ESPEN 2022 Late Breaking Abstracts

Topic: Nutrition and chronic disease

Abstract Submission Identifier: ESPEN22-LB-2147

A READY TO DRINK, PLANT-BASED ORAL NUTRITIONAL SUPPLEMENT IS HIGHLY COMPLIED WITH, PALATABLE AND TOLERATED IN COMMUNITY-BASED PATIENTS AT RISK OF DISEASE-RELATED MALNUTRITION

C. Griffen^*, ¹, M. Delsoglio ¹, R. Syed ², T. Cookson ³, H. Saliba ³, A. Vowles ³, S. Davies ⁴, N. Willey ⁴, J. Thomas ⁴, N. Millen ⁵, N. Odeh ⁵, J. Longstaff ⁵, N. Westran ⁶, M. Philllips ⁶, L. Allan ⁶, H. Offer ⁷, C. Howell ⁷, M. Sanders ⁷, K. Gaffigan ⁷, K. Garrett ⁷, S. Foster ⁸, A. Salt ⁸, E. Carter ⁸, S. Moore ⁸, N. Bergin ⁹, J. Roper ¹⁰, J. Alvarez ¹⁰, C. Voss ¹¹, T. Thrower ¹¹, C. MacDonald ¹¹, T. Connolly ¹¹, D. Sills ¹², J. Baxter ¹³, R. Manning ¹³, L. Gray ¹⁴, K. Voas ¹⁵, S. Richardson ¹⁶, A.-M. Hurren ¹⁶, D. Murphy ¹⁷, S. Blake ¹⁷, P. McArdle ¹⁸, S. Walsh ¹⁸, L. Booth ¹⁸, L. Albrich ¹⁹, S. Ashley-Maguire ¹⁹, J. Allison ¹⁹, J. McClorey ²⁰, J. Candlish ²⁰, S. Brook ²¹, R. Capener ¹, G. P. Hubbard ¹, R. J. Stratton ^{1, 22}

¹Medical Affairs, Nutricia Ltd., Trowbridge, ²Preston Hill Surgery, Harrow, ³Trowbridge Health Centre, Trowbridge, ⁴West Walk Surgery, Bristol, ⁵Cowplain Family Practice, Waterlooville, ⁶Department of Nutrition and Dietetics, Royal Surrey NHS Foundation Trust, Royal Surrey County Hospital, Surrey, ⁷Dietetic Department, Norfolk Community Health and Care NHS Trust, Norwich, ⁸Nutrition and Dietetic Department, North Tyneside District General Hospital, Tyne and Wear, ⁹Department of Nutrition and Dietetics, Airedale General Hospital, Keighley, ¹⁰Warden Lodge Medical Practice, Waltham Cross, ¹¹Rowden Medical Partnership, Chippenham, ¹²Nutrition and Dietetics, Nottingham University Hospitals NHS Trust, City Hospital Campus, Nottingham, ¹³Department Nutrition and Dietetics, Kings Cross Hospital, NHS Tayside, Dundee, ¹⁴Dietetics, Victoria Integrated Care Centre, NHS Highland, Helensburgh, ¹⁵Dietetic Department, Betsi Cadwaladr University Health Board, Rhyl, ¹⁶James Alexander Family Practice, Hull, ¹⁷Honiton Surgery, Honiton, ¹⁸Birmingham Community Nutrition, Birmingham, ¹⁹Yeovil District Hospital, Yeovil, ²⁰Mountainhall Treatment Centre, Dumfries, ²¹Dietetics, Princess Royal Health Centre, Huddersfield, ²²University of Southampton, Southampton, United Kingdom

Rationale: There is currently no ready to drink, plant-based oral nutritional supplement (ONS) available to patients at risk of disease-related malnutrition (DRM). This one-arm multi-centre intervention study evaluated compliance, palatability and tolerance of a plant-based ONS. 

Methods: Patients with multiple diagnoses at risk of DRM (n=24; age: 59±18years; BMI: 18.9±3.3kg/m²) received dietary advice alongside ≥1bottle/day of a 200ml ready to drink, plant-based, nutritionally complete ONS (Fortisip PlantBased 1.5kcal, Nutricia Ltd., UK), containing 300kcal and 12g protein/bottle for 7-28days. Reason for requiring a plant-based ONS, daily compliance (%consumed vs. prescribed), end of intervention ONS palatability, and pre- and end of intervention gastrointestinal (GI) tolerance were recorded. 

Results: Patients required a plant-based ONS due to personal preference (27%), cultural/religious reasons (23%), veganism or wish to reduce animal-derived food consumption (16%), and sustainability reasons (13%). Compliance to the ONS was excellent (94±16%) with most patients (n=20) consuming 1-2bottles daily for 28days. Patients confirmed that the ONS was convenient (92%) and fitted in well with their current diet (83%). Palatability was rated good to excellent (out of 10) for taste (6.3±2.5), aftertaste (6.5±2.4), smell (6.8±2.3), appearance (7.5±2.1), and thickness (7.5±2.0). GI symptoms were stable throughout the study with patients (79%) and healthcare professionals (88%) confirming that the plant-based ONS was well tolerated.

Conclusion: This study shows that: (i) there are a variety of reasons why patients at risk of DRM may choose a ready to drink, plant-based, nutritionally complete ONS; and (ii) this plant-based ONS is highly complied with, palatable, and well tolerated.

References: None.

Disclosure of Interest: C. Griffen Other: Nutricia employee, M. Delsoglio Other: Nutricia employee, R. Syed: None Declared, T. Cookson: None Declared, H. Saliba: None Declared, A. Vowles: None Declared, S. Davies: None Declared, N. Willey: None Declared, J. Thomas: None Declared, N. Millen: None Declared, N. Odeh: None Declared, J. Longstaff: None Declared, N. Westran: None Declared, M. Philllips: None Declared, L. Allan: None Declared, H. Offer: None Declared, C. Howell: None Declared, M. Sanders: None Declared, K. Gaffigan: None Declared, K. Garrett: None Declared, S. Foster: None Declared, A. Salt: None Declared, E. Carter: None Declared, S. Moore: None Declared, N. Bergin: None Declared, J. Roper: None Declared, J. Alvarez: None Declared, C. Voss: None Declared, T. Thrower: None Declared, C. MacDonald: None Declared, T. Connolly: None Declared, D. Sills: None Declared, J. Baxter: None Declared, R. Manning: None Declared, L. Gray: None Declared, K. Voas: None Declared, S. Richardson: None Declared, A.-M. Hurren: None Declared, D. Murphy: None Declared, S. Blake: None Declared, P. McArdle: None Declared, S. Walsh: None Declared, L. Booth: None Declared, L. Albrich: None Declared, S. Ashley-Maguire: None Declared, J. Allison: None Declared, J. McClorey: None Declared, J. Candlish: None Declared, S. Brook: None Declared, R. Capener Other: Nutricia employee, G. Hubbard Other: Nutricia employee, R. Stratton Other: Nutricia employee

Keywords: disease-related malnutrition , oral nutritional supplement, plant-based