1. Department of Food and Nutritional Sciences & Clinical Health Sciences Sip vs Slurp : The influence on the amount of supplement drink consumed. Victoria AllenProfessor Margot Gosney Research NurseConsultant in Elderly Care Medicine Dr Lisa Methven Food and Nutritional Scientist

2. Malnutrition in elderly people Hospital Care homes (aged 83.1+/-9.7years) Frail 35% Cognitive impairment 41% Nutrition screening survey (BAPEN 2010)

3. Consequences of malnutrition Malnutrition increases risk of illness Admission to hospital Nutritional status decreases further Prolonged hospital stay Increased infection rate Nutritional status lower on discharge to the community Increased GP consultations

4. Nutritional supplement drinks Improve weightMore in frail people Reduce mortalityMore in elderly people Decrease complications Limits effectiveness Better cognition Study: Improving consumption of ONS drinks Documented benefits of nutritional supplement drinks within malnourished people Fairly high prevalence of under-nutrition in elderly people Poor compliance and consumption of nutritional supplement drinks by elderly people

5. Aim : To analyse the influence of drinking method on consumption of ONS drinks Why?: Changing the cutlery and crockery used by Alzheimer's disease patients this has a positive effect on the amount of food consumed. Consumption greater in some settings. Is this due to different practices? Familiar environments may improve oral intake

6. 1234567 AM PM EVE Participants were randomly allocated to either consume their drinks given in a glass/beaker or to through a straw inserted directly into the container. Weighed amount remaining of each drink (grams) Methods

7. Participants N1926 Age88.4 +/- 5.485.4 +/- 8.6 MMSE12.4 +/- 5.614.1 +/- 8.6 Gender (female : male) 84% : 16%73%: 27% MNA-SF (with calf circumf.) 5.7 +/- 2.35.4 +/- 3.2 StrawGlass or Beaker

8. Results – amount consumed StrawGlass or Beaker Mean +/- SD P value % drunk54.1 +/-37.965.4 +/- 35.10.027 KCal139.6 +/- 102.1173.2 +/- 96.10.05

9. Results – drinks not given StrawGlass or Beaker N (%) Given282 (84%)272 (81%) Not given44 (16%)64 (19%)

10. Implications for practice Consumption of ONS drinks would improve in older adults if they were served in a glass/beaker rather than inserting a straw into the container. The convenience of giving ONS drinks with a straw did not significantly impact the proportion of ONS drinks given.

11. What other factors influence consumption of nutritional drinks? WEEKDAY 1DAY 2DAY 3 ONE TWO THREE Free living people 37 free living people took part in consuming the drinks Aged 72.1+/-7.4 years, 57% female

12. Time of day given, non significant trend for consumption o decline on 3 rd drink (p=0.411) Who participants were with was significantly related to consumption (p<0.001)

13. Consumption was affected by how much participants liked the drink (p=0.003) & the drink they were consuming (p<0.001).

14. Conclusion Consumption of ONS is influenced by several factors. However, serving nutritional drinks to elderly people by their usual drinking method has a positive influence on improving the Consumption of ONS drinks.

15. Thank-you

16. Any Questions?