PT16 - REAL-LIFE EVALUATION OF A POST-HOSPITALISATION PERSONALIZED DIETETIC FOLLOW-UP IN OLDER ADULTS
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PT16
REAL-LIFE EVALUATION OF A POST-HOSPITALISATION PERSONALIZED DIETETIC FOLLOW-UP IN OLDER ADULTS
M. J. Sanchez1,*, S. Roux2, G. Poty1, L. Magnac2, P. Tronchon2, A. Raynaud-Simon1,3,4
1Geriatrics, APHP.Nord - Bichat-Beaujon-Bretonneau University Hospital, Paris, 2Saveur et Vie Conseil, Orly, 3Gérond'If, Gérontopole d'Ile de France, 4Medical School, Paris Cité University, Paris, France
Rationale: Personalised dietary follow-up may improve the nutritional status of older adults post-hospitalisation, but its implementation is under-evaluated. Since 2021, a French public pension plan has piloted such follow-up in ≥60-year-olds discharged from medical/surgical wards in Ile-de-France (Paris area). We report participants’ nutritional status at baseline and during follow-up.
Methods: Retrospective observational study based on dieticians' records from three visits: home visit (V1) within one-month post-discharge, follow-up call one month later, and final visit (V3) at three months. Evaluations at V1 and V3 included weight loss, BMI, calf circumference, and grip strength. Malnutrition and sarcopenia were assessed at V1; weight and strength changes were tracked between V1 and V3.
Results: From November 2021 to August 2024, 3,815 subjects (mean age 79 years, 71% female) enrolled the program. Only 32% were prescribed oral nutritional supplement (ONS) by hospital team on discharge. Using proxy of GLIM and EWGSOP2 criteria at V1, 73% were malnourished (54% moderate, 23% severe) and 55% had sarcopenia (23% probable, 31% confirmed). Only 12% were free of both conditions. V3 data were available for 2,647 participants. Mean body weight and grip strength increased by +0.52 kg and +0.87 kg respectively (both p<0.01). Weight gain was greatest in those with severe (+1.1 kg, p<0.01), than moderate (+0.46 kg, p<0.01) malnutrition while weight was stable (+0.1, p=0.44) in non-malnourished people. Grip strength improved in those with sarcopenia (confirmed +1.6 or probable +2.0 kg, both p<0.01), and was stable (-0.2 kg, p = 0.16) in others.
Conclusion: Malnutrition and sarcopenia were frequent post-discharge. Although ONS use remained insufficient, those with poorer nutritional status appeared to benefit most from personalised dietary follow-up, supporting broader implementation.
Disclosure of Interest: None declared