High-Energy, Low-Volume Oral Nutritional Supplement Compliance in Malnourished Patients

This study focuses on improving the nutritional status of adults who are either malnourished or at risk of malnutrition, specifically those diagnosed with cancer, surgical patients, and others. The goal is to compare the effectiveness of two types of oral nutritional supplements (ONS): a high-energy, low volume ONS and a standard high-calorie, high-volume ONS. The study aims to understand if a more energy-dense and less voluminous supplement can help patients meet their nutritional needs better, as this could potentially improve their health outcomes and quality of life. During this 8-week study, participants are randomly assigned to one of two groups. Group A receives the high-energy, low volume ONS for 28 days, followed by the standard ONS for 7 days. Group B starts with the standard ONS for 28 days, then switches to the high-energy, low volume ONS for 28 days. The primary outcome measured is the compliance rate, or the percentage of energy consumed compared to what was prescribed. Additionally, the study evaluates the supplements' gastrointestinal tolerance and patient satisfaction, as well as identifying factors that may influence compliance. The cost associated with product wastage for both ONS is also compared.