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Cited by 49Nutrition and Health in AgingNutrition and Health StudiesGeriatric Care and Nursing Homes

Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home

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Engelheart, Stina, Akner, G.·2015·The Journal of nutrition, health and aging
DOI 10.1007/s12603-015-0440-0PMC PMC12877514
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Abstract

OBJECTIVES: There is a lack of detailed information on dietary intake in elderly people at an individual level, which is crucial for improvement of nutritional support. The aim of this study was to investigate the dietary intake in elderly people in two types of living situations. DESIGN: Observational study, analysing prospective data. SETTING: The dietary intake was studied in elderly people living at home or in nursing home, in different cities of Sweden. PARTICIPANTS: A total of 264 elderly people (mean age 84) participated in the observational study. MEASUREMENTS: Dietary intake was measured using weighed food records and food diaries, comparing females and males. The observed dietary intake was related to Recommended intake and Lower intake level. RESULTS: All dietary intake and patient characteristic variables showed large individual differences (ranges). We found no significant differences (p>0.05) between those living at home and nursing home residents regarding the average intake of energy, protein and water when expressed as total intake per kg of body weight. A very low daily intake of energy (<20 kcal/kg body weight/day) was observed in 16% of the participants. For vitamin D and iron, 19% and 15%, respectively, had intakes below the Lower intake level. There was no correlation between intake of energy, protein or water and resident characteristics such as age, autonomy, morbidity, nutritional state or cognition. CONCLUSIONS: The large individual differences (ranges) in energy, nutrients and water show that the use of mean values when analysing dietary intake data from elderly people is misleading. From a clinical perspective it is more important to consider the individual intake of energy, nutrients and water. Ageism is intrinsic in the realm of 'averageology'.

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  • Older people consider that dietary interventions are less valuable than medical treatment, and therefore did not perceive eating poorly as a problem.

    “Particular attention must be taken into account for the older people, 602 because they consider that dietary interventions are less valuable than medical treatment, and 603 therefore did not perceive eating poorly as a problem [46].”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [46]

    The Introduction discusses possible reasons for inadequate dietary intake, including reduced appetite and difficulties preparing meals. The Discussion addresses nutritional assessment and clinical evaluation. Neither section reports older people's views on dietary interventions versus medical treatment or whether they perceive poor eating as a problem; searches for those attitudes found no supporting passage. Page numbers were unavailable in our copy. (LLM, conf=0.75)

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Research works printed but not linked: 24

