naa a22 4500 510785891 CHVBK 20180411083302.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12603-013-0042-7 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0042-7 Meeting the nutritional needs of elderly residents in aged-care: Are we doing enough? [Elektronische Daten] [Sandra Iuliano, A. Olden, J. Woods] Objetives: Institutionalized elderly are at high risk of malnutrition, including those residing in low-level aged-care and able to self-feed. We used comprehensive dietary intake assessments to determine the nutritional adequacy of food served to residents and if food waste contributed to insufficient nutrient intakes. Design: Cross sectional. Setting: 18 low-level aged care facilities. Participants: 199 residents (mean age 86.7 yrs, 76% females). Measurements: Dietary data using 3-6 day weighed food records. Foods were categorized into main food groups (grains, fruit, vegetables, meats, dairy and ‘extra') and quantified based on recommended serving sizes. Chi squared test was used to determine sex differences in proportion of residents below recommended intake levels. Results: Residents were provided with sufficient serves of fruit (> 2) and meats (> 1), but not dairy (< 3), vegetables (< 5) and grain foods (women only, < 4), and excess serves of ‘extra' foods (> 2). Mean dietary intakes did not meet recommendations for calcium, zinc, magnesium, potassium, folate and dietary fibre with many residents not meeting energy and protein requirements. Sodium intake was up to 3 times higher than recommended, and sugars consumed in excess. Food waste was 0-15% and resulted in men not consuming recommended serves of grain foods. ‘Extra' foods contributed substantially to energy intake but provided few of the required nutrients. Conclusion: Substituting some ‘extra' foods for serves of dairy, vegetables and wholegrain foods would improve the nutritional quality of foods, without altering food volume, so is feasible to improve nutritional status in elderly aged-care residents. Serdi and Springer-Verlag France, 2013 Aged-care nationallicence food intake nationallicence malnutrition nationallicence nutrient deficiencies nationallicence Iuliano Sandra Department of Endocrinology, University of Melbourne / Austin Health, 3081, West, Heidelberg, Australia aut Olden A. Department of Nutrition and Dietetics, Monash University, 3168, Clayton, Australia aut Woods J. Department of Nutrition and Dietetics, Monash University, 3168, Clayton, Australia aut The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 503-508 1279-7707 17:6<503 2013 17 12603 https://doi.org/10.1007/s12603-013-0042-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0042-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Iuliano Sandra Department of Endocrinology, University of Melbourne / Austin Health, 3081, West, Heidelberg, Australia aut NATIONALLICENCE 700 1- Olden A. Department of Nutrition and Dietetics, Monash University, 3168, Clayton, Australia aut NATIONALLICENCE 700 1- Woods J. Department of Nutrition and Dietetics, Monash University, 3168, Clayton, Australia aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 503-508 1279-7707 17:6<503 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer