Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home

Engelheart, Stina; Akner, Gunnar

doi:10.1007/s12603-015-0440-0

Cited by 46 publications

(34 citation statements)

References 22 publications

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“…The nutritional status in homes for the elderly is different respective to community-dwelling elderly; specifically, elderly persons who live in senior facilities have been shown to have a lower BMI and/or MNA scores compared to those living in the community (p<0.05) 2,5,6 . Additionally, several studies compared nutritional status according to different types of homes, for example Strupeit et al 7 in Germany, that compared Home-living setting with Shared-housing arrangements (no risk according to MNA: 55.7% Vs. 16.6% respectively (p<0.001); van Nie-Visser et al 8 contrasted nursing home characteristics of three countries (Netherlands, Germany and Austria) and found differences by sex, age, length of stay, and dependency.…”

Section: Introductionmentioning

confidence: 99%

Nutrition status of the elderly differs by elderly care facility

Muñoz

Millán

2019

Rev. chil. nutr.

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The prevalence of malnutrition in homes for the elderly is well-known, yet research does not exist concerning differences among types of homes. In this study, the association of nutritional status (measured with MNA-FV and anthropometric measures) with the type of home for the elderly (charity, government, private) was evaluated. A cross-sectional study in adults >60 years was carried out. Student's t, U of Mann-Whitney, ANOVA, or Kruskal Wallis test with statistical significance p<0.05 were used for statistical analysis. In the study, 152 elderly (95 female) persons with an average age of 81.4 years (SD 7.82) participated; 59.6% had a normal nutritional status and 45.3% had a normal BMI. Malnutrition, risk of malnutrition and low calf circumference were associated with private homes (p<0.05). We concluded that nutritional status varies by type of home and this nutritional profile possibly depends on criteria used to admit persons into each type of facility.

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Section: Introductionmentioning

confidence: 99%

Nutrition status of the elderly differs by elderly care facility

Muñoz

Millán

2019

Rev. chil. nutr.

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“…For example, some researchers have used a single day of recalled (by resident or care staff) food intake to represent consumption patterns, resulting in potentially flawed conclusions on the adequacy of food intake [11–13]. Smaller studies with weighed food records, the gold standard, have demonstrated large inter-individual differences [12], but are commonly limited in measurement of covariates and the ability to model these due to the small sample size [12, 14]. Additionally, detailed descriptions of the food intake profile are often missing [15].…”

Section: Introductionmentioning

confidence: 99%

Making the Most of Mealtimes (M3): protocol of a multi-centre cross-sectional study of food intake and its determinants in older adults living in long term care homes

et al. 2017

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BackgroundOlder adults living in long term care (LTC) homes are nutritionally vulnerable, often consuming insufficient energy, macro- and micronutrients to sustain their health and function. Multiple factors are proposed to influence food intake, yet our understanding of these diverse factors and their interactions are limited. The purpose of this paper is to fully describe the protocol used to examine determinants of food and fluid intake among older adults participating in the Making the Most of Mealtimes (M3) study.MethodsA conceptual framework that considers multi-level influences on mealtime experience, meal quality and meal access was used to design this multi-site cross-sectional study. Data were collected from 639 participants residing in 32 LTC homes in four Canadian provinces by trained researchers. Food intake was assessed with three-days of weighed food intake (main plate items), as well as estimations of side dishes, beverages and snacks and compared to the Dietary Reference Intake. Resident-level measures included: nutritional status, nutritional risk; disease conditions, medication, and diet prescriptions; oral health exam, signs of swallowing difficulty and olfactory ability; observed eating behaviours, type and number of staff assisting with eating; and food and foodservice satisfaction. Function, cognition, depression and pain were assessed using interRAI LTCF with selected items completed by researchers with care staff. Care staff completed a standardized person-directed care questionnaire. Researchers assessed dining rooms for physical and psychosocial aspects that could influence food intake. Management from each site completed a questionnaire that described the home, menu development, food production, out-sourcing of food, staffing levels, and staff training. Hierarchical regression models, accounting for clustering within province, home and dining room will be used to determine factors independently associated with energy and protein intake, as proxies for intake. Proportions of residents at risk of inadequate diets will also be determined.DiscussionThis rigorous and comprehensive data collection in a large and diverse sample will provide, for the first time, the opportunity to consider important modifiable factors associated with poor food intake of residents in LTC. Identification of factors that are independently associated with food intake will help to develop effective interventions that support food intake.Trial RegistrationClinicalTrials.gov ID: NCT02800291, retrospectively registered June 7, 2016.

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“…Prior research on food intake is based on small, convenience samples (9)(10)(11)(12)(13)(14)(15) with relatively inaccurate methods for collecting intake, including relying on staff to record consumption (1,2,13,16) . Data on nutrient intake is not typically adjusted for intra-individual variation (1,2,13) nor is it based on a comprehensive panel of micronutrients (9,11,14,17,18) .…”

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confidence: 99%

Prevalence of inadequate micronutrient intakes of Canadian long-term care residents

et al. 2018

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This study determines the prevalence of inadequate micronutrient intakes consumed by long-term care (LTC) residents. This cross-sectional study was completed in thirty-two LTC homes in four Canadian provinces. Weighed and estimated food and beverage intake were collected over 3 non-consecutive days from 632 randomly selected residents. Nutrient intakes were adjusted for intra-individual variation and compared with the Dietary Reference Intakes. Proportion of participants, stratified by sex and use of modified (MTF) or regular texture foods, with intakes below the Estimated Average Requirement (EAR) or Adequate Intake (AI), were identified. Numbers of participants that met these adequacy values with use of micronutrient supplements was determined. Mean age of males (n 197) was 85·2 (sd 7·6) years and females (n 435) was 87·4 (sd 7·8) years. In all, 33 % consumed MTF; 78·2 % (males) and 76·1 % (females) took at least one micronutrient pill. Participants on a MTF had lower intake for some nutrients (males=4; females=8), but also consumed a few nutrients in larger amounts than regular texture consumers (males=4; females =1). More than 50 % of participants in both sexes and texture groups consumed inadequate amounts of folate, vitamins B6, Ca, Mg and Zn (males only), with >90 % consuming amounts below the EAR/AI for vitamin D, E, K, Mg (males only) and K. Vitamin D supplements resolved inadequate intakes for 50-70 % of participants. High proportions of LTC residents have intakes for nine of twenty nutrients examined below the EAR or AI. Strategies to improve intake specific to these nutrients are needed.

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Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home

Cited by 46 publications

References 22 publications

Nutrition status of the elderly differs by elderly care facility

Nutrition status of the elderly differs by elderly care facility

Making the Most of Mealtimes (M3): protocol of a multi-centre cross-sectional study of food intake and its determinants in older adults living in long term care homes

Prevalence of inadequate micronutrient intakes of Canadian long-term care residents

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