Skip to main content
Log in

Energy and nutrient content of food served and consumed by nursing home residents

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

The aim of this study was to compare energy and protein content of the served food with the actual intake from the food consumed by nursing home residents. This study also aimed to compare food intake and dietary allowances.

Design

This is a cross sectional study.

Setting

This study was performed in nursing homes.

Participants

Residents of these 2 nursing homes were eligible for the study if they agreed to participate and if they meet the selection criteria (to be older than 65 years and have a regular texture diet).

Measurement

Nutrient content of the served food and real food consumption was calculated for all meals during a 5-day period by precise weighting method. Difference between consumed and served dietary content was evaluated by the Chi² test.

Results

Seventy-four Belgian nursing home residents (75% of women, 85.8 ± 7.04 years on average) were included in this study. These subjects had a mean body mass index of 24.9 ± 4.83 kg/m². The mean energy content of the served food was 1783.3 ± 125.7 kcal per day. However, residents did not eat the whole of the meals and the actual energy content of the consumed food was significantly less (1552.4 ± 342.1 kcal per day; p<.001). The average protein content of the food served was equal to 0.96 ± 0.20 g/kg/day and the average consumption of protein by the residents was 0.88 ± 0.25 g/kg/day. The difference between protein served and consumed was also significant (p=.04). Moreover, people considered as well nourished, eating significantly more energy than the others (p=.04).

Conclusion

Meals served in nursing homes are not entirely consumed by their residents. As expected, the energy consumed are lower in subjects considered as malnourished or at risk of malnutrition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. van Staveren, W.A., et al., Assessing diets of elderly people: problems and approaches. Am J Clin Nutr, 1994. 59(1 Suppl): p. 221S–223S.

    PubMed  Google Scholar 

  2. Ma, Y., et al., Number of 24-hour diet recalls needed to estimate energy intake. Ann Epidemiol, 2009. 19(8): p. 553–9.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Thompson, F.E., et al., Need for technological innovation in dietary assessment. J Am Diet Assoc, 2010. 110(1): p. 48–51.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Smith, A.F., J.B. Jobe, and D.J. Mingay, Question-induced cognitive biases in reports of dietary intake by college men and women. Health Psychol, 1991. 10(4): p. 244–51.

    Article  CAS  PubMed  Google Scholar 

  5. Maurer, J., et al., The psychosocial and behavioral characteristics related to energy misreporting. Nutr Rev, 2006. 64(2 Pt 1): p. 53–66.

    Article  PubMed  Google Scholar 

  6. Hartman, A.M., et al., Variability in nutrient and food intakes among older middleaged men. Implications for design of epidemiologic and validation studies using food recording. Am J Epidemiol, 1990. 132(5): p. 999–1012.

    Article  CAS  PubMed  Google Scholar 

  7. Rebro, S.M., et al., The effect of keeping food records on eating patterns. J Am Diet Assoc, 1998. 98(10): p. 1163–5.

    Article  CAS  PubMed  Google Scholar 

  8. Vuckovic, N., et al., A qualitative study of participants’ experiences with dietary assessment. J Am Diet Assoc, 2000. 100(9): p. 1023–8.

    Article  CAS  PubMed  Google Scholar 

  9. Shatenstein, B. and G. Ferland, Absence of nutritional or clinical consequences of decentralized bulk food portioning in elderly nursing home residents with dementia in Montreal. J Am Diet Assoc, 2000. 100(11): p. 1354–60.

    Article  CAS  PubMed  Google Scholar 

  10. Shatenstein, B., D. Claveau, and G. Ferland, Visual observation is a valid means of assessing dietary consumption among older adults with cognitive deficits in long-term care settings. J Am Diet Assoc, 2002. 102(2): p. 250–2.

    Article  PubMed  Google Scholar 

  11. Simmons, S.F. and D. Reuben, Nutritional intake monitoring for nursing home residents: a comparison of staff documentation, direct observation, and photography methods. J Am Geriatr Soc, 2000. 48(2): p. 209–13.

    Article  CAS  PubMed  Google Scholar 

  12. Pouyet, V., et al., A photographic method to measure food item intake. Validation in geriatric institutions. Appetite, 2015. 84: p. 11–9.

    Article  PubMed  Google Scholar 

  13. Potischman, N. and J.L. Freudenheim, Biomarkers of nutritional exposure and nutritional status: an overview. J Nutr, 2003. 133 Suppl 3: p. 873S–874S.

    CAS  PubMed  Google Scholar 

  14. Hill, A.J., P.J. Rogers, and J.E. Blundell, Techniques for the experimental measurement of human eating behaviour and food intake: a practical guide. Int J Obes Relat Metab Disord, 1995. 19(6): p. 361–75.

    CAS  PubMed  Google Scholar 

  15. Appleton, K.M., Increases in energy, protein and fat intake following the addition of sauce to an older person’s meal. Appetite, 2009. 52(1): p. 161–5.

