RT Journal Article T1 Effect on an Oral Nutritional Supplement with beta-Hydroxy-beta-methylbutyrate and Vitamin D on Morphofunctional Aspects, Body Composition, and Phase Angle in Malnourished Patients A1 Cornejo-Pareja, Isabel A1 Ramirez, Maria A1 Camprubi-Robles, Maria A1 Rueda, Ricardo A1 Vegas-Aguilar, Isabel Maria A1 Garcia-Almeida, Jose Manuel K1 malnutrition K1 muscle loss K1 oral nutritional supplements K1 cancer K1 beta-hydroxy-beta-methylbutyrate K1 phase angle K1 body cell mass K1 Cancer-patients K1 Muscle mass K1 Malnutrition K1 Cachexia K1 Support K1 Chemotherapy K1 Sarcopenia K1 Outcomes K1 Risk K1 Association AB This is a retrospective study of data from clinical practice to observe the effect of a high-calorie, high-protein oral nutritional supplement (ONS) with beta-hydroxy-beta-methylbutyrate (HMB) on nutritional status, body weight, and muscle-related parameters in 283 adult patients with or at risk of malnutrition under standard of care, 63% being cancer patients. They were recommended to increase physical activity and energy and protein intake from regular diet plus two servings per day of a specialized ONS enriched with HMB or standard ONS for up to 6 months. Dietary records, adherence and tolerance to ONS, nutritional status, body composition, handgrip strength, and blood analysis at the beginning and the end of the intervention were recorded. This program improved nutritional status from 100% malnourished or at risk of malnutrition at baseline to 80% well-nourished at final visit. It also increased body weight by 3.6-3.8 kg, fat-free mass by 0.9 to 1.3 kg, and handgrip strength by 4.7 to 6.2 kg. In a subgroup of patients (n = 43), phase angle (PhA), and body cell mass (BCM) increased only in the patients receiving the ONS enriched with HMB (0.95 (0.13) vs. -0.36 (0.4), and 2.98 (0.5) vs. -0.6 (1.5) kg, mean difference (SE) from baseline for PhA and BCM, respectively), suggesting the potential efficacy of this supplement on muscle health. PB Mdpi YR 2021 FD 2021-12-01 LK https://hdl.handle.net/10668/26981 UL https://hdl.handle.net/10668/26981 LA en DS RISalud RD Apr 7, 2025