Korean Journal of Community Nutrition

Original Articles

[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

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

Nutritional status of Korean elderly with dementia in a long-term care facility in Hongseong
Ji-Yeon Lee, Yeong-Soon Hyun, Hee-Seon Kim
Nutrition Research and Practice.2019; 13(1): 32. CrossRef
Effect of nutrition care process-based nutrition intervention on improvement of intake in the elderly in-patients with malnutrition
Ji-Hyun Park, Min-Ji Kang, Jung-Sook Seo
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
Eun Jin So, Hyojee Joung
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]
A Study on Nutritional Status and Clinical Practice of Neurosurgical Tube-fed Patients: Myung Hee Park, Joung Ok Ahn; Korean J Community Nutr 1998;3(3):430-439. Published online August 31, 1998

Abstract PDF: This study was performed to investigate the nutritional status of neurosurgical tube-fed patients. The objective of this study was to improve the nutrition management of tube-fed patients. The current practices of tube feeding and enteral nutrition formula as for 95 patients in the hospital were examined by reviewing patients charts, and interviewing patients, nurses and their family members. The results are summarized as follows ; 57.9% of patients that received the formula showed a decrease in mental status. Among the subjects, 55.7% had nervous system diseases due to old age. Most of the tube-fed patients were hospitalized in the emergency room and while hospitalized, the status of their respiratory organ was abnormal. The method of tube-feeding was by Bolus injection and the type of the tube was a 16Fr size silicone tube. The amount of the injection per day while tube-feeding was on average 1424 kcal for men and 1322 kcal for women and the calories per day ranged from 1000-1500 kcal(50.5%). The injection volume averaged 332.7ml and 45% of patients received more than 300ml per injection. The tube feeding intake rate was 127.9ml/min with 50% of subjects in the range of 50-100ml/min and 10% at 20ml/min. The longer the hospitalization, the older age, coma status, and the higher tube feeding rate, the more decreased were the biochemical parameters.

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