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Cited by 98Nutrition and Health in AgingClinical Nutrition and GastroenterologyGeriatric Care and Nursing Homes

Effects of two models of nutritional intervention on homebound older adults at nutritional risk

Kretser, Alison J, Voss, Theresa, Kerr, Wendell W, Cavadini, Claude, Friedmann, Janet·2003·Journal of the American Dietetic Association
DOI 10.1053/jada.2003.50052
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Abstract

Objective To test the feasibility of two models of home meal delivery with Meals-on-Wheels (MOW) applicants who were identified as being malnourished or "at-risk" as determined by the validated Mini Nutritional Assessment (MNA). Design A 6-month, prospective comparative study of two nutrition intervention models with data collection at baseline, 3 months, and 6 months. Randomized treatment assignment was followed, with a few exceptions linked to particular client circumstances. Subjects A total of 203 older adults (age range = 60 to 90 years) newly applying for homebound meal service were enrolled. At baseline, the body mass index (BMI) was 26.3+/-7.2 (mean+/-SD) in the "Traditional" MOW model (101 subjects including 30 malnourished), and the BMI was 27.6+/-9.0 in the "New" MOW model (102 subjects including 26 malnourished) (P = ns). Intervention Study participants received either the Traditional MOW program of five hot meals per week, meeting 33% of the Daily Reference Intake (DRI) or the restorative, comprehensive New MOW program of three meals and two snacks per day, 7 days a week, meeting 100% of the DRI. Assessments were conducted in the home of the participants. Main outcome measures The MNA was used to evaluate nutritional risk and status of participants at baseline, 3 months, and 6 months. Standardized functional impairment scales, Activities of Daily Living (ADL), and Instrumental Activities of Daily Living (IADL) evaluated limitations in activities of daily living a…

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  • The new meals on wheels group gained significantly more weight than the traditional meals on wheels group.

    “The new meals on wheels group gained significantly more weight than the traditional meals on wheels group (75).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [75]

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Authors
Kretser, A. J., Voss, T., Kerr, W. W., Cavadini, C., & Friedmann, J.
Affiliations
Vanderbilt University (US)
Corresponding author
Friedmann, Janet
ORCID
Kretser, Alison J
Venue
Journal of the American Dietetic Association
Publisher
Elsevier BV
Published
2003-03
Volume
103
Issue
3
Pages
329-336
ISSN
0002-8223 (ISSN-L)
DOI
10.1053/jada.2003.50052
OpenAlex
W2081604417
Cited by
98
References
24
Citations by year
2026: 2 · 2025: 4 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 4 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 9 · 2012: 6
FWCI
2.87
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Dietetic Association (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
Keywords
home meal delivery, Meals on Wheels, older adults, nutritional risk, malnutrition, Mini Nutritional Assessment, weight gain, functional status, activities of daily living, instrumental activities of daily living, body mass index, feasibility, randomized controlled trials, aging in place
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Female, Food Services, Health Services for the Aged, Home Care Services, Humans, Male, Middle Aged, Nutrition Disorders, Nutritional Requirements, Nutritional Status, Prospective Studies, Risk Factors, Nutrition Assessment, Case-Control Studies, Nutrition Policy

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