Tags

Type your tag names separated by a space and hit enter

Dietary intake in the dependent elderly: evaluation of the risk of nutritional deficit.
J Hum Nutr Diet 2016; 29(2):174-84JH

Abstract

BACKGROUND

Malnutrition is a frequent problem in elderly dependent patients and their prognosis is adversely affected. Assessment of food consumption and adequacy of energy and nutrient intake of dependent elderly is needed to plan any selected actions for this population.

METHODS

The study comprised a multicentre cross-sectional study of 190 users (≥65 years) of a home care programme provided by primary care centers in Tarragona (Spain), at nutritional risk (Mini Nutritional Assessment: 17-23.5 points). Food consumption was assessed using a semiquantitative validated food frequency questionnaire. Energy intake was compared with the Spanish dietary reference intake (DRI) and nutritional intakes with the DRI of the American Institute of Medicine.

RESULTS

Mean (SD) age was 85.0 (7.2) years (67.5% female). The food items consumed were varied but lower than the recommended portions for cereals, fruits, vegetables and legumes. Energy intake was 7454.2 (1553.9 kJ day(-1)) [1781.6 (371.4) kcal day(-1)] (97.7% of recommended dietary allowance; RDA) and protein intake was 1.0 (0.4) g kg(-1) of weight (121.4% of RDA). Proteins provided 13.3%, carbohydrates provided 39.9% and fats provided 45.8% of energy intake. The intakes of calcium, vitamin D, vitamin E and folates were less than two-thirds of the RDA and their probability of inadequate intake was >85%.

CONCLUSIONS

Dietary intakes of elderly dependent patients at nutritional risk were well balanced. In general, energy and protein intakes meet the recommendations. The diet was high in energy density, low in complex carbohydrates, high in simple carbohydrates and excessive in fats. The dependent elderly had inadequate intake of micronutrients often related to fragility, such as calcium, vitamin D, vitamin E and folates.

Authors+Show Affiliations

Unitat de Suport a la Recerca Tarragona-Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. Nutrition and Public Health Unit, Faculty of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain.Centre d'Atenció Primària, Direcció d'Atenció Primària Tarragona, Institut Català de la Salut, Tarragona, Spain.Centre d'Atenció Primària, Direcció d'Atenció Primària Tarragona, Institut Català de la Salut, Tarragona, Spain.Centre d'Atenció Primària, Direcció d'Atenció Primària Tarragona, Institut Català de la Salut, Tarragona, Spain.Unitat de Suport a la Recerca Tarragona-Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. Institut de Investigació Sanitària Pere Virgili, Reus, Spain.Unitat de Suport a la Recerca Tarragona-Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. Nutrition and Public Health Unit, Faculty of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain. Institut de Investigació Sanitària Pere Virgili, Reus, Spain.No affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25918988

Citation

Fernández-Barrés, S, et al. "Dietary Intake in the Dependent Elderly: Evaluation of the Risk of Nutritional Deficit." Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, vol. 29, no. 2, 2016, pp. 174-84.
Fernández-Barrés S, Martín N, Canela T, et al. Dietary intake in the dependent elderly: evaluation of the risk of nutritional deficit. J Hum Nutr Diet. 2016;29(2):174-84.
Fernández-Barrés, S., Martín, N., Canela, T., García-Barco, M., Basora, J., & Arija, V. (2016). Dietary intake in the dependent elderly: evaluation of the risk of nutritional deficit. Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, 29(2), pp. 174-84. doi:10.1111/jhn.12310.
Fernández-Barrés S, et al. Dietary Intake in the Dependent Elderly: Evaluation of the Risk of Nutritional Deficit. J Hum Nutr Diet. 2016;29(2):174-84. PubMed PMID: 25918988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary intake in the dependent elderly: evaluation of the risk of nutritional deficit. AU - Fernández-Barrés,S, AU - Martín,N, AU - Canela,T, AU - García-Barco,M, AU - Basora,J, AU - Arija,V, AU - ,, Y1 - 2015/04/28/ PY - 2015/4/29/entrez PY - 2015/4/29/pubmed PY - 2016/12/15/medline KW - dependency KW - elderly patients KW - home care KW - nutrition KW - primary care SP - 174 EP - 84 JF - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JO - J Hum Nutr Diet VL - 29 IS - 2 N2 - BACKGROUND: Malnutrition is a frequent problem in elderly dependent patients and their prognosis is adversely affected. Assessment of food consumption and adequacy of energy and nutrient intake of dependent elderly is needed to plan any selected actions for this population. METHODS: The study comprised a multicentre cross-sectional study of 190 users (≥65 years) of a home care programme provided by primary care centers in Tarragona (Spain), at nutritional risk (Mini Nutritional Assessment: 17-23.5 points). Food consumption was assessed using a semiquantitative validated food frequency questionnaire. Energy intake was compared with the Spanish dietary reference intake (DRI) and nutritional intakes with the DRI of the American Institute of Medicine. RESULTS: Mean (SD) age was 85.0 (7.2) years (67.5% female). The food items consumed were varied but lower than the recommended portions for cereals, fruits, vegetables and legumes. Energy intake was 7454.2 (1553.9 kJ day(-1)) [1781.6 (371.4) kcal day(-1)] (97.7% of recommended dietary allowance; RDA) and protein intake was 1.0 (0.4) g kg(-1) of weight (121.4% of RDA). Proteins provided 13.3%, carbohydrates provided 39.9% and fats provided 45.8% of energy intake. The intakes of calcium, vitamin D, vitamin E and folates were less than two-thirds of the RDA and their probability of inadequate intake was >85%. CONCLUSIONS: Dietary intakes of elderly dependent patients at nutritional risk were well balanced. In general, energy and protein intakes meet the recommendations. The diet was high in energy density, low in complex carbohydrates, high in simple carbohydrates and excessive in fats. The dependent elderly had inadequate intake of micronutrients often related to fragility, such as calcium, vitamin D, vitamin E and folates. SN - 1365-277X UR - https://www.unboundmedicine.com/medline/citation/25918988/Dietary_intake_in_the_dependent_elderly:_evaluation_of_the_risk_of_nutritional_deficit_ L2 - https://doi.org/10.1111/jhn.12310 DB - PRIME DP - Unbound Medicine ER -