Dietary Intake Patterns of Community-Dwelling Older Adults after Acute Hospitalization

2021 ◽  
Author(s):  
Rachel R Deer ◽  
Erin Hosein ◽  
Alejandra Mera ◽  
Kristen Howe ◽  
Shawn Goodlett ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Intake ◽  
Daily Intake ◽  
Community Dwelling ◽  
Dietary Intakes ◽  
Protein Distribution ◽  
Current Recommendation ◽  
Nutrient Distribution ◽  
Acute Hospitalization ◽  
Community Dwelling Older Adults

Abstract Background Malnutrition and sarcopenia are a growing concern in community-dwelling older adults. Hospitalization increases the risk of malnutrition and leads to a decline in functional and nutritional status at discharge. Persistent malnutrition after hospital discharge may worsen post-hospital outcomes, including readmissions. The aim of this study was to determine dietary intakes and nutrient distribution patterns of community-dwelling older adults after acute hospitalization. Methods Participants (≥65 yrs old, n=85) were enrolled during acute hospitalization and dietary 24-hour recalls were collected weekly for one month post-discharge. Analysis included: change in dietary intake over recovery timeframe; daily intake of energy, protein, fruit, vegetables, and fluids; comparison of intake to recommendations; distribution of energy and protein across mealtimes; and analysis of most common food choices. Results Most participants did not meet current recommendations for energy, fruit, vegetables, or fluids. Average protein consumption was significantly higher than the current recommendation of 0.8g/kg/day; however only 55% of participants met this goal and less than 18% met the 1.2 g/kg/day proposed optimal protein intake for older adults. The protein distribution throughout the day was skewed and no one met the 0.4 g/meal protein recommendation at all meals. Conclusions Our findings indicate that community-dwelling older adults did not meet their nutritional needs during recovery after hospitalization. These data highlight the need for better nutritional evaluation and support of geriatric patients recovering from hospitalization.

scholarly journals Physical fitness in community‐dwelling older adults is linked to dietary intake, gut microbiota, and metabolomic signatures

Aging Cell ◽  
2020 ◽  
Vol 19 (3) ◽  
Author(s):  
Josué L. Castro‐Mejía ◽  
Bekzod Khakimov ◽  
Łukasz Krych ◽  
Jacob Bülow ◽  
Rasmus L. Bechshøft ◽  
...  
Keyword(s):  
Older Adults ◽  
Gut Microbiota ◽  
Physical Fitness ◽  
Dietary Intake ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Association between the Prognostic Nutritional Index and Dietary Intake in Community-Dwelling Older Adults with Heart Failure: Findings from NHANES III

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2608
Author(s):  
Elisabeth L. P. Sattler ◽  
Yuta Ishikawa ◽  
Rupal Trivedi-Kapoor ◽  
Donglan Zhang ◽  
Arshed A. Quyyumi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Nutritional Status ◽  
Dietary Intake ◽  
Prognostic Nutritional Index ◽  
Red Meat ◽  
Community Dwelling ◽  
Nhanes Iii ◽  
Nutritional Index ◽  
Community Dwelling Older Adults

The objective of this study was to examine the association between nutritional status and dietary intake in community-dwelling older adults with heart failure (HF). A cross-sectional analysis of NHANES III data was conducted. The analytic sample was comprised of n = 445 individuals aged 50+ years with congestive HF (54.4% male, 22.9% non-Hispanic Black, 43.8% low-income). Nutritional status was measured using the Prognostic Nutritional Index (PNI). Participants were classified by PNI quintiles with lower PNI scores indicating lower nutritional status. Participants in quintile 5 showed significantly greater intakes of energy, protein, vegetables, magnesium, zinc, copper, potassium, red meat, saturated fat, and sodium. In multivariate analyses, increased intake of red meat (β = 0.253, p = 0.040) and vegetables (β = 0.255, p = 0.038) was associated with significantly better nutritional status. In the absence of comprehensive nutritional guidance for HF patients, it appears that small increases in energy, protein (red meat), and vegetable consumption are associated with improved nutritional status.

scholarly journals A prospective evaluation of the depression–nutrient intake reverse causality hypothesis in a cohort of community-dwelling older Canadians

2017 ◽  
Vol 117 (7) ◽  
pp. 1032-1041 ◽  
Author(s):  
Laura Gougeon ◽  
Hélène Payette ◽  
José A. Morais ◽  
Pierrette Gaudreau ◽  
Bryna Shatenstein ◽  
...  
Keyword(s):  
Older Adults ◽  
Depression Scale ◽  
Community Dwelling ◽  
Dietary Vitamin ◽  
Dietary Intakes ◽  
Group Effect ◽  
Reverse Causality ◽  
Significant Group ◽  
Community Dwelling Older Adults ◽  
Causality Hypothesis

