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Home-delivered meal programme participants may be at greater risk of malnutrition without the meal programme.


ABSTRACT:

Objectives

(1) To examine total quality of foods consumed on the day a home-delivered meal (HDM) of the Older Americans Act Nutrition Program (OAANSP) was served, and when a HDM was not served; and (2) to estimate proportion of HDM participants and non-participants meeting the daily average recommendations for guidance-based foods and nutrients.

Design

Cross-sectional study.

Setting

Data were obtained from the national 2015-2017 Outcomes Evaluation Study of HDM participants in the USA.

Participants

Adults aged 67 years and older (n 1227), 620 HDM recipients and 607 matching non-participants examined in three groups: (1) meal recipients who received a HDM on the day of the 24-h dietary recall; (2) no-meal recipients who did not receive a HDM on the day of the recall and (3) matching HDM non-participants.

Results

Healthy Eating Index (HEI)-2010 scores of HDM participants were significantly lower on the day the meal was not received compared with when a meal was received (52·5 v. 63·4, P < 0·0001). There was no significant difference in the total HEI-2010 scores of HDM meal recipients and HDM non-participants. Despite the meal, less than 20 % of HDM participants and non-participants met the 2010-Diet Guidelines for Americans recommended average daily intake for fruit, vegetables, dairy, protein foods and solid fats.

Conclusion

HDM participants' diet quality is poorer when they do not receive a meal putting them at increased risk of malnutrition. Expanding the OAANSP to offer meals on weekends and/or to include more than one meal/d is recommended to improve the diet of this vulnerable population.

SUBMITTER: Sakr-Ashour FA 

PROVIDER: S-EPMC9991720 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

Home-delivered meal programme participants may be at greater risk of malnutrition without the meal programme.

Sakr-Ashour Fayrouz A FA   Wambogo Edwina E   Song Hee-Jung HJ   Sahyoun Nadine R NR  

Public health nutrition 20211008 7


<h4>Objectives</h4>(1) To examine total quality of foods consumed on the day a home-delivered meal (HDM) of the Older Americans Act Nutrition Program (OAANSP) was served, and when a HDM was not served; and (2) to estimate proportion of HDM participants and non-participants meeting the daily average recommendations for guidance-based foods and nutrients.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>Data were obtained from the national 2015-2017 Outcomes Evaluation Study of HDM participants  ...[more]

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