Australasian Journal on Ageing · 2019 · 48 citations · 19 references
AgricultureNutritionNutritional SciencesClinical NutritionHuman NutritionNutrition In Older AdultsDiet Texture ModificationDietary ManagementGeriatric NutritionNutrition AssessmentNutrition In AgingTexture-modified DietsAuditsCare Home NutritionDiet Texture AssessmentMealtime RoutinesModified Texture DietsPureed DietsResidential Care FacilitiesSwallow Safety Assessment
OBJECTIVES: Over 35 000 people live in residential aged care facilities (RACFs) in New Zealand. Texture-modified diets (TMDs) are commonplace. They are associated with malnutrition. The aim of this study was to characterise TMD prevalence and practice in RACFs. METHODS: Data from 35 460 residents were extracted from the interRAI™ database. Mealtime observations (including 459 residents), meal audits (IDDSI, 2018) and menu audits (Dietitians New Zealand Menu Audit Tool for RACFs 2013) were completed at 10 RACFs. RESULTS: One-third of residents were on TMDs. Half the residents ate full meals. Feeding assistance was more common in residents on TMDs compared to those on regular diets (P < 0.001). The majority of pureed meals met IDDSI standards; none of soft and bite-sized meals complied. TMD carbohydrate and protein servings did not comply with standards. CONCLUSIONS: Texture-modified diets reflect 1/3 of meals produced in RACFs. This study provides insight into TMD use in RACFs and highlights service gaps and training opportunities.
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Erik von Elm, Douglas G. Altman, Matthias Egger et al. · PLoS Medicine · 2007 · 21.6K citations · Full text
Public Health, Public Health Practice, Epidemiologic Methods +10
Erik von Elm, Douglas G. Altman, Matthias Egger et al. · Annals of Internal Medicine · 2007 · 17.2K citations
Public Health, Public Health Practice, Epidemiologic Methods +10
Sheila Bingham, C. Gill, A Welch et al. · British Journal Of Nutrition · 1994 · 757 citations · Full text