Authors (including presenting author) :
Ho CW(1), Lee LK(1),Li YT(2),Lee SPP(2)
Affiliation :
(1) Dietetic Department, Tseung Kwun O Hospital
(2) Dietetic Department, United Christian Hospital
Objectives :
This is a prospective study from April 2021 to March 2022 to impact of nutrition support and counseling on through a protocol-driven ERAS program for patients undergoing joint replacement.
Methodology :
Patients with BMI ≥ 27.5 or poor glycemic control or malnourished patient with Malnutrition Universal Screening Tool score and/or Malnutrition screening tool ≥3, scheduled for elective hip and knee arthroplasty surgeries were recruited. Patients would be referred for dietetic consultation pre-, peri- and post-operations. Selected parameters included estimated calorie and protein intake, body weight, body fat percentage, muscle mass and waist circumference.
Result & Outcome :
A total of 287 patients were recruited and 247 of have completed knee arthroplasty. Body weight was significantly reduced from 73.6kg to 72.4kg (p=0.000), body fat percentage was significantly reduced from 42.9% to 41.0% (p=0.000), while muscle mass was able to maintained without loss and waist circumference was significantly reduced from 102.5cm to 99cm (p=0.000). Furthermore, estimated energy intake was significantly reduced from 1500kcal/day to 1355kcal/day (p=0.000) after dietary interventions; Estimated protein intake was also significantly decreased from 55g/day to 52g/day (p=0.023).