    Article  PubMed  Google Scholar 

  16. Vellas, B., et al., Overview of the MNA—Its history and challenges. J Nutr Health Aging, 2006. 10(6): p. 456–63; discussion 463-5.

    CAS  PubMed  Google Scholar 

  17. Tombaugh, T.N. and N.J. McIntyre, The mini-mental state examination: a comprehensive review. J Am Geriatr Soc, 1992. 40(9): p. 922–35.

    Article  CAS  PubMed  Google Scholar 

  18. Taylor, H.L., et al., A questionnaire for the assessment of leisure time physical activities. J Chronic Dis, 1978. 31(12): p. 741–55.

    Article  CAS  PubMed  Google Scholar 

  19. Park, H., et al., Yearlong physical activity and sarcopenia in older adults: the Nakanojo Study. European Journal of Applied Physiology, 2010. 109(5): p. 953–61.

    Article  PubMed  Google Scholar 

  20. Harris, T., Muscle mass and strength: relation to function in population studies. Journal of Nutrition, 1997. 127(5 Suppl): p. 1004S–1006S.

    CAS  PubMed  Google Scholar 

  21. Harris JA, B.F., A biometric study of basal metabolism in man. Washington DC: Carnegie Institute of Washington,1919. 279.

    Google Scholar 

  22. SANTE, C.S.D.L., Recommandations nutritionnelles pour la Belgique. 2009.

  23. Gaillard, C., et al., Energy requirements in frail elderly people: a review of the literature. Clin Nutr, 2007. 26(1): p. 16–24.

    Article  CAS  PubMed  Google Scholar 

  24. Alix, E., et al., Energy requirements in hospitalized elderly people. J Am Geriatr Soc, 2007. 55(7): p. 1085–9.

    Article  PubMed  Google Scholar 

  25. Morley, J.E., Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci, 2003. 58(2): p. 131–7.

    Article  PubMed  Google Scholar 

  26. Pauly, L., P. Stehle, and D. Volkert, Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr, 2007. 40(1): p. 3–12.

    Article  CAS  PubMed  Google Scholar 

  27. Morilla-Herrera, J.C., et al., Effectiveness of Food-Based Fortification in Older People. A Systematic Review and Meta-Analysis. J Nutr Health Aging, 2016. 20(2): p. 178–84.

    Article  CAS  PubMed  Google Scholar 

  28. Suominem, M., et al., Nutrient content of served food, nutrient intake and nutritional status of residents with dementia in a finnish nursing home. J Nutr Health Aging, 2004. 8(4): p. 234–8.

    CAS  PubMed  Google Scholar 

  29. Grieger, J.A. and C.A. Nowson, Nutrient intake and plate waste from an Australian residential care facility. Eur J Clin Nutr, 2007. 61(5): p. 655–63.

    CAS  PubMed  Google Scholar 

  30. Pohlhausen, S., et al., Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers-A Cross-sectional Study in Germany (ErnSIPP Study). J Nutr Health Aging, 2016. 20(3): p. 361–8.

    Article  CAS  PubMed  Google Scholar 

  31. de Jonge, L., et al., Prediction of energy expenditure in a whole body indirect calorimeter at both low and high levels of physical activity. Int J Obes Relat Metab Disord, 2001. 25(7): p. 929–34.

    Article  PubMed  Google Scholar 

  32. Barr, S.I., et al., Food intake of institutionalized women over 80 years of age. J Can Diet Assoc, 1984. 45(1): p. 42–51.

    CAS  PubMed  Google Scholar 

  33. Huffman, G.B., Evaluating and treating unintentional weight loss in the elderly. Am Fam Physician, 2002. 65(4): p. 640–50.

    PubMed  Google Scholar 

  34. Guigoz, Y., The Mini Nutritional Assessment (MNA) review of the literature—What does it tell us? J Nutr Health Aging, 2006. 10(6): p. 466–85; discussion 485-7.

    CAS  PubMed  Google Scholar 

  35. Akner, G. and H. Floistrup, Individual assessment of intake of energy, nutrients and water in 54 elderly multidiseased nursing-home residents. J Nutr Health Aging, 2003. 7(1): p. 1–12.

    CAS  PubMed  Google Scholar 

  36. Nowson, C.A., et al., Energy, protein, calcium, vitamin D and fibre intakes from meals in residential care establishments in Australia. Asia Pac J Clin Nutr, 2003. 12(2): p. 172–7.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fanny Buckinx.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Buckinx, F., Allepaerts, S., Paquot, N. et al. Energy and nutrient content of food served and consumed by nursing home residents. J Nutr Health Aging 21, 727–732 (2017). https://doi.org/10.1007/s12603-016-0782-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-016-0782-2

Key words

Navigation