loon, Luc J. C.
Abstract

Objective: Hospitalization is generally accompanied by changes in food intake. Patients typically receive hospital meals upon personal preference within the framework of the food administration services of the hospital. In the present study, we assessed food provision and actual food and snack consumption in older patients admitted for elective hip or knee arthroplasty. Design: A prospective observational study. Setting: Orthopedic nursing ward of the Maastricht University Medical Centre+. Participants: In the present study, n=101 patients (age: 67±10 y; hospital stay: 6.1±1.8 d) were monitored during hospitalization following elective hip or knee arthroplasty. Measurements: Energy and protein provided by self-selected hospital meals and snacks, and actual energy and protein (amount, distribution, and source) consumed by patients was weighed and recorded throughout 1-6 days. Results: Self-selected meals provided 6.5±1.5 MJ•d-1, with 16, 48, and 34 En% provided as protein, carbohydrate, and fat, respectively. Self-selected hospital meals provided 0.75±0.16 and 0.79±0.21 g•kg-1•d-1 protein in males and females, respectively. Actual protein consumption averaged merely 0.59±0.18 and 0.50±0.21 g•kg-1•d-1, respectively. Protein consumption at breakfast, lunch, and dinner averaged 16±8, 18±9, and 20±6 g per meal, respectively. Conclusions: Though self-selected hospital meals provide patients with ~0.8 g•kg-1•d-1 protein during short-term hospitalization, actual protein consumption falls well below 0.6 g•kg-1•d-1 with a large proportion (~32%) of the provided food being discarded. Alternative strategies are required to ensure maintenance of habitual protein intake in older patients admitted for elective orthopedic surgery.

Keywordsprotein; consumption; hospitalization; hospital meals.
Year2019
JournalJournal of Nutrition, Health and Aging
Journal citation23 (3), pp. 299 - 305
PublisherSpringer
ISSN1279-7707
Digital Object Identifier (DOI)https://doi.org/10.1007/s12603-019-1157-2
Scopus EID2-s2.0-85060576875
Open accessOpen access
Page range299 - 305
Research GroupMary MacKillop Institute for Health Research
Publisher's version
License
Place of publicationGermany
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