Dietary Intake of Older Patients in Hospital and at Home: the Validity of Patient Kept Food Diaries

Overview

Journal J Nutr Health Aging

Specialties Geriatrics
Nutritional Sciences

Date 2008 Feb 12

PMID 18264636

Citations 5

Authors

S E Gariballa

S J Forster

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the validity of a patient kept food diary in relation to weighted intakes and to measure dietary intakes of older people both in hospital and after discharge at home.

Design: A randomly selected cohort of hospitalised elderly patients was recruited. All patients were instructed how to keep a record of all food and drink consumed and any leftovers. Food diaries were kept for up to seven days in hospital and for seven days in the community. In 18 consecutive patients dietary records were compared with weighed intake.

Setting: Associate Teaching Hospital, United Kingdom.

Results: A total of 116 patients participated in the study (median age 77 years, range 66-86 yrs; 49 female). We found significant correlations between food diary and weighted macronutrient intakes both in hospital and in the community. Overall the food diary predicted within+/-17% weighted energy intakes in 70% of individuals. Compared with the National Diet and Nutrition Survey for free-living elderly people in the UK (1998), we found more or less similar energy and micronutrient intakes in hospital, but lower intakes at home.

Conclusion: Patients kept food diaries can be used to identify those at risk of undernutrition and monitor those on nutritional support. It can also be used for nutritional education and for achieving dietary goals.

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References

Weinsier R, Heimburger D . Distinguishing malnutrition from disease: the search goes on. Am J Clin Nutr. 1997; 66(5):1063-4. DOI: 10.1093/ajcn/66.5.1063. View

Thomas A, Bunker V, Sodha N, Clayton B . Calcium, magnesium and phosphorus status of elderly inpatients: dietary intake, metabolic balance studies and biochemical status. Br J Nutr. 1989; 62(1):211-9. DOI: 10.1079/bjn19890021. View

Vir S, Love A . Nutritional status of institutionalized and noninstitutionalized aged in Belfast, Northern Ireland. Am J Clin Nutr. 1979; 32(9):1934-47. DOI: 10.1093/ajcn/32.9.1934. View

Gariballa S . Nutrition and older people: special considerations relating to nutrition and ageing. Clin Med (Lond). 2004; 4(5):411-4. PMC: 5351895. DOI: 10.7861/clinmedicine.4-5-411. View

Gariballa S, Sinclair A . Nutrition, ageing and ill health. Br J Nutr. 1998; 80(1):7-23. DOI: 10.1017/s000711459800172x. View

Dupertuis Y, Kossovsky M, Kyle U, Raguso C, Genton L, Pichard C . Food intake in 1707 hospitalised patients: a prospective comprehensive hospital survey. Clin Nutr. 2003; 22(2):115-23. DOI: 10.1054/clnu.2002.0623. View

Gariballa S, Forster S . Effects of acute-phase response on nutritional status and clinical outcome of hospitalized patients. Nutrition. 2006; 22(7-8):750-7. DOI: 10.1016/j.nut.2006.04.011. View

Friedmann J, Jensen G, Smiciklas-Wright H, McCamish M . Predicting early nonelective hospital readmission in nutritionally compromised older adults. Am J Clin Nutr. 1997; 65(6):1714-20. DOI: 10.1093/ajcn/65.6.1714. View

Chin B, Reid M, Alderslade G, Lip G . Malnutrition in hospital. QJM. 2000; 93(9):640-1. DOI: 10.1093/qjmed/93.9.640. View

10.

Barton A, Beigg C, MacDonald I, Allison S . High food wastage and low nutritional intakes in hospital patients. Clin Nutr. 2000; 19(6):445-9. DOI: 10.1054/clnu.2000.0150. View

11.

Lipski P, Torrance A, Kelly P, James O . A study of nutritional deficits of long-stay geriatric patients. Age Ageing. 1993; 22(4):244-55. DOI: 10.1093/ageing/22.4.244. View

12.

Sullivan D, Walls R, Lipschitz D . Protein-energy undernutrition and the risk of mortality within 1 y of hospital discharge in a select population of geriatric rehabilitation patients. Am J Clin Nutr. 1991; 53(3):599-605. DOI: 10.1093/ajcn/53.3.599. View

13.

Garry P, Goodwin J, Hunt W . Folate and vitamin B12 status in a healthy elderly population. J Am Geriatr Soc. 1984; 32(10):719-26. DOI: 10.1111/j.1532-5415.1984.tb04170.x. View