2026-04-14T18:29:18Zhttps://uvadoc.uva.es/oai/request

oai:uvadoc.uva.es:10324/736952025-02-26T08:18:56Zcom_10324_1179com_10324_931com_10324_894col_10324_1306

Management of disease-related malnutrition: a real-world experience with a novel concentrated high-protein energy-dense oral nutritional supplement López Gómez, Juan José Ramos Bachiller, Beatriz Luis Román, Daniel Antonio de Objective: Despite the availability of a wide range of oral nutritional supplements (ONS) offerings, individuals with malnutrition are still struggling to meet their nutritional targets. A new concentrated and high-protein energy-dense ONS (≥2.1 kcal/mL;32 g protein/200 mL) with high-quality protein (60% whey protein) has emerged as a pivotal formula to reach the patient’s energy-protein requirements, enhance compliance, and maximize stimulation of muscle protein synthesis, key factors driving better nutritional, functional, and clinical outcomes. The purpose of this article is to provide our clinical experience using this new nutritionally concentrated ONS as a therapeutic strategy for patients with DRM. Methods: Three clinical cases have been examined using new assessment procedures and a new form of nutritional therapy, and their impact on the nutritional and functional outcomes in patients with moderate-to-severe DRM. Results: A tailored individualized nutritional interventions improved anthropometric, biochemical, and functional outcomes (Case 1,2, and 3) assessed using hand grip strength, bioimpedance and muscle ultrasound, and as well as good gastrointestinal tolerance (Case 1) and compliance to the ONS in patients with DRM (Case 1,2,3). Conclusion: The use of this novel high-protein energy-dense formula with high-quality protein source (≥2.1 kcal/mL; 32 g protein/200 mL; 60% whey protein) overcome common practical challenges in the medical nutrition therapy of patients with DRM, either because these patients require a highly concentrated formulation to meet nutritional requirements due to loss of appetite, lack of interest in food, and high caloric-protein needs due to disease, and a large quantity and quality of protein to optimize muscle recovery due to sarcopenia, common in patients with moderate-severe malnutrition. 2025-01-11T12:21:25Z 2025-01-11T12:21:25Z 2024 info:eu-repo/semantics/article Postgraduate Medicine, 2024, vol. 136, n. 1, p. 52-59. 0032-5481 https://uvadoc.uva.es/handle/10324/73695 10.1080/00325481.2024.2307869 52 1 59 Postgraduate Medicine 136 1941-9260 eng https://www.tandfonline.com/doi/full/10.1080/00325481.2024.2307869 info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-nd/4.0/ Atribución-NoComercial-SinDerivados 4.0 Internacional SI