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Related Experiment Videos

Institutional feeding of the elderly.

Simon Allison1

  • 1Clinical Nutrition Unit, Queens Medical Centre, Nottingham NG7 2UH, UK. simon.allison@mail.qmcuh-tr.trent.nhs.uk

Current Opinion in Clinical Nutrition and Metabolic Care
|January 16, 2002
PubMed
Summary

Malnutrition is common in elderly hospital patients, with nutritional status declining due to illness and poor feeding policies. Strategies like smaller, nutrient-dense meals can improve intake and reduce waste.

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Area of Science:

  • Gerontology
  • Clinical Nutrition
  • Healthcare Management

Background:

  • High prevalence of malnutrition in elderly individuals admitted to hospitals and institutions.
  • Deterioration of nutritional status during hospital admission due to disease and inadequate catering/feeding policies.
  • Significant food wastage and insufficient macro- and micronutrient intake observed.

Purpose of the Study:

  • To identify factors contributing to malnutrition in institutionalized elderly patients.
  • To evaluate strategies for improving nutritional intake and reducing food wastage.
  • To review targets for nutritional intake and the aims of feeding in this population.

Main Methods:

  • Review of existing literature on elderly nutrition in institutional settings.

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  • Analysis of catering and feeding policies impacting patient intake.
  • Evaluation of interventions to improve nutrient density and reduce food waste.

    • Main Results:

    • Decreased portion size with increased energy, protein, and micronutrient density effectively reduces waste and improves intake in the elderly.
    • Environmental improvements, medication review, eating assistance, and minimizing mealtime interruptions enhance nutritional intake.
    • Current feeding policies often fail to meet the specific needs of sick elderly patients.

    Conclusions:

    • Addressing catering and feeding policies is crucial to combat malnutrition in elderly hospital patients.
    • Implementing strategies like nutrient-dense meals and supportive feeding practices can significantly improve nutritional outcomes.
    • Further research and policy changes are needed to ensure adequate nutrition for the elderly in institutional care.