Impact of Home-Delivered Meals on Nutrition Status and Nutrient Intake among Older Adults in Central Texas

Ullevig, Sarah L.; Sosa, Erica T.; Crixell, Sylvia; Uc, Eliani; Greenwald, Beverly; Marceaux, Seanna; Friedman, Bruce J.

doi:10.1007/s12603-018-1038-0

Cited by 10 publications

(6 citation statements)

References 25 publications

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“…Finally, three within-subject design studies (24,47,70) compared food intake between 1 day with HDM and 1 day without HDM. Six articles reported an improvement of energy intake with HDM (24,34,47,48,62,64) while six observed no difference between a HDM vs. non-HDM situation (3,33,35,63,68,70). Six articles reported an improvement of protein intake with HDM (33,34,48,64,70), and 1 observed no differences between a HDM vs. non-HDM situation (47).…”

Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

“…These studies include one randomized control trial (62), eight parallel-group design studies (3, 4, 32, 34, 63-66), and two cross-sectional studies (67,68), all of these studies comparing a HDM group vs. a non-HDM group. Four pre-post studies (33,35,48,69) included newly enrolled HDM recipients to be followed up over 2 or 3 months after implementing a home-delivery meal service. Finally, three within-subject design studies (24,47,70) compared food intake between 1 day with HDM and 1 day without HDM.…”

Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

“…Finally, all the studies that have looked at the nutritional status observed a decrease of the nutritional risk with HDM (33,35,48,65,69). For instance, Marceaux (33) observed in newly enrolled HDM recipients that 31% of the participants at risk of undernutrition and 77% of the undernourished participants improved their nutritional status after receiving HDM for 3 months.…”

Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

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The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Fleury¹,

Tronchon

Rota³

et al. 2021

Front. Nutr.

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Background: Setting up a home-delivered meal service often allows older people suffering from physical and/or cognitive disabilities to stay at home. However, older people who delegate their food activities (food purchasing, cooking…) have been reported to have a worse nutritional status than people who take care of their food activities. In this context, we will conduct a systematic review of all studies related to the nutritional issue in home-delivered meal older recipients.Methods: In June 2020, we searched 3 databases (Pubmed, Web of Science, EMBASE) to identify studies from all years on older adults at home and receiving home-delivered meal services (population). The following outcomes were considered: nutritional status (Body Mass Index, weight, undernutrition) and nutritional intake. Any nutritional intervention, comparator, and study design were relevant for inclusion.Results: Forty-eight original studies met the inclusion criteria, most of them being published after the year 2000 (n = 34) and undertaken in the USA (n = 32). The selection includes 30 cross-sectional and 18 longitudinal studies. The main findings of this review are the following: (1) home-delivery meal older recipients are at high risk of undernutrition; (2) providing home-delivery meals may improve the nutritional status and nutrient intake; (3) this improvement is even higher when the home-delivery meal service is improved, for instance by providing dietetic counseling or adding supplementary snacks/meals or enriched food. However, even an improved service does not allow all the older recipients meeting their recommended nutritional allowance.Conclusion: This review reveals a need to further develop strategies allowing home-delivery meal older recipients to fulfill their nutritional needs. From a methodological point of view, there is a need to describe in more detail the home-delivered services provided to studies' participants to better consider meal frequency and meal content in the results.

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Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

Section: Comparison Of Nutritional Outcomes Between Recipients and Nomentioning

confidence: 99%

See 1 more Smart Citation

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Fleury¹,

Tronchon

Rota³

et al. 2021

Front. Nutr.

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“…However, the few studies that have assessed the long-term impact of meals-on-wheels showed an improvement in nutritional status over time among older recipients (26). For instance, Wright et al (27) showed that 51% of newly enrolled meals-onwheels recipients improved their nutritional status after 2 months of follow-up, while only 4% reported a decline in nutritional status (see also (28,29)).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of malnutrition risk among older French adults with culinary dependence

et al. 2021

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Objective The term ‘culinary dependence’ denotes a situation in which someone delegates all or part of their daily meal-related activities to a third party. The present study aimed to explore nutritional risk among older people (≥65 years) with culinary dependence. Method The first survey included 559 people either living at home without help, with help unrelated to food activities, with help related to food activities or living in nursing home. The second survey included 319 people with food help provided by a caregiver, by meals-on-wheels or by a nursing home. Nutritional status was assessed with the Mini-Nutritional Assessment. Sociological background and wellness variables (health, cognitive and mental status) were collected. Results The first survey found a strong association between culinary dependence and nutritional risk. About half of the people who delegated their food-related activities were malnourished or at risk of malnutrition compared with only 4% for people with no help and 12% for people with help unrelated to food activity. According to the second survey, this prevalence varied slightly depending on who the tasks were delegated to (46% for those who had the support of a caregiver; 60% for those who used a meals-on-wheels service; 69% for those living in nursing home). According to multivariate analyses, dependence categories, depressive symptoms and cognitive status were identified as independent determinants of malnutrition. Conclusion Without inferring a causal relationship between dependence and malnutrition, there is a strong need for care structures to take into account the issue of malnutrition when developing services targeting older people.

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“…Among the various care offers, meal delivery service (also known as meals-on-wheels) can provide dependent elderly people with a solution for maintaining balanced and regular nutritional intake [ 2 ]. Several studies have shown a positive impact of home delivered meals on nutritional intake and/or nutritional status [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. For example, Roy & Payette, (2006) showed that, among people over 65 years who requested a homecare service, the implementation of meal delivery service resulted in a significant increase in energy and protein intake after eight weeks of follow-up, while no change was observed among the people who did not subscribe to this service [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Home-Delivered Meals: Characterization of Food Intake in Elderly Beneficiaries

Fleury

Wymelbeke-Delannoy

Lesourd³

et al. 2021

Nutrients

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Objective. In this study, we focus on elderly people (≥70 years old) benefiting from a home delivery meal service as part of a social welfare program. We aimed to: (i) assess the gap between the recommended and actual nutritional intake in this population and (ii) study the relationship between the intake of nutrients and the variables characterizing the participants’ health and nutritional status. Design. A dietary survey (24-hour record) was conducted during a home interview, with 64 people receiving a home delivery meal service (75% women; 70–97 years old). At the same time, the participants answered questionnaires assessing their nutritional and health status. Results. Our data showed that the consumption of 70 to 80% participants was not sufficient for reaching the nutritional recommendations for energy and macronutrients. Additionally, the data showed that the lower the energy and protein intakes, the higher the risk of malnutrition. In addition, one third of the participants were both overweight or obese and at risk of undernutrition or undernourished. Our study demonstrated that the heavier the person, the more difficult it was for them to meet the nutritional recommendations based on kilograms of body weight. Finally, individuals receiving two to three delivered meals per day had higher energy and protein intakes than those receiving a single meal. Conclusion. These results suggest that it is important that home meal delivery companies improve the quality of their meals and service so that their recipients can better meet nutritional recommendations.

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Impact of Home-Delivered Meals on Nutrition Status and Nutrient Intake among Older Adults in Central Texas

Cited by 10 publications

References 25 publications

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Prevalence of malnutrition risk among older French adults with culinary dependence

Home-Delivered Meals: Characterization of Food Intake in Elderly Beneficiaries

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