Shahar Suzana, Chee Kan Yin, Wan Chik Wan Chak Pa'
Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd, Aziz, 50300 Kuala Lumpur.
BMC Geriatr. 2002 Aug 6;2:3. doi: 10.1186/1471-2318-2-3.
A cross sectional survey was carried out on 120 hospitalised geriatric patients aged 60 and above in Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur to investigate their nutrient intakes and food preferences.
Food intakes were recorded using a one day weighed method and diet recall. Food preferences were determined using a five point hedonic score. Food wastages and factors affecting dietary adequacy were also investigated.
The findings indicated that the mean intakes of energy and all nutrients investigated except for vitamin C and fluid were below the individual requirement for energy, protein and fluid, and the Malaysian Recommendation of Dietary Allowances (RDA) for calcium, iron, vitamin A, thiamin, riboflavin, niacin and acid ascorbic. In general, subjects preferred vegetables, fruits and beans to red meat, milk and dairy products. There was a trend of women to have a higher percentage for food wastage. Females, diabetic patients, subjects who did not take snacks and subjects who were taking hospital food only, were more likely to consume an inadequate diet (p < 0.05 for all values).
Food service system in hospital should consider the food preferences among geriatric patients in order to improve the nutrient intake. In addition, the preparation of food most likely to be rejected such as meat, milk and dairy products need some improvements to increase the acceptance of these foods among geriatric patients. This is important because these foods are good sources of energy, protein and micronutrients that can promote recovery from disease or illness.
在马来西亚吉隆坡的马来西亚国民大学医院,对120名60岁及以上的住院老年患者进行了一项横断面调查,以调查他们的营养摄入和食物偏好。
采用一日称重法和饮食回顾法记录食物摄入量。使用五点享乐评分法确定食物偏好。还调查了食物浪费情况以及影响饮食充足性的因素。
研究结果表明,除维生素C和液体外,所调查的能量及所有营养素的平均摄入量均低于个体对能量、蛋白质和液体的需求,以及马来西亚膳食营养素推荐摄入量(RDA)中钙、铁、维生素A、硫胺素、核黄素、烟酸和抗坏血酸的标准。总体而言,与红肉、牛奶和奶制品相比,受试者更喜欢蔬菜、水果和豆类。女性食物浪费的比例有更高的趋势。女性、糖尿病患者、不吃零食的受试者以及仅食用医院食物的受试者,更有可能饮食摄入不足(所有值p < 0.05)。
医院的餐饮服务系统应考虑老年患者的食物偏好,以改善营养摄入。此外,对于最有可能被拒绝的食物,如肉类、牛奶和奶制品的制作需要改进,以提高老年患者对这些食物的接受度。这很重要,因为这些食物是能量、蛋白质和微量营养素的良好来源,有助于促进疾病康复。