The Assessment of Daily Menus in Nursing Home Residents for Improving Intake and Nutritional Status in Elderly
Penilaian Menu Harian dari Penghuni Panti Werdha dalam Rangka Memperbaiki Asupan dan Status Gizi Lansia
Downloads
Background: Malnutrition has impacted the health condition and life quality of the elderly who live in nursing homes. Unmaximized menu planning can cause this condition.
Objectives: This study aimed to analyze the nutrition content of the menu provided by the nursing home based on recommended dietary allowance (RDA) for older people and to identify the current nutrition status of the elderly
Methods: The food intakes were evaluated by observing all menus during the five days. Nutrient contents were analyzed by calculating all meal nutrition and comparing them to the recommended dietary allowance for the elderly. Body weight was measured using Bio Impedance Analysis (BIA) Tanita, and a stadiometer measured body height. Furthermore, weight and high were measured based on body mass index calculation to measure nutritional status.
Results: It was found that the mean energy content was 1242.6 ± 193.9 kcal/day, and only 69.03 ± 10.7% fulfilled the recommendation. For protein content, it only met 70.5% of the RDA. Macronutrients such as protein are only 70.5% of the recommended dietary needs for the elderly. From BMI analysis, it was found that 26.23 % of the elderly are undernutrition.
Conclusions: The nutritional content of the menus served for the elderly in nursing homes did not yet meet the daily requirement and is still below that recommended for the elderly, so the nutrient of the menus should be increased to achieve optimum nutritional status.
ZB, W. Determinants of Nutritional Status of Older People in Long-Term Care Settings on the Example of the Nursing Home in BiaÅ‚ystok. Advanced in Medical Science 51, 168–161 (2006).
Rodríguez-Rejón, A. et al. Menus Offered in Long-Term Care Homes: Quality of Meal Service and Nutritional Analysis. Nutrition Hospitalaria 34, 584–592 (2017).
Rizka, A., Indrarespati, A., Dwimartutie, N. & Muhadi, M. Frailty among Older Adults Living in Nursing Homes in Indonesia: Prevalence and Associated Factors. Annals of Geriatrics Medicine and Research 25, 93–97 (2021).
Beck, A. M. & Hansen, K. S. Meals Served in Danish Nursing Homes and to Meals-on-Wheels Clients May Not Offer Nutritionally Adequate Choices. Journal of Nutrition for the Elderly 1, 100–109 (2010).
Buckinx, F. et al. Energy and Nutrient Content of Food Served and Consumed by Nursing Home Residents. Journal of Health Aging 21, 727–32 (2017).
Saghafi-Asl, M. & Vaghef-Mehrabany, E. Comprehensive Comparison of Malnutrition and its Associated Factors Between Nursing Home and Community Dwelling Elderly: A Case-Control Study from Northwestern Iran. Clinical Nutrition ESPEN 51–58 (2017) doi:10.1016/j.clnesp.2017.05.005.
Zoghbi, M. E. et al. Prevalence of Malnutrition and Its Correlates in Older Adults Living in Long Stay Institutions Situated in Beirut, Lebanon. Journal of Research in Health Science 14, 11–17 (2014).
Nanayakkara, W. S. et al. From Menu to Mouth: The Decay Pathway of Nutrient Intake From Planned Menu to Consumed and Characteristics of Residents in an Aged Care Facility with Greater Nutrient Decay Rates: A Cross-Sectional Study. BMJ Open 1–8 (2019) doi:(http://dx.doi. org/10.1136/bmjopen-2018- 024044.
Inoue, S. et al. The Asia Pcific Perspective: Redefining Obesity and its Treatment. World Health Organization International Obesity TaskForce, (2000).
Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Republik Indonesia No.28 tahun 2019. (2019).
Taufik, N. A. Gambaran Status Gizi pada Lanjut Usia (Lansia) di Panti Trisna Werdha Gau Mabaji Kabupaten Gowa. (UIN ALAUDDIN, 2011).
Baum, J. I., Kim, I. Y. & Wolfe, R. R. Protein Consumption and the Elderly: What Is the Optimal Level of Intake? Nutrient 8, 1–9 (2016).
Naess, G., Kikervold, M., Hammer, W., Straand, J. & Wyller, T. B. Nursing Care Needs and Services Utilised by Home-Dwelling Elderly with Complex Health Problems: Observational Study. BMC Health Services Research 17, 1–10 (2017).
Pankhurst, M., Yaxley, A. & Miller, M. Identification and Critical Appraisal of Food Service Satisfaction Questionnaires for Use in Nursing Homes: A Systematic Review. Journal of the Academy of Nutrition and Dietetic 121, 1793–1812 (2021).
Farapti et al. Potassium Intake is Associated with Nutritional Quality and Actual Diet Cost: A Study at Formulating a Low Sodium High Potassium (LSHP) Healthy Diet. Journal of Nutritional Science 11, 1–9 (2022).
Beck, A. M., Christensen, A. G., Hansen, B. S., Svendsen, S. D. & Mí¸ller, T. K. S. Multidisciplinary Nutritional Support for Undernutrition in Nursing Home and Home-Care: A Cluster Randomized Controlled Trial. Nutrition 199–205 (2016) doi:http://dx.doi.org/10.1016/j.nut.2015.08.009.
Copyright (c) 2023 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.
