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Review: evidence is lacking on the effectiveness of dietary advice in illness-related malnutrition

C Baldwin

Ms C Baldwin, King’s College London, London, UK; christine.baldwin@kcl.ac.uk

QUESTION
Is dietary advice to improve nutritional intake effective in adults with illness-related malnutrition?

REVIEW SCOPE
Studies selected compared dietary advice (instruction in modification of food intake given by a dietician or other healthcare professional with the aim of improving nutritional intake) with no advice or prescription of an oral nutritional supplement (with or without dietary advice) in adults (>16 y of age) with chronic illness or at nutritional risk who have suboptimal nutritional status. Studies involving pregnant women, people with eating disorders, conditions of food shortage, or use of elemental supplements were excluded. Outcomes were mortality, hospital admission, and weight gain.

REVIEW METHODS
Cochrane Cystic Fibrosis and Genetic Disorders Group trials register (Sep 2007); Cochrane Central Register of Controlled Trials (Issue 2, 2005); Medline, EMBASE/Excerpta Medica, CINAHL, CancerLit, and AMED (to Nov 2005); electronic searches done by the National Collaborating Centre for Acute . . . [Full text of this article]

Margaret Wallace

University of Wollongong, Wollongong, New South Wales, Australia