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A comparison of Energy Provision by Diet Order in a Long-Term Care Facility

Published online by Cambridge University Press:  31 March 2010

Matthew Durant*
Affiliation:
School of Nutrition and Dietetics, Acadia University
*
Requests for offprints should be sent to:/Les demandes de tirés-à-part doivent être adressées à: Matthew Durant Ph.D., M.Ed., P.Dt., C.D.E., School of Nutrition and Dietetics, Acadia University, 4th Fl. Huggins Science Hall, 12 University Ave., Wolfville, NS B4P 2R6, (matthew.durant@acadiau.ca)

Abstract

Involuntary weight loss (IWL) is common in the North American elderly population and affects as many as 60 per cent of nursing home residents, representing a threat to health and function. Investigation into nutrient provision in a long-term care (LTC) centre showed that mean total energy exposure over the 5-week menu cycle differed significantly between regular and puréed diet orders, with lower mean levels of exposure to all three macronutrients on a puréed diet order. There is sufficient evidence that current LTC menus may provide fewer nutrients in those receiving puréed diets that further investigation in this area is warranted.

Résumé

La perte de poids involontaire est courante chez les personnes âgées en Amérique du Nord et touche jusqu’à 60 pour cent des résidents des centres d’accueil, ce qui représente une menace pour la santé et l'équilibre fonctionnel. Une enquête portant sur la fourniture d’éléments nutritifs dans un centre de soins de longue durée (SLD) a indiqué que l'exposition moyenne à l'énergie totale au cours d’un cycle de menus couvrant cinq semaines présentait une différence importante entre le régime régulier et le régime d’aliments en purées, et que le niveau moyen d’exposition aux trois macronutriments était inférieur dans un régime d’aliments en purée. Ce qui prouve que les menus actuels des SLD fournissent moins d’aliments nutritifs à ceux qui reçoivent des d’aliments en purée et qu’il faudrait une enquête plus poussée dans ce domaine.

Type
Research Note/Note de recherche
Copyright
Copyright © Canadian Association on Gerontology 2008

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References

Bernstein, M.A., Tucker, K.L., Ryan, N.D., O'Neill, E.F., Clements, K.M., Nelson, M.E., et al. (2002). Higher dietary variety is associated with better nutritional status in frail elderly people. Journal of the American Dietetic Association, 102(8), 10961104.CrossRefGoogle ScholarPubMed
Bouras, E.P., Lange, S.M., & Scolapio, J.S. (2001). Rational approach to patients with unintentional weight loss. Mayo Clinic Proceedings, 76(9), 923929.CrossRefGoogle ScholarPubMed
Fiatarone Singh, M.A., Bernstein, M.A., Ryan, A.D., O'Neill, E.F., Clements, K.M., & Evans, W.J. (2000). The effect of oral nutritional supplements on habitual dietary quality and quantity in frail elders. Journal Of Nutrition, Health and Aging, 4(1), 512.Google ScholarPubMed
Johnson, R.M., Smiciklas-Wright, H., Soucy, I.M., & Rizzo, J.A. (1995). Nutrient intake of nursing-home residents receiving puréed foods or a regular diet. Journal of the American Geriatrics Society, 43(4), 344348.CrossRefGoogle ScholarPubMed
Lauque, S., Arnaud-Battandier, F., Mansourian, R., Guigoz, Y., Paintin, M., Nourhashemi, F., et al. (2000). Protein-energy oral supplementation in malnourished nursing-home residents: A controlled trial. Age and Ageing, 29(1), 5156.CrossRefGoogle ScholarPubMed
Lewko, M., Chamseddin, A., Zaky, M., & Birrer, R.B. (2003). Weight loss in the elderly: What's normal and what's not. Journal of Clinical Pharmacy and Therapeutics, 28(11), 734739.Google Scholar
Payette, H., Boutier, V., Coulombe, C., & Gray-Donald, K. (2002). Benefits of nutritional supplementation in free-living frail, undernourished elderly people: A prospective randomized community trial. Journal of the American Dietetic Association, 102(8), 10881095.CrossRefGoogle ScholarPubMed
Remburg, R.E., Sobel, T., Cohen, A., Koch, C., & Radu, C. (2001). Does a liquid supplement improve energy and protein consumption in nursing home residents? Geriatric Nursing, 22(6), 331335.CrossRefGoogle Scholar
Wendland, B.E., Greenwood, C.E., Weinberg, I., & Young, K.W. (2003). Malnutrition in institutionalized seniors: The iatrogenic component. Journal of the American Geriatrics Society, 51(1), 8590.CrossRefGoogle ScholarPubMed
Wright, L., Cotter, D., Hickson, M., & Frost, G. (2005). Comparison of energy and protein intakes of older people consuming a texture modified diet with a normal hospital diet. Journal of Human Nutrition and Dietetics, 18(3), 213219.CrossRefGoogle ScholarPubMed