Publication details

Title
It could probably help someone else but not me: A feasibility study of a snack programme offered to meals on wheels clients.
Authors
Charlton,K. E.;Walton,K.;Moon,L.;Smith,K.;McMahon,A. T.;Ralph,F.;Stuckey,M.;Manning,F.;Krassie,J.
Publication Year
2013
Abstract
Objectives: Community-based services, such as Meals on Wheels (MOW), allow older adults to remain in their homes for as long as possible. Many MOW recipients experience decreased appetite that limits intake at mealtimes. This pilot study aimed to determine the feasibility of providing high protein high energy snacks to improve nutrient intakes of MOW clients in a regional centre of New South Wales, Australia. Participants: A convenience sample of 12 MOW clients. Intervention: Participants received snacks five times a week, in addition to their usual MOW order, for four weeks. Measurements: Nutritional status was assessed using the Mini Nutritional Assessment tool. Pre-post changes in dietary intake were assessed using a diet history and food frequency questionnaire. Qualitative interviews conducted in clients' homes were digitally recorded, transcribed verbatim, and themes identified. Results: Post-intervention, there was a trend for an increased energy (mean = +415kJ (SD=1477)/day) and protein (+7.2 ((plus or minus)14.06) g/day) intake. MNA scores significantly increased (P= 0.036) and proportion of respondents categorised as 'malnourished' or 'at risk of malnutrition' decreased from 17% to 8%, and 67% to 25%, respectively (P <0.05). Mean body weight increased from 67.1 ((plus or minus)14.3) to 67.8 ((plus or minus)14.8) (P= 0.008), while Body Mass Index (BMI) increased by a mean of 0.78 ((plus or minus)1.16) kg/m2 (P = 0.039). Only half of participants indicated interest in continuing with the program. Reasons included the role of snacks serving as a reminder to eat, as well as their perceived nutritional value. Identified barriers included perceived lack of need for additional food, ability to self-provide such items, and a perceived adequate health status. Conclusion: Provision of an additional daily mid-meal snack may be a useful addition to existing MOW services, for improved energy and protein intakes. However, not all MOW clients at risk of malnutrition perceived the snacks to be beneficial to them. (copyright) 2013 Serdi and Springer-Verlag France.
Journals
J Nutr Health Aging.
Volume
17
Issue
4
Startpage
364-
Endpage
369
Booktitle
Editors
City
Publisher
Issnisbn
1279-7707
Reflist
0
Doi
doi:10.1007/s12603-013-0035-6
Pmid
PMID: 23538660
Keywords
adult;aged;article;Australia;body mass;body weight;clinical article;convenience sample;decreased appetite;fast food;feasibility study;female;food frequency questionnaire;health status;human;male;malnutrition;meal;nutritional assessment;nutritional status;????
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