  1. [1]Christensen K Doblhammer G Rau R Vaupel JW Ageing populations: the challenges ahead Lancet 374 9696 2009 1196 1208 PMCID 2810516; PubMed PMID: 19801098 10.1016/S0140-6736(09)61460-4 19801098 PMC2810516 · DOI
  2. [2]Lennartsson C Heimerson I Elderly people's health: Health in Sweden: The National Public Health Report 2012 Chapter 5. Scand J Public Health 40 9 2012 95 10.1177/1403494812459468 23238403 · DOI
  3. [3]Szebehely M Trydegard GB Home care for older people in Sweden: a universal model in transition Health Soc Care Community 20 3 2012 300 309 PubMed PMID: 22141377 10.1111/j.1365-2524.2011.01046.x 22141377 · DOI
  4. [4]Lammes E Akner G Repeated assessment of energy and nutrient intake in 52 nursing home residents J Nutr Health Aging 10 3 2006 222 230 PubMed PMID: 16622584 16622584
  5. [5]Akner G Flöistrup H Individual assessment of intake of energy, nutrients and water in 54 elderly multidiseased nursing-home residents J Nutr Health Aging 7 1 2003 1 12 PubMed PMID: 12679834 12679834
  6. [6]Andersson J Gustafsson K Fjellstrom C Sidenvall B Nydahl M Five-day food intake in elderly female outpatients with Parkinson's disease, rheumatoid arthritis or stroke J Nutr Health Aging 8 5 2004 414 421 PubMed PMID: 15359362 15359362
  7. [7]Leslie WS Lean ME Woodward M Wallace FA Hankey CR Unidentified under-nutrition: dietary intake and anthropometric indices in a residential care home population J Hum Nutr Diet 19 5 2006 343 347 PubMed PMID: 16961680 10.1111/j.1365-277X.2006.00719.x 16961680 · DOI
  8. [8]Iuliano S Olden A Woods J Meeting the nutritional needs of elderly residents in aged-care: Are we doing enough? J Nutr Health Aging 17 4 2013 23732545
  9. [9]Morley JE Anorexia of aging: physiologic and pathologic Am J Clin Nutr 66 4 1997 760 773 PubMed PMID: 9322549 9322549
  10. [10]Nydahl M Andersson J Sidenvall B Gustafsson K Fjellstrom C Food and nutrient intake in a group of self-managing elderly Swedish women J Nutr Health Aging 7 2 2003 67 74 12679824
  11. [11]Nowson C Sherwin A McPhee J Wark J Flicker L Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia Asia Pac J Clin Nutr 2 2 2003 172 177 12810407
  12. [12]de Boer A Ter Horst GJ Lorist MM Physiological and psychosocial age-related changes associated with reduced food intake in older persons Ageing Res Rev 12 1 2013 316 328 PubMed PMID: 22974653 10.1016/j.arr.2012.08.002 22974653 · DOI
  13. [13]Nordic Council of Ministers. Nordic Nutrition Recommendations 2004. Integrating nutrition and physical activity. 4th edition ed. Copenhagen: Nordic Council of Ministers.
  14. [14]Katz S Ford AB Moskowitz RW Jackson BA Jaffe MW Studies of illness in the aged. the index of ADL: a standardized measure of biological and psychosocial function JAMA 185 1963 914 919 PubMed PMID: 14044222 10.1001/jama.1963.03060120024016 14044222 · DOI · Paper page
  15. [15]Worrall G Chaulk P Briffett E Predicting outcomes of community-based continuing care Four-year prospective study of functional assessment versus clinical judgment 42 1996 2360 2367 PMC2146867 8969855
  16. [16]Folstein MF Folstein SE McHugh PR «Mini-mental state». A practical method for grading the cognitive state of patients for the clinician J Psychiatr Res 12 3 1975 189 198 PubMed PMID: 1202204 10.1016/0022-3956(75)90026-6 1202204 · DOI · Paper page
  17. [17]Lammes E Törner A Akner G Nutrient density and variation in nutrient intake with changing energy intake in multimorbid nursing home residents J Hum Nutr Diet 22 3 2009 210 218 PubMed PMID: 19226354 10.1111/j.1365-277X.2008.00925.x 19226354 · DOI
  18. [18]Guigoz Y Vellas B Garry PJ Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation Nutr Rev 54 1996 S59 S65 PubMed PMID: 8919685 10.1111/j.1753-4887.1996.tb03793.x 8919685 · DOI
  19. [19]Gibson RS Principles of Nutritional Assessment 1 1990 Oxford University Preee New York
  20. [20]Gariballa SE Forster SJ Dietary intake of older patients in hospital and at home: the validity of patient kept food diaries J Nutr Health Aging 12 2 2008 102 106 PubMed PMID: 18264636 10.1007/BF02982561 18264636 · DOI
  21. [22]Millward DJ Metabolic demands for amino acids and the human dietary requirement: Millward and Rivers revisited J Nutr 128 12 1988 2563S 2576S 9868206
  22. [24]Ödlund Olin A Armyr I Soop M Classon I Cederholm T Ljungren G Energy-dense meals improve energy intake in elderly residents in a nursing home Clin Nutr 22 2 2003 125 131 PubMed PMID: 12706128 10.1054/clnu.2002.0610 12706128 · DOI
  23. [25]Engelheart S Lammes E Akner G Elderly peoples' meals. A comparative study between elderly living in a nursing home and frail, self-managing elderly J Nutr Health Aging 10 2 2006 96 102 PubMed PMID: 16554940 16554940
  24. [26]Zhu K Devine A Suleska A Tan CY Toh CZ Kerr D Adequacy and change in nutrient and food intakes with aging in a seven-year cohort study in elderly women J Nutr Health Aging 14 9 2010 723 729 PubMed PMID: 21085900 10.1007/s12603-010-0324-2 21085900 · DOI

Cited by

Sorted by citations

Authors
Engelheart, S., & Akner, G.
Affiliations
Örebro University (SE)
Corresponding author
Engelheart, Stina
ORCID
Engelheart, Stina
Venue
The Journal of nutrition, health and aging
Publisher
Elsevier BV
Published
2015-03
Volume
19
Issue
3
Pages
265-272
ISSN
1279-7707 (ISSN-L)
DOI
10.1007/s12603-015-0440-0
PMC
PMC12877514
OpenAlex
W2081419707
Cited by
49
References
3
Citations by year
2025: 3 · 2024: 1 · 2023: 1 · 2022: 7 · 2021: 7 · 2020: 4 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 3
FWCI
4.67
Type
journal article
Language
en
Open access
Licence
Locations
  • The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
Keywords
dietary intake, older adults, nursing home residents, home-dwelling older adults, energy intake, protein intake, water intake, vitamin D, iron, nutritional status, nutritional support
MeSH terms
Aged, Aged, 80 and over, Aging, Body Weight, Energy Intake, Cognition, Dietary Proteins, Female, Homes for the Aged, Humans, Iron, Male, Nursing Homes, Nutritional Status, Prospective Studies, Sweden, Vitamin D, Water, Diet Records

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