Intake and Factors Associated with Consumption of Pureed Food in Long Term Care: An Analysis of Making the Most of Mealtimes (M3) Project

J Nutr Gerontol Geriatr. 2018 Apr-Jun;37(2):59-81. doi: 10.1080/21551197.2018.1470056. Epub 2018 May 22.

Abstract

Residents living in long term care (LTC) who consume a pureed diet tend to have inadequate intake; understanding factors associated with poor intake in this group of residents is not well established. This study examined the adequacy of nutrient intake among LTC residents consuming a pureed diet and the factors associated with this intake (n = 67). Data was collected as part of a cross-sectional study conducted in 32 LTC homes. Weighed food intake was measured on three non-consecutive days and analyzed using Food Processor software. Intake of nutrients were adjusted for intra-individual variability and compared to the Estimated Average Requirement or Adequate Intake for women only. Consumers of a pureed diet had low micronutrient intakes. Multivariate analysis found that the average number of staff assisting with a meal was associated with energy and protein intake. Overcoming eating challenges, careful menu planning and nutrient-dense options for pureed diets in LTC are recommended.

Keywords: Dietary reference intake; long term care; micronutrients; modified texture; nutrient intake; older adults; pureed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Body Weight
  • Canada
  • Cross-Sectional Studies
  • Dietary Proteins / administration & dosage
  • Eating*
  • Energy Intake
  • Feeding Behavior
  • Female
  • Food Handling / methods
  • Foods, Specialized* / analysis
  • Homes for the Aged
  • Humans
  • Long-Term Care / methods*
  • Male
  • Meals*
  • Micronutrients / administration & dosage
  • Micronutrients / analysis
  • Nutritional Requirements
  • Nutritional Status
  • Personnel Staffing and Scheduling

Substances

  • Dietary Proteins
  • Micronutrients

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