{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T03:00:08Z","timestamp":1790478008518,"version":"4.1.0"},"reference-count":49,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Malnutrition predicts poor outcomes following hip fracture, affecting patient recovery, healthcare performance, and costs. Evidence-based guidelines recommend multicomponent, interdisciplinary nutrition care to improve intake, reduce complications, and enhance outcomes. This study examines global variation in oral nutrition support for older (65+ years) hip fracture inpatients. Methods: A global survey was conducted as part of a broader program to improve interdisciplinary nutrition care. The protocol was based on evidence-based guidelines, reviewed by experts, and piloted for validity. Recruitment used snowball sampling to achieve diversity across income levels, countries, and healthcare roles. Results: The survey (July\u2013September 2023) recruited 308 participants from 46 countries across five global regions. Respondents primarily worked in acute teaching (57.5%) and non-teaching (17.5%) hospitals, representing medical (48.4%), nursing (28.2%), and allied health (17.9%) roles. Findings revealed a global knowledge-to-practice gap in multicomponent nutrition care, across providing high-protein\/energy food and fluids (median: \u201chalf the time\u201d), post-operative provision of oral nutritional supplements (median: \u201chalf the time\u201d) and continuation for one month with assessment (median: \u201cnot very often\u201d), and nutritional education (median: \u201cnot very often\u201d). Only 17.9% of respondents reported routine provision (\u201coften\u201d and \u201cnearly always or always\u201d) of high-protein\/energy food, supplements, and education. Substantial regional variation showed Western Pacific respondents perceiving the lowest provision across multicomponent processes. Interdisciplinary, multicomponent interventions were seen as a potential opportunity requiring further exploration. Conclusions: Major gaps persist in implementing evidence-based, interdisciplinary, multicomponent nutrition care for older adults with hip fractures. A targeted implementation approach is the next step to addressing the knowledge-to-practice gap.<\/jats:p>","DOI":"10.3390\/nu17020240","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T03:48:11Z","timestamp":1736480891000},"page":"240","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Interdisciplinary Oral Nutrition Support and Supplementation After Hip Fracture Surgery in Older Adult Inpatients: A Global Cross-Sectional Survey (ONS-STUDY)"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7217-3635","authenticated-orcid":false,"given":"Jack","family":"Bell","sequence":"first","affiliation":[{"name":"Allied Health Research Collaborative, The Prince Charles Hospital, Chermside, QLD 4032, Australia"},{"name":"Faculty of Food Science and Nutrition, University of Iceland, 102 Reykjav\u00edk, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruqayyah","family":"Turabi","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, School of Life Course and Population Sciences, King\u2019s College London, London WC2R 2LS, UK"},{"name":"Department of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sissel Urke","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Medical Service, Diakonhjemmet Hospital, 0370 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie Jane","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, School of Life Course and Population Sciences, King\u2019s College London, London WC2R 2LS, UK"},{"name":"Bone and Joint Health, Blizard Institute, Queen Mary University of London, London E1 2AB, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3766-2062","authenticated-orcid":false,"given":"\u00d3l\u00f6f Gu\u00f0n\u00fd","family":"Geirsd\u00f3ttir","sequence":"additional","affiliation":[{"name":"Faculty of Food Science and Nutrition, University of Iceland, 102 Reykjav\u00edk, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1302\/0301-620X.105B11.BJJ-2023-0139.R1","article-title":"Effect of oral nutritional supplementation on outcomes in older adults with hip fractures and factors influencing compliance","volume":"105-b","author":"Chen","year":"2023","journal-title":"Bone Jt. 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