Delivery of nutritious meals to elderly receiving home care: Feasibility and effectiveness

Denissen, Karlijn F M; Janssen, Lando; Eussen, Simone J. P. M.; Dongen, M.C.J.M. van; Wijckmans, Nicole E. G.; Deurse, N. D. M. van; Dagnelie, Pieter C.

doi:10.1007/s12603-016-0790-2

Cited by 20 publications

(23 citation statements)

References 24 publications

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“…In agreement with other studies on older adults cared for at home, participants in our study were also characterized by high age, multimorbidity, and polypharmacy (Table 1) [4,8]. Furthermore, the distribution of care levels in our study sample was in line with the general home care situation in Germany (care level I 59% vs. 62%; care level II 30% vs. 30%; care level III: 11% vs. 8%) [33].…”

Section: Discussionsupporting

confidence: 90%

“…Only 4.1% of older adults receiving professional care received warm meals from their care service, and more than 20% of them made use of meals on wheels, a service which delivers prepared meals for those older persons who are not able to do it by their own [ 4 ] ( Figure 1 B). Limited time during each visit is one of the main barriers for professional care staff to engage in nutritional care, which is especially relevant for those older adults in need of help with eating and drinking [ 15 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most older adults are willing to spend their last years of life in their own household [2]. Previous studies in several European countries have shown that more than half of the older adults receiving care at home are living alone [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care

et al. 2020

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Nutritional care and nutritional status may differ in older persons receiving informal (IC) or professional (PC) home care and further depend on the living situation, but little is known in this regard. In this analysis of a cross-sectional multicenter study, type of care, living situation, and nutritional care were enquired in 353 older adults (≥65) receiving IC or PC, living either with partner (LP), with others (LO) or alone (LA), and the nutritional status was determined by BMI and MNA®. For IC receivers, food shopping (IC-LP 94%, IC-LO 96%, IC-LA 92%) and warm meals (IC-LP 89%, IC-LO 90%, IC-LA 71%) were mainly provided by relatives, whereas 47% of PC-LA prepared warm meals by themselves and 22% received meals on wheels. Thirteen percent were underweight, 13% malnourished, and 57% at risk of malnutrition without differences between the groups. Adjusted odds ratios (OR) of being malnourished were also not different (IC-LP 2.2 [95% CI 0.5–9.7], IC-LO 1.4 [0.3–6.6], IC-LA 1.4 [0.3–6.6]) compared to PC-LA. In conclusion, provision of nutritional care obviously differed according to the type of care and living situation, whereas nutritional status does not seem to be affected by these aspects. More research is clearly needed in this field.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care

et al. 2020

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“…These results are in line with the results of a recent study by Denissen et al . (33) where ready-made meals containing as much as 40 g of protein per meal were not sufficient in reaching 1·2 g protein/kg BW per d either. Our results are not in line with earlier studies from the USA though.…”

Section: Discussionmentioning

confidence: 97%

“…However, in the recent study of Denissen et al . (33) , where ready-made meals were used for a period of 3 months, overall appreciation of the meals remained high, also over a longer period of time. Another limitation is the use of one supplier for the ready-made meals; different brands of ready-made meals will differ in sensory aspects and macronutrient composition.…”

Section: Discussionmentioning

confidence: 99%

The ConsuMEER study: a randomised trial towards the effectiveness of protein-rich ready-made meals and protein-rich dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared meals towards ready-made meals

et al. 2019

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The risk of undernutrition in older community-dwelling adults increases when they are no longer able to shop or cook themselves. Home-delivered products could then possibly prevent them from becoming undernourished. This single-blind randomised trial tested the effectiveness of home-delivered protein-rich ready-made meals and dairy products in reaching the recommended intake of 1·2 g protein/kg body weight (BW) per d and ≥25 g of protein per meal. Community-dwelling older adults (n 98; mean age 80·4 (sd 6·8) years) switched from self-prepared to home-delivered hot meals and dairy products for 28 d. The intervention group received ready-made meals and dairy products high in protein; the control group received products lower in protein. Dietary intake was measured at baseline, after 2 weeks (T1), and after 4 weeks (T2). Multilevel analyses (providing one combined outcome for T1 and T2) and logistic regressions were performed. Average baseline protein intake was 1·09 (se 0·05) g protein/kg BW per d in the intervention group and 0·99 (se 0·05) g protein/kg BW per d in the control group. During the trial, protein intake of the intervention group was 1·12 (se 0·05) g protein/kg BW per d compared with 0·87 (se 0·03) g protein/kg BW per d in the control group (between-group differences P < 0·05). More participants of the intervention group reached the threshold of ≥25 g protein at dinner compared with the control group (intervention T1: 84·8 %, T2: 88·4 % v. control T1: 42·9 %, T2: 40·5 %; P < 0·05), but not at breakfast and lunch. Our findings suggest that switching from self-prepared meals to ready-made meals carries the risk of a decreasing protein intake, unless extra attention is given to protein-rich choices.

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Frequency of Hospital Use Before and After Home-Delivery Meal by Meals On Wheels, of Tarrant County, Texas

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Thorud

Marishak-Simon³

et al. 2018

The Journal of nutrition, health and aging

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Delivery of nutritious meals to elderly receiving home care: Feasibility and effectiveness

Abstract: Our study stresses the feasibility as well as the potential of healthy and tasteful meals to support home-dwelling elderly, by showing that a high-quality meal service was highly appreciated and had a rapid effect on FFM.

Cited by 20 publications

References 24 publications

Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care

Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care

The ConsuMEER study: a randomised trial towards the effectiveness of protein-rich ready-made meals and protein-rich dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared meals towards ready-made meals

Frequency of Hospital Use Before and After Home-Delivery Meal by Meals On Wheels, of Tarrant County, Texas

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