{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:08:09Z","timestamp":1784394489491,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T00:00:00Z","timestamp":1530057600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Government Research Training Program Scholarship"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Malnutrition is prevalent across acute care facilities, particularly in older patients, and contributes to poor surgical outcomes. Clinical practice guidelines recommend the early reintroduction of a full oral diet post\u2010operatively. The present study aimed to compare estimated energy (<jats:styled-content style=\"fixed-case\">EEI<\/jats:styled-content>) and protein (<jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content>) intake of patients who received early diet upgrade with those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients \u226565\u00a0years admitted post\u2010operatively to general surgical wards were included.<jats:styled-content style=\"fixed-case\">EEI<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content>were calculated and dichotomised as meeting \u226550% or &lt;50% estimated energy (<jats:styled-content style=\"fixed-case\">EER<\/jats:styled-content>) and protein (<jats:styled-content style=\"fixed-case\">EPR<\/jats:styled-content>) requirements. Mean intake and proportion of patients meeting &lt;50% estimated requirements were compared between those who received early upgrade and those who did not at post\u2010operative day (<jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>)2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four patients [mean (SD) age 72.9 (5.7) years, 59% male] were analysed at<jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>2 [<jats:styled-content style=\"fixed-case\">EEI<\/jats:styled-content>: mean 4.2 (2.6)<jats:styled-content style=\"fixed-case\">MJ<\/jats:styled-content>\u00a0day<jats:sup>\u20131<\/jats:sup>, 56% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>19) met \u226550%<jats:styled-content style=\"fixed-case\">EER<\/jats:styled-content>;<jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content>: mean 38.7 (29.5) g\u00a0day<jats:sup>\u20131<\/jats:sup>, 26% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>9) met \u226550%<jats:styled-content style=\"fixed-case\">EPR<\/jats:styled-content>]. The majority (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>25, 74%) were upgraded to a nonfluid diet by<jats:styled-content style=\"fixed-case\">POD<\/jats:styled-content>2. More patients on fluid diets consumed &lt;50%<jats:styled-content style=\"fixed-case\">EER<\/jats:styled-content>(<jats:italic>P<\/jats:italic>\u00a0=\u00a00.025) and &lt;50%<jats:styled-content style=\"fixed-case\">EPR<\/jats:styled-content>(<jats:italic>P<\/jats:italic>\u00a0=\u00a00.073). No patient on a fluid diet met \u226550% of<jats:styled-content style=\"fixed-case\">EPR<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the majority of older patients received early diet upgrade and these patients consumed more energy and protein than those on fluid diets, as a whole, older patients ate poorly post\u2010operatively. Fluid diets should therefore not be used indiscriminately and other approaches to improve post\u2010operative intake of older patients, such as fortified diets, oral nutritional supplements and meal environment interventions, should be adopted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12572","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T04:59:21Z","timestamp":1530161961000},"page":"818-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Early post\u2010operative diet upgrade in older patients may improve energy and protein intake but patients still eat poorly: an observational pilot study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4069-4724","authenticated-orcid":false,"given":"A.","family":"Byrnes","sequence":"first","affiliation":[{"name":"School of Human Movement and Nutrition Sciences The University of Queensland St Lucia 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