Factors affecting food intake in hospitalized older adults: A narrative review

Authors

DOI:

https://doi.org/10.35454/rncm.v6n4.563

Keywords:

Diet, Food intake, Energy Intake, Protein Deficiency, Hospitalization, Elderly

Abstract

Introduction: Malnutrition is associated with increased hospital stays, readmission rates, and mortality risk, especially in older adults. 

Objective: Identify factors affecting food intake in hospitalized older adults. 

Justification: To promote new strategies in hospital nutritional therapy in older adult patients through the identification of factors affecting food intake, according to the review of the present study. 

Material and methods: Systematic search of studies published in the Springer Link, Medline, and Scopus databases through the PubMed platform, in May 2022, with temporality of 20 years. We searched by controlled terms on: Elderly, diet, food intake, food consumption, protein deficiency, and hospitalization. 

Results: We found 4508 articles in English. We selected 28 for full-text analysis due to compliance with selection criteria. 

Conclusions: The nutritional status in hospitalized older adults is affected by factors such as disease, reduced physical activity, fatigue, depression, and the presence of symptoms, such as nausea and vomiting, alteration in the process of chewing and swallowing, and presenting a lower educational level. Dietary and service factors that relate to low intake are diet temperature, texture, taste and appearance, as well as theospitall environment in itself.

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Author Biography

Ricardo Alfonso Merchán Chaverra, Clinica Universitaria Colombia

Clinica Universitaria Colombia

Bogotá, Colombia

References

Souza TT, Sturion CJ, Faintuch J. Is the skeleton still in the hospital closet? A review of hospital malnutrition emphasizing health economic aspects. Clinical Nutrition. 2015;34(6):1088-92. doi: 10.1016/j.clnu.2015.02.008

Stratton R, Green C, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Clinical Nutrition. 2003;22(6):585. doi: 10.1016/j.clnu.2003.08.003

Allepaerts S, Buckinx F, Bruyère O, Reginster JY, Paquot N, Gillain S. Clinical Impact of Nutritional Status and Energy Balance in Elderly Hospitalized Patients. J Nutr Health Aging. 2020;24(10):1073-79. doi: 10.1007/s12603-020-1527-9

Patel P, Phan E, Matarese L, Powell J. Another Skeleton in the Hospital Closet. Am J Gastroenterol. 2019;114:S1656. doi: 10.14309/01.ajg.0000601848.27444.71

Simzari K, Vahabzadeh D, Nouri Saeidlou S, Khoshbin S, Bektas Y. Food intake, plate waste and its association with malnutrition in hospitalized patients. Nutr Hosp. 2017;34(6):1376-81. doi: 10.20960/nh.1102

Schindler K, Themessl-Huber M, Hiesmayr M, Kosak S, Lainscak M, Laviano A, et al. To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006-2014 in 56 countries worldwide: A descriptive analysis. American Journal of Clinical Nutrition. 2016;104(5):1393-402. doi: 10.3945/ajcn.116.137125

Navarro DA, Boaz M, Krause I, Elis A, Chernov K, Giabra M, et al. Improved meal presentation increases food intake and decreases readmission rate in hospitalized patients. Clinical Nutrition. 2016;35(5):1153-8. doi: 10.1016/j.clnu.2015.09.012

Dijxhoorn DN, van den Berg MGA, Kievit W, Korzilius J, Drenth JPH, Wanten GJA. A novel in-hospital meal service improves protein and energy intake. Clinical Nutrition. 2018;37(6):2238-45. doi: 10.1016/j.clnu.2017.10.025

Kagansky N, Berner Y, Koren-Morag N, Perelman L, Knobler H, Levy S. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr. 2005;82(4):784-91; quiz 913-4. doi: 10.1093/ajcn/82.4.784

Cardenas D, Bermúdez C, Pérez A, Diaz G, Cortes LY, Contreras CP, et al. Nutritional risk is associated with an increase of in-hospital mortality and a reduction of being discharged home: Results of the 2009-2015 nutritionDay survey. Clin Nutr ESPEN. 2020;38:138-45. doi: 10.1016/j.clnesp.2020.05.014

Keller H, Allard J, Vesnaver E, Laporte M, Gramlich L, Bernier P, et al. Barriers to food intake in acute care hospitals: A report of the Canadian Malnutrition Task Force. J Hum Nutr Diet. 2015;28(6):546-57. doi: 10.1016/j.clnu.2003.08.003

