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Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia

Nowson, Caryl, Sherwin, A.J., McPhee, J.G., Wark, J.D. and Flicker, L. 2003, Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia, Asia Pacific journal of clinical nutrition, vol. 12, no. 2, pp. 172-177.

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Title Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia
Author(s) Nowson, Caryl
Sherwin, A.J.
McPhee, J.G.
Wark, J.D.
Flicker, L.
Journal name Asia Pacific journal of clinical nutrition
Volume number 12
Issue number 2
Start page 172
End page 177
Publisher HEC Press
Place of publication Melbourne, Vic.
Publication date 2003
ISSN 0964-7058
1440-6047
Keyword(s) Australia
elderly
nursing homes
hostels
energy intake
protein
vitamin D
calcium
fibre
eating impairment
Summary Residents from high level (nursing homes) and low-level care facilities (hostel) being served the three common diet texture modifications (full diet, soft-minced diet and pureed diet) were assessed. Individual plate waste was estimated at three meals on one day. Fifty-six males and 156 females, mean age 82.9+/-9.5 (SD) years, of which 139 lived in nursing homes (NH) and 76 in hostels (H) were included. Mean total energy served from meals was 5.3 MJ/day, 5.1 to 5.6 MJ/day, 95% confidence intervals (CI), in NH which was less than in H, 5.9 MJ/day (CI 5.6 to 6.2 MJ/day) (P=0.007). Protein and calcium intakes were lower in NH, 44.5g (CI 41.5 to 47.5g), 359.0mg (CI 333.2 to 384.8mg), versus 50.5g (CI 46.6 to 54.3g), 480.5mg (CI 444.3 to 516.7mg) in H (P=0.017, P<0.001 respectively). There was no difference in nutrient/energy ratios, except for protein/energy, which was higher in NH 11.7 (CI 11.3 to 12.2) than in H 9.8 (CI 9.4 to 10.3) (P<0.001). Ability to self-feed had no significant effect on nutrient intakes in NH. The self fed group (N=63) had the following nutrient intakes: energy 4.0 MJ (CI 3.6 to 4.3 MJ), protein 44.6g (CI 40.3 to 48.9g), calcium 356.9mg (CI 316.3 to 397.4mg), fibre 14.9g (CI 13.2 to 16.5g). The assisted group (N=64) had the following nutrient intakes: energy 3.9MJ (CI 3.6 to 4.2MJ), protein 46.0g (CI 40.7 to 49.6), calcium 361.9mg (CI 327.8 to 396.1mg), fibre 14.9g (CI 13.2 to 16.1g). Of NH classified as eating impaired, 36% received no assistance with feeding and had lower intakes of protein 37.8g (CI 33.0 to 42.1g) compared to those receiving some assistance 46.1g (CI 41.3 to 50.9g) (P=0.026). Reduced energy intake accounted for the differences in nutrient intakes between nursing homes and hostels, except for protein. Strategies to effectively monitor nutrient intakes and to identify those with eating impairment are required in order to ensure adequate nutrition of residents in nursing homes and hostels.
Notes Reproduced with the kind permission of the copyright owner.
Language eng
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2003, HEC Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30002147

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