Assessment of a self-reported drinks diary for the estimation of drinks intake by care home residents: Fluid intake study in the elderly (FISE)
Open accessAbstract
OBJECTIVES: We evaluated the accuracy of a newly developed self-completed Drinks Diary in care home residents and compared it with direct observation and fluid intake charts. DESIGN: Observational study. SETTING: Residential care homes in Norfolk, UK. PARTICIPANTS: 22 elderly people (18 women, mean age 86.6 years SD 8.6, 12 with MMSE scores <27). MEASUREMENTS: Participants recorded their own drinks intake over 24 hours using the Drinks Diary while care staff used the homes' usual fluid intake chart to record drinks intake. These records were compared with drinks intake assessed by researcher direct observation (reference method), during waking hours (6am to 10pm), while drinks taken from 10pm to 6am were self-reported and checked with staff. RESULTS: Drinks intake assessed by the Drinks Diary was highly correlated with researcher direct observation (Pearson correlation coefficient r=0.93, p<0.001, mean difference -163ml/day) while few staff-completed fluid charts were returned and correlation was low (r=0.122, p=0.818, mean difference 702ml/day). The Drinks Diary classified 19 of 22 participants correctly as drinking enough or not using both the European Food Safety Authority and US recommendations. CONCLUSION: The Drinks Diary estimate of drinks intake was comparable with direct observation and more accurate (and reliably completed) than staff records. The Drinks Diary can provide a reliable estimate of drinks intake in elderly care home residents physically and cognitively able to complete it. It may be useful for researchers, care staff and practitioners needing to monitor drinks intake of elderly people, to help them avoid dehydration.
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When older adults record their own drinks intake, it is more accurate than that assessed by care staff.
“We have evidence that when older adults record their own drinks intake it is more accurate than that assessed by care staff (236).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [236]
The Discussion reports that resident-completed Drinks Diaries performed better than staff-completed intake charts. The study was a small pilot among care-home residents able and willing to write, so it does not establish that self-recording is more accurate for older adults generally. (LLM, conf=0.85)
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ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
Self-citation
- Authors
- Jimoh, F. O., Bunn, D., & Hooper, L.
- Affiliations
- University of East Anglia (GB)
- Corresponding author
- Jimoh, Florence O.
- Venue
- The Journal of nutrition, health and aging
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 19
- Issue
- 5
- Pages
- 491-496
- ISSN
- 1279-7707 (ISSN-L)
- PMC
- PMC12877597
- OpenAlex
- W2135153610
- Cited by
- 37
- References
- 5
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 1
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- 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)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- National Institute for Health and Care Research (CDF-2011-04-025)
- University of East Anglia
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- nursing home residents, older adults, fluid intake, dehydration prevention, direct observation, personnel records, measurement accuracy, hydration monitoring
- MeSH terms
- Aged, Aged, 80 and over, Dehydration, Drinking, Female, United Kingdom, Homes for the Aged, Humans, Male, Nursing Homes, Reproducibility of Results, Diet Records, Observation, Self Report
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