Caldeira C, Vlysidis A, Fiore G, De Laurentiis V, Vignali G, Sala S. Sustainability of food waste biorefinery: A review on valorisation pathways, techno-economic constraints, and environmental assessment. Bioresour Technol. 2020;312:123575. doi: 10.1016/j.biortech.2020.123575

Maynard D da C, Vidigal MD, Farage P, Zandonadi RP, Nakano EY, Botelho RBA. Environmental, social and economic sustainability indicators applied to food services: A systematic review. Sustainability (Switzerland). 2020;12(5):1-19. doi: 10.3390/su12051804

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71

Wright C, Shankar B, Marshall S, Pearcy J, Somani A, Agarwal E. Prevalence of malnutrition risk and poor food intake in older adults in Indian hospitals: A prospective observational nutritionDay study with novel mapping of malnutrition risk to the Malnutrition Screening Tool. Nutrition and Dietetics. 2021;78(2):135-44. doi: 10.1111/1747-0080.12641

Sieske L, Janssen G, Babel N, Westhoff TH, Wirth R, Pourhassan M. Inflammation, Appetite and Food Intake in Older Hospitalized Patients. Nutrients. 2019;11(9):1986. doi: 10.3390/nu11091986

Young AM, Banks MD, Mudge AM. Improving nutrition care and intake for older hospital patients through system-level dietary and mealtime interventions. Clin Nutr ESPEN. 2018;24:140-47. doi: 10.1016/j.clnesp.2017.12.009

Eglseer D, Halfens RJG, Schols JMGA, Lohrmann C. Dysphagia in Hospitalized Older Patients: Associated Factors and Nutritional Interventions. J Nutr Health Aging. 2018;22(1):103-10. doi: 10.1007/s12603-017-0928-x

O’Shea E, Trawley S, Manning E, Barrett A, Browne V, Timmons S. Malnutrition in Hospitalised Older Adults: A Multicentre Observational Study of Prevalence, Associations and Outcomes. J Nutr Health Aging. 2017;21(7):830-36. doi: 10.1007/s12603-016-0831-x

Setiati S, Harimurti K, Dewiasty E, Istanti R, Mupangati YM, Ngestiningsih D, et al. Profile of food and nutrient intake among Indonesian elderly population and factors associated with energy intake: a multi-centre study. Acta Med Indones. 2013;45(4):265-74.

Söderström L, Thors Adolfsson E, Rosenblad A, Frid H, Saletti A, Bergkvist L. Mealtime habits and meal provision are associated with malnutrition among elderly patients admitted to hospital. Clin Nutr. 2013;32(2):281-8. doi: 10.1016/j.clnu.2012.07.013

Mudge AM, Ross LJ, Young AM, Isenring EA, Banks MD. Helping understand nutritional gaps in the elderly (HUNGER): a prospective study of patient factors associated with inadequate nutritional intake in older medical inpatients. Clin Nutr. 2011;30(3):320-5. doi: 10.1016/j.clnu.2010.12.007

Hirose K, Tran TP, Yamamoto S. Decreasing Salt in Hospital Meals Reduced Energy Intake in Elderly Japanese Inpatients. J Nutr Sci Vitaminol (Tokyo). 2021;67(2):105-10. doi: 10.3177/jnsv.67.105

Weijzen MEG, Kouw IWK, Geerlings P, Verdijk LB, van Loon LJC. During Hospitalization, Older Patients at Risk for Malnutrition Consume <0.65 Grams of Protein per Kilogram Body Weight per Day. Nutrition in Clinical Practice. 2020;35(4):655-63. doi: 10.1002/ncp.10542

Bell AF, Tapsell LC, Walton K, Batterham M. Unwrapping nutrition: Exploring the impact of hospital food and beverage packaging on plate waste/intake in older people. Appetite. 2020;144:104463. doi: 10.1016/j.appet.2019.104463

Tonkikh O, Shadmi E, Zisberg A. Food intake assessment in acutely ill older internal medicine patients. Geriatr Gerontol Int. 2019;19(9):890-95. doi: 10.1111/ggi.13744

Young AM, de Jersey SJ, Ellick J, Lewis CA, Banks M. Comparison of Patient Food Intake, Satisfaction and Meal Quality Between Two Meal Service Styles in a Geriatric Inpatient Unit. J Nutr Gerontol Geriatr. 2018;37(3-4):158-68. doi: 10.1080/21551197.2018.1483281

Beelen J, Vasse E, Janssen N, Janse A, de Roos NM, de Groot LCPGM. Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. Clin Nutr. 2018;37(4):1186-92. doi: 10.1016/j.clnu.2017.05.010

