Energy and nutrient content of food served and consumed by nursing home residents

[en] Objective: The aim of this study was to compare energy and protein content of the served food with the actual intake from the food consumed by nursing home residents. This study also aimed to compare food intake and dietary allowances. Design: This is a cross sectional study. Setting: This study was performed in nursing homes. Participants: Residents of these 2 nursing homes were eligible for the study if they agreed to participate and if they meet the selection criteria (to be older than 65 years and have a regular texture diet). Measurement: Nutrient content of the served food and real food consumption was calculated for all meals during a 5-day period by precise weighting method. Difference between consumed and served dietary content was evaluated by the Chi² test. Results: Seventy-four Belgian nursing home residents (75% of women, 85.8 ± 7.04 years on average) were included in this study. These subjects had a mean body mass index of 24.9 ± 4.83 kg/m². The mean energy content of the served food was 1783.3 ± 125.7 kcal per day. However, residents did not eat the whole of the meals and the actual energy content of the consumed food was significantly less (1552.4 ± 342.1 kcal per day; p<.001). The average protein content of the food served was equal to 0.96 ± 0.20 g/kg/day and the average consumption of protein by the residents was 0.88 ± 0.25 g/kg/day. The difference between protein served and consumed was also significant (p=.04). Moreover, people considered as well nourished, eating significantly more energy than the others (p=.04). Conclusion: Meals served in nursing homes are not entirely consumed by their residents. As expected, the energy consumed are lower in subjects considered as malnourished or at risk of malnutrition.

Disciplines :

Public health, health care sciences & services
Geriatrics

Author, co-author :

Buckinx, Fanny ; Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

ALLEPAERTS, Sophie ; Centre Hospitalier Universitaire de Liège - CHU > Service de gériatrie

PAQUOT, Nicolas ; Centre Hospitalier Universitaire de Liège - CHU > Service de diabétologie, nutrition, maladies métaboliques

Reginster, Jean-Yves ; Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

De Cock, Caroline

PETERMANS, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Service de gériatrie

Bruyère, Olivier ; Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

Language :

English

Title :

Energy and nutrient content of food served and consumed by nursing home residents

Publication date :

2017

Journal title :

Journal of Nutrition, Health and Aging

ISSN :

1279-7707

eISSN :

1760-4788

Publisher :

Springer

Volume :

Issue :

Pages :

