Nutritional Interpretation of Hospital Diets for Elderly Patients With Chronic Diseases and Analysis of Factors Influencing Actual Intakes.

Yasuko Fukuda, Mikako Ochi, Ryouko Kanazawa, Hiromu Nakajima, Keisuke Fukuo, Masanobu Nakai
{"title":"Nutritional Interpretation of Hospital Diets for Elderly Patients With Chronic Diseases and Analysis of Factors Influencing Actual Intakes.","authors":"Yasuko Fukuda,&nbsp;Mikako Ochi,&nbsp;Ryouko Kanazawa,&nbsp;Hiromu Nakajima,&nbsp;Keisuke Fukuo,&nbsp;Masanobu Nakai","doi":"10.14740/jocmr4961","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The provision of hospital meals is considered a therapeutic intervention, and a therapeutic diet consisting of a post-discharge meal sample is provided. For elderly patients who require long-term care, it is important to determine the significance of nutrition by taking into account hospital meals, including therapeutic meals for conditions such as diabetes. Therefore, it is important to identify the factors that influence this judgment. This study aimed to investigate the difference between the expected nutritional intake via nutritional interpretation and actual nutritional intake.</p><p><strong>Methods: </strong>The study included 51 geriatric patients (77.7 ± 9.5 years; 36 males and 15 females) who could eat meals independently. The participants completed a dietary survey to determine the perceived nutritional intake obtained from hospital meal contents. Additionally, we investigated the amount of hospital meal leftovers from the medical records and the amount of nutrients from the menus to calculate the actual nutritional intake. We calculated the amount of calories, protein concentration, and non-protein/nitrogen ratio from the perceived and actual nutritional intake values. We then calculated the cosine similarity and conducted a qualitative analysis of factorial units to examine similarities between perceived and actual intake.</p><p><strong>Results: </strong>Among factors that constituted the large cosine similarity group (gender, age, etc.), gender was found as a particularly significant factor, with a high number of female patients (P = 0.014).</p><p><strong>Conclusions: </strong>Gender was found to influence the appropriate interpretation of the significance of hospital meals. The perception of such meals as samples for post-discharge dietary practice was more significant among female patients. This demonstrated that in elderly patients, it is important to consider gender differences when providing diet and convalescence guidance.</p>","PeriodicalId":15431,"journal":{"name":"Journal of Clinical Medicine Research","volume":"15 6","pages":"321-327"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/c9/jocmr-15-321.PMC10332877.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Medicine Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14740/jocmr4961","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The provision of hospital meals is considered a therapeutic intervention, and a therapeutic diet consisting of a post-discharge meal sample is provided. For elderly patients who require long-term care, it is important to determine the significance of nutrition by taking into account hospital meals, including therapeutic meals for conditions such as diabetes. Therefore, it is important to identify the factors that influence this judgment. This study aimed to investigate the difference between the expected nutritional intake via nutritional interpretation and actual nutritional intake.

Methods: The study included 51 geriatric patients (77.7 ± 9.5 years; 36 males and 15 females) who could eat meals independently. The participants completed a dietary survey to determine the perceived nutritional intake obtained from hospital meal contents. Additionally, we investigated the amount of hospital meal leftovers from the medical records and the amount of nutrients from the menus to calculate the actual nutritional intake. We calculated the amount of calories, protein concentration, and non-protein/nitrogen ratio from the perceived and actual nutritional intake values. We then calculated the cosine similarity and conducted a qualitative analysis of factorial units to examine similarities between perceived and actual intake.

Results: Among factors that constituted the large cosine similarity group (gender, age, etc.), gender was found as a particularly significant factor, with a high number of female patients (P = 0.014).

Conclusions: Gender was found to influence the appropriate interpretation of the significance of hospital meals. The perception of such meals as samples for post-discharge dietary practice was more significant among female patients. This demonstrated that in elderly patients, it is important to consider gender differences when providing diet and convalescence guidance.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
老年慢性病患者医院饮食的营养解读及实际摄入量影响因素分析。
背景:提供医院膳食被认为是一种治疗性干预,并提供了一种由出院后膳食样本组成的治疗性饮食。对于需要长期护理的老年患者,通过考虑医院膳食,包括糖尿病等疾病的治疗性膳食,来确定营养的重要性是很重要的。因此,确定影响这种判断的因素是很重要的。本研究旨在探讨预期营养摄取与实际营养摄取之间的差异。方法:51例老年患者(77.7±9.5岁;36名男性和15名女性)能够独立进食。参与者完成了一项饮食调查,以确定从医院膳食中获得的感知营养摄入量。此外,我们还调查了医疗记录中的医院餐剩饭量和菜单中的营养素量,以计算实际的营养摄入量。我们根据感知的和实际的营养摄入值计算出热量、蛋白质浓度和非蛋白质/氮的比例。然后,我们计算了余弦相似度,并对析因单位进行了定性分析,以检查感知和实际摄入量之间的相似度。结果:在构成大余弦相似组的因素(性别、年龄等)中,性别是一个特别显著的因素,女性患者较多(P = 0.014)。结论:性别会影响对医院膳食意义的正确解释。女性患者对此类膳食作为出院后饮食实践样本的感知更为显著。这表明,在老年患者中,在提供饮食和康复指导时考虑性别差异是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
The Effect of Preventive Care and Rehabilitation Nursing on Elderly Hypertension Meta-analysis of In-stent Restenosis Factors after Coronary Intervention Effect of Dietary Carotenoids and Lutein on Eye Health Maintenance in Elderly People One Case of Solar Dermatitis Treated with Umbilical Needle "Four Positions" Combined with Body Acupuncture Primary Presacral Neuroendocrine Tumors Presented by Lumbosacral Pain: a Case Report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1