ePS05.4 A multidisciplinary approach can improve a low BMI in adults with cystic fibrosis

Objectives A quality improvement program was implemented, targeting those CF adults most at nutritional risk. Monthly MDT meetings solely focussing on adults with a BMI ≤19 have been in practice for 1 year. This study aims to assess the effectiveness of this systematic, proactive approach in improving BMI and the interventions initiated. Method Identified 24/200 CF adults with a BMI ≤19 and tracked over a 12 month period. These were discussed within a monthly meeting led by the dietitians with physicians, psychologist, social worker, and specialist nurses in attendance. Initially, a summary of each individual's nutritional history and previous dietetic interventions were presented. Most of the cohort had a long standing low BMI despite considerable dietetic input. Common reasons for this were poor tolerance to oral nutrition support (ONS) and a resistance to weight gain. Results 24 low BMI CF adults were identified (F = 10; PI=24; CFRD at baseline=11) with mean age of 23.7 years (SD = ±5.9). Mean BMI at baseline was 17.48 (±1.33). At the end 18.76 (±1.73), p=0.0002. Nutritional interventions implemented within the 12 months were: ONS (n = 4), gastrostomy feeding (n = 3), insulin (n = 1), Continuous Glucose Monitoring (n = 6) and appetite stimulant (n = 8). Other interventions included psychological support, anti-depressants, admission, IV antibiotics and more frequent MDT review. The mean follow up period was 11.4 (range 9–12) months. Conclusion Valuable support and holistic input from the CF MDT in conjunction with the CF dietitians led to successful improvement in BMI. Clinicians support with providing consistent messages was valuable.