727-32

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 26 September 2016

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Bibliography

van Staveren, W.A., et al., Assessing diets of elderly people: problems and approaches. Am J Clin Nutr, 1994. 59(1 Suppl): p. 221S–223S.
Ma, Y., et al., Number of 24-hour diet recalls needed to estimate energy intake. Ann Epidemiol, 2009. 19(8): p. 553–9.
Thompson, F.E., et al., Need for technological innovation in dietary assessment. J Am Diet Assoc, 2010. 110(1): p. 48–51.
Smith, A.F., J.B. Jobe, and D.J. Mingay, Question-induced cognitive biases in reports of dietary intake by college men and women. Health Psychol, 1991. 10(4): p. 244–51.
Maurer, J., et al., The psychosocial and behavioral characteristics related to energy misreporting. Nutr Rev, 2006. 64(2 Pt 1): p. 53–66.
Hartman, A.M., et al., Variability in nutrient and food intakes among older middleaged men. Implications for design of epidemiologic and validation studies using food recording. Am J Epidemiol, 1990. 132(5): p. 999–1012.
Rebro, S.M., et al., The effect of keeping food records on eating patterns. J Am Diet Assoc, 1998. 98(10): p. 1163–5.
Vuckovic, N., et al., A qualitative study of participants’ experiences with dietary assessment. J Am Diet Assoc, 2000. 100(9): p. 1023–8.
Shatenstein, B. and G. Ferland, Absence of nutritional or clinical consequences of decentralized bulk food portioning in elderly nursing home residents with dementia in Montreal. J Am Diet Assoc, 2000. 100(11): p. 1354–60.
Shatenstein, B., D. Claveau, and G. Ferland, Visual observation is a valid means of assessing dietary consumption among older adults with cognitive deficits in long-term care settings. J Am Diet Assoc, 2002. 102(2): p. 250–2.
Simmons, S.F. and D. Reuben, Nutritional intake monitoring for nursing home residents: a comparison of staff documentation, direct observation, and photography methods. J Am Geriatr Soc, 2000. 48(2): p. 209–13.
Pouyet, V., et al., A photographic method to measure food item intake. Validation in geriatric institutions. Appetite, 2015. 84: p. 11–9.
Potischman, N. and J.L. Freudenheim, Biomarkers of nutritional exposure and nutritional status: an overview. J Nutr, 2003. 133 Suppl 3: p. 873S–874S.
Hill, A.J., P.J. Rogers, and J.E. Blundell, Techniques for the experimental measurement of human eating behaviour and food intake: a practical guide. Int J Obes Relat Metab Disord, 1995. 19(6): p. 361–75.
Appleton, K.M., Increases in energy, protein and fat intake following the addition of sauce to an older person’s meal. Appetite, 2009. 52(1): p. 161–5.
Vellas, B., et al., Overview of the MNA—Its history and challenges. J Nutr Health Aging, 2006. 10(6): p. 456–63; discussion 463-5.
Tombaugh, T.N. and N.J. McIntyre, The mini-mental state examination: a comprehensive review. J Am Geriatr Soc, 1992. 40(9): p. 922–35.
Taylor, H.L., et al., A questionnaire for the assessment of leisure time physical activities. J Chronic Dis, 1978. 31(12): p. 741–55.
Park, H., et al., Yearlong physical activity and sarcopenia in older adults: the Nakanojo Study. European Journal of Applied Physiology, 2010. 109(5): p. 953–61.
Harris, T., Muscle mass and strength: relation to function in population studies. Journal of Nutrition, 1997. 127(5 Suppl): p. 1004S–1006S.
Harris JA, B.F., A biometric study of basal metabolism in man. Washington DC: Carnegie Institute of Washington,1919. 279.
SANTE, C.S.D.L., Recommandations nutritionnelles pour la Belgique. 2009.
Gaillard, C., et al., Energy requirements in frail elderly people: a review of the literature. Clin Nutr, 2007. 26(1): p. 16–24.
Alix, E., et al., Energy requirements in hospitalized elderly people. J Am Geriatr Soc, 2007. 55(7): p. 1085–9.
Morley, J.E., Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci, 2003. 58(2): p. 131–7.
Pauly, L., P. Stehle, and D. Volkert, Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr, 2007. 40(1): p. 3–12.
Morilla-Herrera, J.C., et al., Effectiveness of Food-Based Fortification in Older People. A Systematic Review and Meta-Analysis. J Nutr Health Aging, 2016. 20(2): p. 178–84.
Suominem, M., et al., Nutrient content of served food, nutrient intake and nutritional status of residents with dementia in a finnish nursing home. J Nutr Health Aging, 2004. 8(4): p. 234–8.
Grieger, J.A. and C.A. Nowson, Nutrient intake and plate waste from an Australian residential care facility. Eur J Clin Nutr, 2007. 61(5): p. 655–63.
Pohlhausen, S., et al., Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers-A Cross-sectional Study in Germany (ErnSIPP Study). J Nutr Health Aging, 2016. 20(3): p. 361–8.
de Jonge, L., et al., Prediction of energy expenditure in a whole body indirect calorimeter at both low and high levels of physical activity. Int J Obes Relat Metab Disord, 2001. 25(7): p. 929–34.
Barr, S.I., et al., Food intake of institutionalized women over 80 years of age. J Can Diet Assoc, 1984. 45(1): p. 42–51.
Huffman, G.B., Evaluating and treating unintentional weight loss in the elderly. Am Fam Physician, 2002. 65(4): p. 640–50.
Guigoz, Y., The Mini Nutritional Assessment (MNA) review of the literature—What does it tell us? J Nutr Health Aging, 2006. 10(6): p. 466–85; discussion 485-7.
Akner, G. and H. Floistrup, Individual assessment of intake of energy, nutrients and water in 54 elderly multidiseased nursing-home residents. J Nutr Health Aging, 2003. 7(1): p. 1–12.
Nowson, C.A., et al., Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia. Asia Pac J Clin Nutr, 2003. 12(2): p. 172–7.