The Provision of Weekend Home Delivered Meals by State and a Pilot Study Indicating the Need for Weekend Home Delivered Meals

Walden, Olivia; Hayes, P.A.; Lee, Dong Y.; Montgomery, Diane

doi:10.1300/j052v08n01_04

Cited by 11 publications

(15 citation statements)

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“…The methodological quality of the included studies was in general good with an average quality score of 0.81 (standard deviation: 0.13) ranging from 0.54 (24) to 1 (25-27) (Appendix 1). Overall, the control of confounding factors and the characterization of participants were poorly rated in the selected studies.…”

Section: Methodological Qualitymentioning

confidence: 99%

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Fleury¹,

Tronchon

Rota³

et al. 2021

Front. Nutr.

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Background: Setting up a home-delivered meal service often allows older people suffering from physical and/or cognitive disabilities to stay at home. However, older people who delegate their food activities (food purchasing, cooking…) have been reported to have a worse nutritional status than people who take care of their food activities. In this context, we will conduct a systematic review of all studies related to the nutritional issue in home-delivered meal older recipients.Methods: In June 2020, we searched 3 databases (Pubmed, Web of Science, EMBASE) to identify studies from all years on older adults at home and receiving home-delivered meal services (population). The following outcomes were considered: nutritional status (Body Mass Index, weight, undernutrition) and nutritional intake. Any nutritional intervention, comparator, and study design were relevant for inclusion.Results: Forty-eight original studies met the inclusion criteria, most of them being published after the year 2000 (n = 34) and undertaken in the USA (n = 32). The selection includes 30 cross-sectional and 18 longitudinal studies. The main findings of this review are the following: (1) home-delivery meal older recipients are at high risk of undernutrition; (2) providing home-delivery meals may improve the nutritional status and nutrient intake; (3) this improvement is even higher when the home-delivery meal service is improved, for instance by providing dietetic counseling or adding supplementary snacks/meals or enriched food. However, even an improved service does not allow all the older recipients meeting their recommended nutritional allowance.Conclusion: This review reveals a need to further develop strategies allowing home-delivery meal older recipients to fulfill their nutritional needs. From a methodological point of view, there is a need to describe in more detail the home-delivered services provided to studies' participants to better consider meal frequency and meal content in the results.

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Section: Methodological Qualitymentioning

confidence: 99%

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Fleury¹,

Tronchon

Rota³

et al. 2021

Front. Nutr.

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“…Nearly half of the studies (n=39) represent a cross-sectional single point in time (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56). Thirty-two of these cross-sectional studies report on a single sample (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46), and with the exception of one national sample (32), the samples were drawn from areas smaller than or equivalent to individual US states.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two of these cross-sectional studies report on a single sample (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46), and with the exception of one national sample (32), the samples were drawn from areas smaller than or equivalent to individual US states. Study designs varied and included face-to-face interviews, telephone surveys, mail surveys, and chart reviews.…”

Section: Resultsmentioning

confidence: 99%

Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review

Campbell

Godfryd

Buys

et al. 2015

Journal of Nutrition in Gerontology and Geriatrics

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Participation in home-delivered meals programs may contribute to the health and independence of older adults living in the community, especially those who are food insecure or those who are making transitions from acute, subacute, and chronic care settings to the home. The purpose of this study was to conduct a comprehensive and systematic review of ALL studies related to home-delivered meals in order to shed light on the state of the science. A complete review of articles appearing in PubMed using the Keyword “Meal” was conducted; and titles, abstracts, and full-texts were screened for relevance. Included in this review are 80 articles. Most studies are descriptive and do not report on outcomes. Frequently reported outcomes included nutritional status based upon self-reported dietary intake. Additionally, most studies included in this review are cross-sectional, have a small sample size, and/or are limited to a particular setting or participant population. More rigorous research is needed to: 1) gain insight into why so few eligible older adults access home-delivered meals programs, 2) support expansion of home-delivered meals to all eligible older adults, 3) better identify what home-delivered meals models alone and in combination with other services works best and for whom, and 4) better target home-delivered meals programs where and when resources are scarce.

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Section: Evaluation Of the Hdm Programmentioning

confidence: 99%

“…The impact of a meal on nutrient intake is more obvious from a study by Walden and coauthors 44 . Their results showed that, compared with nutrient intake on weekdays when clients received a daily meal, nutrient intakes on weekend days were more likely to contain insufficient protein, thiamin, riboflavin, calcium, iron, and phosphorus 44 . Although there was no designated control group in this study, the authors stated that improvement of participants' intake on days when they received meals is indicative of the positive impact the program had on their nutrition status.…”

Section: Evaluation Of the Hdm Programmentioning

confidence: 99%

Home‐Delivered Meals and Nutrition Status Among Older Adults

Sahyoun

Vaudin

2014

Nut in Clin Prac

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The trend among older adults in the United States is to "age in place" instead of opting for institutionalization. To maintain older adults with chronic conditions in their homes and to improve health after hospitalization, comprehensive social, health, and nutrition services are essential. Quality of dietary intake is crucial and yet often underestimated. Calorie needs decrease with age while nutrient needs remain the same, even increasing for some nutrients. This poses difficulties for individuals with functional disabilities who are unable to shop and cook due to physical or mental limitations or on a limited budget. The Older American Act home-delivered meal (HDM) program offers at least 1 healthy meal per day, 5 or more days per week, and targets individuals homebound due to illness, disability, or social isolation and those with greatest economic or social need. This review summarizes the available literature on the relationship between HDM and health outcomes. The HDM program is difficult to evaluate because of the multifactorial effect on health status. However, national surveys and smaller studies show that it is well targeted, efficient, and well liked; provides quality food to needy individuals; and helps individuals remain living independently. Studies show that HDMs improve dietary intake, with greater health benefits when more meals reach the neediest individuals. HDMs also decrease institutionalization of older adults and resulting healthcare expenditures. However, funding has not kept up with increased demand for this program. More studies with improved designs may provide more information supporting the program's impact on nutrition status and decreased health expenditures.

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The Provision of Weekend Home Delivered Meals by State and a Pilot Study Indicating the Need for Weekend Home Delivered Meals

Cited by 11 publications

References 0 publications

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review

Home‐Delivered Meals and Nutrition Status Among Older Adults

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