Prevalence and Determinants of Poor Food Intake of Residents Living in Long-Term Care

Keller, Heather; Carrier, Natalie; Slaughter, Sarah; Lengyel, Christina; Steele, Catriona M.; Duizer, Lisa; Morrison, Jill; Brown, Karen; Chaudhury, Habib; Yoon, Minn N.; Duncan, Alison; Boscart, Véronique; Heckman, George A.; Villalón, Lita

doi:10.1016/j.jamda.2017.05.003

Cited by 92 publications

(94 citation statements)

References 35 publications

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“…These individuals are often confused with food and the dining environment and demonstrate varied difficulties from choosing or locating food, preloading utensils and bringing food to the mouth, to chewing and swallowing food without pocketing, chocking or spitting food (Liu, Watson, & Lou, 2014). Mealtime difficulties are significantly associated with low food intake among residents (Keller et al, 2017;Lin et al, 2010;Liu, Williams, Batchelor-Murphy, Perkhounkova, & Hein, 2019).…”

Section: Resident Levelmentioning

confidence: 99%

“…Appropriate staff monitoring and assistance are associated with better food and fluid intake, while inadequate staff availability to assist and supervise residents contributes to low food intake (Abbott et al, 2013) and less likelihood of intake (Liu et al, 2019). Residents who receive physical help more often during mealtimes have more calories and protein intake, while those who receive physical help intermittently have less intake (Keller et al, 2017). However, previous reports have suggested that increasing staff time to assist with eating increased food intake by 11-15% in only half of the participants with low food intake (Simmons, Osterweil, & Schnelle, 2001).…”

Section: Caregiver Levelmentioning

confidence: 99%

“…Findings from prior research on the association between staff assistance and the amount of food intake have been inconsistent in the dementia population. More recent studies have reported that full feeding assistance resulted in more oral intake and lack of feeding assistance was associated with low food intake in residents with severe dementia (Keller et al, 2017;Lin et al, 2010). Conversely, systematic reviews have reported that staff training programme on feeding skills (Chang & Lin, 2005), educational programmes (Suominen, Kivisto, & Pitkala, 2007) and feeding assistance interventions (Simmons et al, 2008) had insufficient evidence in supporting food intake in dementia (Abbott et al, 2013;Bunn et al, 2016;Liu, Watson et al, 2014).…”

Section: Caregiver Mealtime Assistancementioning

confidence: 99%

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Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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Aim To examine the association of resident characteristics, staff mealtime assistance and environmental stimulation with the pace of food intake. Design A secondary analysis of 36 baseline eating videos involving 19 nursing assistants and 15 residents with dementia in eight nursing homes from a communication intervention study. Methods The outcome variable was the pace of food intake (the number of bites and drinks per minute). The exploratory variables were resident characteristics (age, gender, dementia stage and eating performance), staff mealtime assistance (frequency of verbal, visual, partial and full physical assistance) and environmental stimulation. Multi‐level models were used to examine the association. Results A faster pace of food intake is associated with being male, better eating performance, staff provision of visual and physical assistance and better quality of environmental stimulation that involved interaction. The pace of food intake was not associated with resident age, staff verbal assistance or partial physical assistance.

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Section: Resident Levelmentioning

confidence: 99%

Section: Caregiver Levelmentioning

confidence: 99%

Section: Caregiver Mealtime Assistancementioning

confidence: 99%

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Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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“…This could be due to their significantly lower intake of caloric requirements, although the majority of them have normal protein intake as recommended. The high percentage of elderly having their required protein intake reflects a good dietary service as reported by Keller et al [26] in a study in Canada.…”

Section: Discussionmentioning

confidence: 70%

Nutritional status and independence in instrumental activities of daily life in the elderly living in nursing homes and community dwellings: A comparative study

Mahmoud

Sheha²

2018

JNEP

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Background and objective: Dietary habits and patterns have been shown to have strong influence on the mental wellbeing of elderly. Aim of the study: to compare the current nutritional status and independence in instrumental activities of daily life (IADL) in the elderly living in nursing homes and community dwellings.Methods: The study was carried out in nursing homes and elderly clubs in Cairo using descriptive comparative design. It involved a group of 125 institutionalized elderly from six nursing homes in Cairo and a second group (community dwellers) of 250 elderly from social clubs or elderly daycare centers in Cairo. The data collection tools were an interview questionnaire including the Mini Nutritional Assessment (MNA), the IADL, and the 24-hour recall for dietary intake in addition to an inventory checklist for the nursing homes. The data collection lasted from October 2016 to December 2017.Results: The institutionalized elderly had significantly higher median age, more divorced /widows, from urban areas, with higher education, and more insufficient income; they were more obese (p = .02). In MNA 62.0% of those in community dwellings were normal compared to only 17.6% of institutionalized (p < .001), but significantly more institutionalized elders had deficient caloric intake (80.0%) compared to 69.6% of those in community dwellings (p = .03). The IADL were significantly better among those in community dwellings. In multivariate analysis, having recreations was a positive predictor of MNA score, while smoking and institutionalization were negative predictors. As for the IADL score, the level of education was its positive predictor, whereas age and institutionalization were negative predictors. Body mass index (BMI) was positively predicted by female gender, educational level, and having recreations, and negatively predicted by age. For institutionalized elderly, income was a positive predictor of the MNA score, whereas the length of institutionalization was a negative predictor.Conclusion and recommendations: Malnutrition and dependency in IADL are more prevalent among elderly in nursing homes, and are related to the duration and characteristics of the institutionalization. The study recommends improving the dietary services in nursing homes, with training programs for their staff and regular monitoring of food services.

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“…Declines in eating performance can lead to staff‐resident stress, decreased food and fluid intake, comprised nutritional status, weight loss and loss of ability to eat, which further increases the likelihood of death in residents . Optimizing eating performance is an important strategy to maintain nutritional intake and hydration and support quality of life . Interventions to promote eating performance traditionally focus on cognitive function and eating skills training for residents, feeding skills training for care staff, mealtime assistance, and environmental modifications …”

Section: Introductionmentioning

confidence: 99%

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Liu

Shaw

Chen

2019

Special Care in Dentistry

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Aims: Despite the physiologic relationship, there is a lack of evidence on how dentalrelated function and oral health impact eating performance. This study aims to examine the association of eating performance with dental-related function and oral health among assisted living residents. Methods and results:This study was a secondary analysis of observational data collected from an instrument development study. Participants included 90 residents with normal to severely impaired cognition from three assisted livings. Multilevel mixedeffects ordered logistic models were used. The dependent variable was eating performance measured by the single "eating" item (scored from 0 to 4 on level of dependence). Independent variables were resident age, gender, dental-related function, and oral health. The resident and facility clustering effects accounted for 88% of variance in eating performance, among which 84% was explained by dental-related function and oral health. Eating performance was associated with dental-related function (coefficient = −0.10, 95% CI = −0.19, −0.01, P = .025), and was not associated with other characteristics.Conclusion: Eating performance is influenced by the complex relationship with dental-related function and oral health. Novel interventions using interdisciplinary partnerships are needed to maintain dental-related function and oral health to optimize eating performance. K E Y W O R D Sdental-related function, eating performance, oral health

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Prevalence and Determinants of Poor Food Intake of Residents Living in Long-Term Care

Cited by 92 publications

References 35 publications

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Nutritional status and independence in instrumental activities of daily life in the elderly living in nursing homes and community dwellings: A comparative study

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

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