Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, Netherlands.
Department of Gastroenterology and Hepatology-Dietetics and Intestinal Failure, Radboud University Medical Center, Nijmegen, Netherlands.
Eur J Clin Nutr. 2019 Jun;73(6):910-916. doi: 10.1038/s41430-018-0288-6. Epub 2018 Aug 22.
BACKGROUND/OBJECTIVES: Additional strategies should be applied to optimize hospital food services, in order to increase the number of patients with adequate protein intake at mealtimes. Therefore, we aim to specify the differences in protein intake per mealtime between the traditional three meals a day food service (TMS) and a novel six times a day food service containing protein-rich food items, FoodforCare (FfC).
SUBJECTS/METHODS: This was a post-hoc analysis of a prospective cohort study comparing the TMS (July 2015 - May 2016; n = 326) to FfC (January 2016 - December 2016; n = 311) in adult hospitalized patients.
Protein intake (g) was higher with FfC at all mealtimes (p < 0.05) except for dinner (median [IQR] at breakfast: 17 [6.5-25.7] vs. 10 [3.8-17]; 10:00 a.m.: 3.3 [0.3-5.3] vs. 1 [0-2.2]; lunch: 17.6 [8.4-25.8] vs. 13 [7-19.4]; 2:30 p.m.: 5.4 [0.8-7.5] vs. 0 [0-1.8]; 7:00 p.m.: 1 [0-3.5] vs. 0 [0-1.7]; 9:00 p.m.: 0 [0-0.1] vs. 0 [0-0]). At dinner, protein intake was highest for both food services (20.9 g [8.4-24.1] vs. 20.5 g [10.5-27.8]).
Implementation of a high-frequency food service can improve protein intake at mealtimes during the day and might be a strategy to increase the number of patients with adequate protein intake.
背景/目的：为了增加按时就餐时摄入足够蛋白质的患者数量，应采用额外的策略来优化医院餐饮服务。因此，我们旨在明确传统一日三餐餐饮服务（TMS）与包含高蛋白食物的新型六餐餐饮服务（FoodforCare，FfC）每餐的蛋白质摄入量差异。
受试者/方法：这是一项比较 TMS（2015 年 7 月至 2016 年 5 月；n=326）和 FfC（2016 年 1 月至 2016 年 12 月；n=311）的前瞻性队列研究的事后分析，纳入成年住院患者。
FfC 在所有餐次的蛋白质摄入量（g）均较高（p<0.05），除晚餐外（早餐：中位数[IQR]为 17[6.5-25.7] vs. 10[3.8-17]；上午 10 点：3.3[0.3-5.3] vs. 1[0-2.2]；午餐：17.6[8.4-25.8] vs. 13[7-19.4]；下午 2:30：5.4[0.8-7.5] vs. 0[0-1.8]；晚上 7 点：1[0-3.5] vs. 0[0-1.7]；晚上 9 点：0[0-0.1] vs. 0[0-0]）。晚餐时，两种餐饮服务的蛋白质摄入量均最高（20.9 g[8.4-24.1] vs. 20.5 g[10.5-27.8]）。
实施高频餐饮服务可以提高白天的餐时蛋白质摄入量，可能是增加摄入足够蛋白质患者数量的策略。
