HOMEFOOD randomized trial—beneficial effects of 6-month nutrition therapy on body weight and physical function in older adults at risk for malnutrition after hospital discharge

Malnutrition is prevalent among older adults, and dietary intervention studies aiming to improve anthropometric measures and physical function have yielded inconsistent results. This study investigated the effects of nutrition therapy combined with home-delivered meals and oral nutritional supplements (ONS) in community-dwelling older adults discharged from the hospital. 106 participants (>65 years) were randomized into intervention (n=53) and control (n=53) groups. The intervention group received individual nutrition therapy (five in-person visits and three phone calls) and freely delivered energy- and protein-rich foods, while the control group received standard care. Significant increases in energy intake and body weight were observed in the intervention group, contrasting with significant decreases in the control group. The intervention group also showed a significant increase in SPPB scores. A 6-month multi-component nutrition therapy, combining clinical nutritionist support and supplemental foods, offers benefits for body weight, physical function, and nutritional status in older adults.

B. S. Blondal, O. G. Geirsdottir, A. M. Beck, T. I. Halldorsson, P. V. Jonsson, K. Sveinsdottir, A. Ramel