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[English]
Nutrition Status of Elderly Female Patients in Long-term Care Hospital according to Meal Types and Eating Ability
Hyejin Ahn, Juhee Kang, Hongmie Lee
Korean J Community Nutr 2014;19(2):187-197.   Published online April 30, 2014
DOI: https://doi.org/10.5720/kjcn.2014.19.2.187
AbstractAbstract PDFPubReader
OBJECTIVES
This study was carried out to determine nutritional status of elderly patients in a long-term care hospital according to meal type and eating ability.
METHODS
Subjects were 47 female patients aged over 65 (79.3 +/- 7.1 years) who resided in a long-term care hospital in Seoul. Thirty seven patients who ate diet orally were grouped according to meal type (27 general diet and 10 soft diet) and eating ability (26 eating by oneself and 11 eaten with help) and 10 were on tube feeding. Nutritional status was determined by food consumption and mid-arm circumference.
RESULTS
The mean adequacy ratios (MARs) of 12 nutrients (protein, calcium, phosphorus, zinc, vitamin A, vitamin B1, vitamin B2, vitamin B6, niacin, folic acid, vitamin C) were 0.687 for general diet, 0.565 for soft diet, 0.680 for eating by oneself and 0.677 for eaten with help, which were significantly lower than 0.982 for tube feeding (p < 0.05 or p < 0.01). The patients on tube feeding had significantly lower % arm circumference compared to those who ate general diet (84.0% vs. 95.4%, respectively, p < 0.05). Nutrients intakes, nutrient adequacy ratio (NAR) and index of nutritional quality (INQ) were not different between meal types as well as eating ability. The most insufficiently consumed nutrients by the patients on diet were folic acid, vitamin B2, and calcium (NAR 0.334~0.453, 0.515~0.539, and 0.516~0.533, respectively).
CONCLUSIONS
The results suggested that regardless of meal type or eating ability, the subjects who were on diets in this study might have inadequate intake of folic acid as well as vitamin B2, and calcium, which need to be reflected on menu planning. The measurement of mid-arm circumference presented more risk of malnutrition of patients on tube feeding than those on diets, despite apparently better nutrient consumption.

Citations

Citations to this article as recorded by  
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    Ji-Yeon Lee, Yeong-Soon Hyun, Hee-Seon Kim
    Nutrition Research and Practice.2019; 13(1): 32.     CrossRef
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    Journal of Nutrition and Health.2018; 51(4): 307.     CrossRef
  • Eating Problems and Nutritional Status of Elderly Patients in Long-term Care Hospitals according to Whether They consume Foodservice Meals or Other Meals
    Yoo Ri Choi, Eun Young Yoon
    Korean Journal of Human Ecology.2017; 26(2): 145.     CrossRef
  • Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital    
    Eun-mi Kim, Jin Kwon
    Journal of the East Asian Society of Dietary Life.2015; 25(4): 631.     CrossRef
  • Socio-economic status is associated with the risk of inadequate energy intake among Korean elderly
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    Journal of Nutrition and Health.2015; 48(4): 371.     CrossRef
  • Serving Yaksun(Medicinal) Food Items at a Long-Term Senior Care Hospital and an Increase in the Food Intake of Elderly Inpatients
    Min-Jeong Kim, Hye-Sang Lee
    The Korean Journal of Community Living Science.2015; 26(2): 303.     CrossRef
  • Nutrition Status of Elderly Female Patients in Long-term Care Hospital according to Meal Types and Eating Ability
    Hyejin Ahn, Juhee Kang, Hongmie Lee
    Korean Journal of Community Nutrition.2014; 19(2): 187.     CrossRef
  • Clinical Nutrition Management Status in Convalescent Hospitals Before and After Healthcare Accreditation Process
    Changhee Lee, Soo-Kyung Lee
    Journal of the Korean Dietetic Association.2014; 20(3): 199.     CrossRef
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[English]
Assessment of Factors Affecting Plate Waste and Its Effects in Normal & Soft Diets Provided from Hospital Foodservice
Il Sun Yang, Jung Lye Kim, Hae Young Seoul
Korean J Community Nutr 2001;6(5):830-836.   Published online December 31, 2001
AbstractAbstract PDF
The purposes of this study were to : (a) analyze the portion size & plate waste of normal & soft diets provided by dietetic departments in hospital, (b) investigate the factors affecting plate waste, and (c) determine the nutritional & monetary value of plate waste. A questionnaire for food preference and sensory evaluation was developed and a survey was carried out for the 46 normal diet and 56 soft diet patients in Sanggye Paik hospital in Seoul. Serving size and plate waste were weighed by the electric scale, and CAN-Pro program was used to evaluate the nutrition value. The data were analyzed using the SAS package program for descriptive analysis, t-test, ANOVA, and Pearson correlation. The average plate waste rate for normal diet and soft diet were 30.3% and 49.6%. More plate waste amount occurred on female patients' diet than male patients' diets regardless of the kind of diet. The plate waste percentage of male patients were higher than those of female on normal diet. On soft diet, patients who hospitalized in surgery or pediatrics department were higher than in other wards. Plate waste of normal diet and amount were correlated positively, but wastage and preference were correlated negatively Negative correlation was between taste and plate waste, and between temperature and plate waste, too. On the other hand, plate waste caused the deficiency of some nutrients such as Ca, Fe, Vit. B2 and a great monetary loss.
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