An intervention study on the effect of dietary guidance with focus on implementing recommended food texture, at the department of Eating and Swallowing difficulties, Region Midtjylland, Denmark. Energy- and protein intake, Weightloss, Bodymass composition, Fluid balance and Activities of Daily Living (ADL), will be measured by Bioimpedance spectroscopy, interviews and a questionnaire.
It is know that people with eating- and swallowing difficulties(known as dysphagia), is prone to weightloss due to insufficient energy- and protein intake, and a reduction in ADL. ADL will in this project have its focus on the eating situation. The projects research questions are: * Will dietary guidance with texture implementation increase energy intake in patients being examined on an outpatient basis for dysphagia, based on the Fiberoptic Endoscopic Evaluation of Swallowing (FEES) recommendation? * Can a dietetic guidance with texture implementation increase quality of life and ADL in patients with dysphagia? Recruitment and data collection will take place at Hammel Neurocenter, DK. Each patient will be included for eight weeks, after their first FEES examination. The participants will be randomized to control or intervention, and strata into three groups based on Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) 1, 2-3 and 4. Within the eight weeks, participants have to show up three times to measurements, interviews and questionnaire, in addition to this, the intervention groups will have three follow-up phone meetings.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
13
Dietary guidance with focus on texture and energy intake, preformed by certified dietitians.
Hammel Neurorehabilitation Centre and University Research Clinic
Hammel, Central Jutland, Denmark
Changes in energy intake, from baseline.
Change in energy intake, measured from baseline. Measured in kilojoule by a standardized interview with examples of pictures to determine serving size.
Time frame: Eight weeks
Changes in Dysphagia Handicap Index (DHI) total and section (E and F) score.
DHI is a questionnaire with 25 questions, divided into three sections. possible scores are minimum 25 and maximum 125. The higher the score, the worse dysphagia status. Measured in points, changes from baseline.
Time frame: Eight weeks
In how many questions in the DHI, does the intervention group change the score in relation to the control group, and with how much.
Measured in points, changes from baseline.
Time frame: Eight weeks
Body Weight.
Measured in kilograms, by bioimpedance spectroscopy, changes from baseline.
Time frame: Eight weeks
Lean Body Mass.
Measured in kilograms, by bioimpedance spectroscopy, changes from baseline.
Time frame: Eight weeks
Fat Mass.
Measured in kilograms, by bioimpedance spectroscopy, changes from baseline.
Time frame: Eight weeks
Fluid Balance.
Measured in kilograms, by bioimpedance spectroscopy, changes from baseline.
Time frame: Eight weeks
Changes in protein intake.
Measured in gram, by a standardized interview with examples of pictures to determine serving size, from baseline.
Time frame: Eight weeks
Compliance of recommended changes.
Measured by score through interview. Minimum score 1 and maximum score 5. The greater the score, the better compliance.
Time frame: Eight weeks
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