Collins J, Porter J, Truby H, Huggins CE. A foodservice approach to enhance energy intake of elderly subacute patients: a pilot study to assess impact on patient outcomes and cost. Age Ageing. 2017;46(3):486-93. doi: 10.1093/ageing/afw238

McCray S, Maunder K, Krikowa R, MacKenzie-Shalders K. Room Service Improves Nutritional Intake and Increases Patient Satisfaction While Decreasing Food Waste and Cost. J Acad Nutr Diet. 2018;118(2):284-93. doi: 10.1016/j.jand.2017.05.014

Bell AF, Walton K, Chevis JS, Davies K, Manson C, Wypych A, et al. Accessing packaged food and beverages in hospital. Exploring experiences of patients and staff. Appetite. 2013;60(1):231-38. doi: 10.1016/j.appet.2012.10.013

Beermann T, Mortensen MN, Skadhauge LB, Høgsted RH, Rasmussen HH, Holst M. Protein and energy intake improved by breakfast intervention in hospital. Clin Nutr ESPEN. 2016;13:e23-e27. doi: 10.1016/j.clnesp.2016.02.097

Bell AF, Walton KL, Tapsell LC. Easy to open? Exploring the ‘openability’ of hospital food and beverage packaging by older adults. Appetite. 2016;98:125-32. doi: 10.1016/j.appet.2015.12.004

Roberts HC, Pilgrim AL, Jameson KA, Cooper C, Sayer AA, Robinson S. The Impact of Trained Volunteer Mealtime Assistants on the Dietary Intake of Older Female In-Patients: The Southampton Mealtime Assistance Study. J Nutr Health Aging. 2017;21(3):320-28. doi: 10.1007/s12603-016-0791-1

Orlandoni P, Jukic Peladic N, Cola C, Venturini C, Costantini A, Giorgini N, et al. Hospital acquired malnutrition in orally fed geriatric patients: what’s the role of a hospital dietetics and food service?. Progr Nutr. 2018;20(2-S):225-31. doi: 10.23751/pn.v20i2-S.5780

Mavrommatis Y, Moynihan PJ, Gosney MA, Methven L. Hospital catering systems and their impact on the sensorial profile of foods provided to older patients in the UK. Appetite. 2011;57(1):14-20. doi: 10.1016/j.appet.2011.03.010

Bannerman E, Cantwell L, Gaff L, Conroy A, Davidson I, Jones J. Dietary intakes in geriatric orthopaedic rehabilitation patients: Need to look at food consumption not just provision. Clin Nutr. 2016;35(4):892-9. doi: 10.1016/j.clnu.2015.06.001

Hope K, Ferguson M, Reidlinger DP, Agarwal E. “I don’t eat when I’m sick”: Older people’s food and mealtime experiences in hospital. Maturitas. 2017;97:6-13. doi: 10.1016/j.maturitas.2016.12.001

Markovski K, Nenov A, Ottaway A, Skinner E. Does eating environment have an impact on the protein and energy intake in the hospitalised elderly? Nutr Diet. 2017;74(3):224-28. doi: 10.1111/1747-0080.12314

Hartwell HJ, Shepherd PA, Edwards JSA. Effects of a hospital ward eating environment on patients’ mealtime experience: A pilot study. Nutrition and Dietetics. 2013;70(4):332-8. doi: 10.1111/1747-0080.12042

Sánchez Zaplana I, Maestre E. Alimentación y envejecimiento. Revista Rol de Enfermería 2013;36(6):400-7.

Ariza Galindo CJ, Rojas Aguilar DM. Disfagia en el adulto mayor. Universitas Medica. 2020;61(4). doi: 10.11144/Javeriana.umed61-4.disf

Spence C. On the psychological impact of food colour. Flavour. 2015;4(1):1-16. doi: 10.1186/s13411-015-0031-3

Eddy TP. Hospital food. Spence Flavour. 1964;18(2):49-55. doi: 10.3109/09637486409142693

Norris JA, Dahl W. Shopping for Health: Herbs and Spices. Edis. 2013:1-4. doi: 10.32473/edis-fs225-2013

Published

2023-11-09

How to Cite

García Campos, V. ., Bejarano-Roncancio, J. J., Pinzón Ospina , C. ., Medina-Parra, J. ., Cuéllar-Fernández, Y. M., Durán-Agüero, S. ., & Merchán Chaverra, R. A. (2023). Factors affecting food intake in hospitalized older adults: A narrative review. Journal Clinical Nutrition and Metabolism, 6(4), 23–36. https://doi.org/10.35454/rncm.v6n4.563

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