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The journal of nutrition, health & aging

, Volume 22, Issue 8, pp 916–922 | Cite as

Modified Texture Food Use is Associated with Malnutrition in Long Term Care: An Analysis of Making the Most of Mealtimes (M3) Project

  • V. Vucea
  • Heather H. Keller
  • J. M. Morrison
  • L. M. Duizer
  • A. M. Duncan
  • N. Carrier
  • C. O. Lengyel
  • S. E. Slaughter
  • C. M. Steele
Article

Abstract

Objective

Modified texture food (MTF), especially pureed is associated with a high prevalence of under-nutrition and weight loss among older adults in long term care (LTC); however, this may be confounded by other factors such as dependence in eating. This study examined if the prescription of MTF as compared to regular texture food is associated with malnutrition risk in residents of LTC homes when diverse relevant resident and home-level covariates are considered.

Design

Making the Most of Mealtimes (M3) is a cross-sectional multi-site study.

Setting

32 LTC homes in four Canadian provinces.

Participants

Regular (n= 337) and modified texture food consumers (minced n= 139; pureed n= 68).

Measurements

Malnutrition risk was determined using the Mini Nutritional Assessment short-form (MNA-SF) score. The use of MTFs, and resident and site characteristics were identified from health records, observations, and standardized assessments. Hierarchical linear regression analyses, accounting for clustering, were performed to determine if the prescription of MTFs is associated with malnutrition risk while controlling for important covariates, such as eating assistance.

Results

Prescription of minced food [F(1, 382)=5.01, p=0.03], as well as pureed food [F(1, 279)=4.95, p=0.03], were both significantly associated with malnutrition risk among residents. After adjusting for age and sex, other significant covariates were: use of oral nutritional supplements, eating challenges (e.g., spitting food out of mouth), poor oral health, and cognitive impairment.

Conclusions

Prescription of minced or pureed foods was significantly associated with the risk of malnutrition among residents living in LTC facilities while adjusting for other covariates. Further work needs to consider improving the nutrient density and sensory appeal of MTFs and target modifiable covariates.

Key words

Malnutrition long term care older adults modified texture food pureed texture Mini Nutritional Assessment 

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Copyright information

© Serdi and Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • V. Vucea
    • 1
  • Heather H. Keller
    • 2
  • J. M. Morrison
    • 1
  • L. M. Duizer
    • 3
  • A. M. Duncan
    • 4
  • N. Carrier
    • 5
  • C. O. Lengyel
    • 6
  • S. E. Slaughter
    • 7
  • C. M. Steele
    • 8
    • 9
  1. 1.Department of KinesiologyUniversity of WaterlooWaterlooCanada
  2. 2.Schlegel-University of Waterloo Research Institute for AgingWaterlooCanada
  3. 3.Department of Food ScienceUniversity of GuelphGuelphCanada
  4. 4.Department of Human Health and Nutritional SciencesUniversity of GuelphGuelphCanada
  5. 5.École des sciences des aliments, de nutrition et d’études familiales, Faculté des sciences de la santé et des services communautairesUniversité de MonctonMonctonCanada
  6. 6.Department of Food and Human Nutritional SciencesUniversity of ManitobaWinnipegCanada
  7. 7.Faculty of NursingUniversity of AlbertaEdmontonCanada
  8. 8.Toronto Rehabilitation InstituteUniversity Health NetworkTorontoCanada
  9. 9.Rehabilitation Sciences Institute, Faculty of MedicineUniversity of TorontoTorontoCanada

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