AbstractStudies have investigated the potential protective effects that diet may have on late-life depression incidence. This disorder can, however, affect the person’s food intake, widely known as the reverse causality hypothesis of depression. To test this hypothesis, we compared mean nutrient intakes from three 24-h recalls during the year depression was detected (Geriatric Depression Scale ≥11 or antidepressant medication) with intakes from 1 year earlier among community-dwelling older adults (67–83 years) followed up annually in the 4-year Québec Longitudinal Study on Nutrition and Aging, who were free of depression and cognitive impairment at baseline. Participants (n 158, 64·4 % female) who became depressed and had data available for all follow-up years were matched by age group and sex with non-depressed participants. General linear mixed models were adjusted for percentage changes in physical activity, functional autonomy and stressful life events reported at the time of positive screening. A significant group effect for the dietary intake of all three B-vitamins was observed, as depression cases had consistently lower dietary intakes than controls (P<0·01). Over time, intakes of dietary vitamin B12 declined within depressed participants in bivariate analysis, but there was no time×group effect for any nutrient tested in the multivariate analyses. Intakes of energy, protein, saturated fat and total dietary fibre did not change in cases v. controls. Among community-dwelling older adults, declines in dietary vitamins B6, B12 and folate may precede depression incidence. To help preventative efforts by programmes and practitioners, longitudinal cohorts of longer duration should investigate the extent of the decline in dietary intakes relative to the time of depression.

scholarly journals Poor Appetite and Dietary Intake in Community-Dwelling Older Adults

2017 ◽  
Vol 65 (10) ◽  
pp. 2190-2197 ◽  
Author(s):  
Barbara S. van der Meij ◽  
Hanneke A. H. Wijnhoven ◽  
Jung S. Lee ◽  
Denise K. Houston ◽  
Trisha Hue ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Intake ◽  
Community Dwelling ◽  
Poor Appetite ◽  
Community Dwelling Older Adults

scholarly journals Personalized Protein Supplementation Improves Total Protein, Leucine, and Energy Intake in (Pre)Sarcopenic Community-Dwelling Older Adults in the ENHANce RCT

2021 ◽  
Vol 8 ◽  
Author(s):  
Lenore Dedeyne ◽  
Jolan Dupont ◽  
Sabine Verschueren ◽  
Katrien Koppo ◽  
Jos Tournoy ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Intake ◽  
Energy Intake ◽  
Body Mass ◽  
Dietary Protein ◽  
Total Protein ◽  
Protein Intake ◽  
Protein Supplementation ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Recommendations concerning protein quantity, source, and leucine intake for older adults are difficult to reach by regular dietary intake. This randomized clinical trial assesses in sarcopenic community-dwelling older adults (i) the regular (non-supplemented) daily protein and leucine intake; and (ii) the effect of personalized protein supplementation (aiming for an evenly distributed total protein intake of 1.5 g·kg−1·d−1 of body mass, accounting for energy intake) on regular and total (dietary and supplemental) intake. A preliminary feasibility study in participants of the ongoing Exercise and Nutrition for Healthy AgeiNg (ENHANce) study was performed with the objective to assess the intake and distribution of regular dietary protein and leucine, protein source and energy intake in (pre)sarcopenic community-dwelling older adults. Moreover, this study aimed to assess if personalized protein supplementation was feasible without negatively affecting regular dietary intake. ENHANce (NCT03649698) is a 5-armed RCT that assesses the effect of anabolic interventions on physical performance in (pre)sarcopenic older adults. In August 2019, n = 51 participants were included in ENHANce with complete available data on dietary intake at screening and thus eligible for inclusion in present analysis. Of these, n = 35 participants completed the intervention period of ENHANce at the moment of analysis, allowing an exploration of the effect of supplementation on regular dietary intake. The regular dietary protein intake of 51 (pre)sarcopenic adults (73.6 ± 6.5 years) was 1.06 ± 0.3 g·kg−1·d−1 of body mass. Protein supplementation (n = 20) improved total protein intake to 1.55 ± 0.3 g·kg−1·d−1 of body mass (P &lt; 0.001) without affecting regular dietary protein (P = 0.176) or energy intake (P = 0.167). Placebo supplementation (n = 15) did not affect regular dietary protein intake (P = 0.910) but decreased regular dietary energy intake (P = 0.047). Regular leucine intake was unevenly distributed over the day, but increased by supplementation at breakfast (P &lt; 0.001) and dinner (P = 0.010) to at least 2.46 g leucine·meal−1, without reducing regular dietary leucine intake (P = 0.103). Animal-based protein intake—the main protein source—was not affected by supplementation (P = 0.358). Personalized protein supplementation ensured an adequate quantity and even distribution of protein and leucine over the day, without affecting regular dietary protein or energy intake.

scholarly journals The Effects of Behaviorally‐Based Diet Education and Tai‐Chi on Dietary Intake and Resiliency in Community Dwelling Older Adults

2013 ◽  
Vol 27 (S1) ◽  
Author(s):  
Amy Taetzsch ◽  
Dara Lobuono ◽  
Nowen Beebe ◽  
Jonathan Letendre ◽  
Jillian Bekke ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Intake ◽  
Tai Chi ◽  
Community Dwelling ◽  
Community Dwelling Older Adults
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