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Put together by the team behind Pulse, with the help of an expert advisory board, Pulse Live is the one-stop shop for GPs.
Join us to take part in a number of key debates, seminars, and workshops addressing the wider issues within healthcare provision, as well as interviews with senior figures from the NHS, Government and other healthcare bodies.
Energy and protein are required for muscle protein synthesis, which could help address the characteristic loss of muscle reserves in frailty.10 However many older adults may struggle to meet their daily protein requirements with food alone.11
High protein oral nutritional supplements may be useful for frail elderly patients at high risk of malnutrition, as they significantly improve energy and protein intakes (without impacting dietary intake), body weight, body composition and function, whilst reducing risk of clinical complications.12
Frail patients at risk of malnutrition are likely to have poor appetite and therefore may struggle to finish large volumes of ONS. In addition, they may have poor dexterity and muscle weakness, which may cause difficulty in preparing powdered ONS, making them less clinically effective and therefore less cost effective. For these patients, low volume, ready to drink ONS may be more suitable. High energy, low volume, ready to drink ONS (125ml) are associated with significantly better compliance (91%) compared to ‘standard’ ONS (typically 200ml or more, 78%).13,14 A wide variety of flavours is also associated with improved compliance.15
Compliance to high energy, low volume ONS
Compliance to standard ONS
| Typical characteristics of a frail patient
at risk of malnutrition
| ONS solution to promote
|Muscle loss (frailty)||High energy, high protein|
|Poor appetite||Low volume|
|Poor dexterity / physical function||Ready to drink liquid|
|Taste fatigue||Wide flavour range|
Fortisip Compact Protein is a high protein, high energy, ready to drink ONS in a low volume (125ml), available in 8 flavours. 2 bottles of Fortisip Compact Protein per day could help to fill an energy and protein gap in your frail elderly patients, whilst providing approximately half of their daily vitamin and mineral requirements.15,16
How to prescribe Fortisip Compact Protein: 250ml (2 bottles) per day for 12 weeks**
Total volume for the 12 weeks 21,000ml (168 bottles)
** In line with the 'Managing Malnutrition in the Community' recommendation of 2 (range 1-3) ONS per day for 12 weeks for frail elderly patients at high risk of malnutrition.17
For more information about Fortisip Compact Protein, visit https://nutriciahcp.com/adult/products/Fortisip_Compact_Protein/ or download the product datacard here
Download the 'High Protein Nutritional Support: More important than energy?' article for more information about the importance of meeting your patients' protein requirements here.
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Content provided by Nutricia Ltd.
*Fortisip Compact Protein is a food for special medical purposes for the dietary management of disease related malnutrition and must be used under medical supervision.
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