Document Detail

Use of modified diets in nursing homes.
MedLine Citation:
PMID:  1869759     Owner:  NLM     Status:  MEDLINE    
Randomly chosen medical charts of 212 elderly subjects in 11 nursing homes were reviewed to determine which characteristics of the subjects were most closely associated with their diet prescriptions. The chart reviews indicated that 104 (49.0%) of the 212 subjects had some type of nutrient-modified diet prescription. Eight patients who were tube fed were not included in subsequent analyses. Sodium restriction was the most common modification (60 [29.4%] of the remaining 204 patients) and calorie-controlled diets were also common (52 [25.5%] of the patients). Of the 55 patients with hypertension, 31 (56.4%) had no sodium restriction. Only 10% of all low-sodium diets limited sodium to 2 g per day. Of the 38 patients with diabetes, 7 (18.4%) had no prescription for calorie control, and there was no indication that increased dietary fiber was encouraged for diabetic patients. Only one of the 121 subjects with a diagnosis of coronary heart disease or atherosclerosis had a prescription for a cholesterol-lowering diet. Characteristics of the subjects not specifically related to diet or diagnosis, such as age, sex, duration of stay, and level of care, had no significant relationship to diet prescription. These findings suggest that the practitioners in our sample were not convinced of the efficacy of modified diets to control disease for most nursing home residents.
S J Lan; C L Justice
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  91     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-09-16     Completed Date:  1991-09-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  46-51     Citation Subset:  AIM; IM    
Department of Foods and Nutrition, Purdue University, West Lafayette, IN 47906.
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MeSH Terms
Aged, 80 and over
Arteriosclerosis / diet therapy
Coronary Disease / diet therapy
Diabetes Mellitus / diet therapy
Diet Therapy*
Diet, Sodium-Restricted
Homes for the Aged*
Hypertension / diet therapy
Middle Aged
Nursing Homes*
Peptic Ulcer / diet therapy
Comment In:
J Am Diet Assoc. 1991 Oct;91(10):1207-8   [PMID:  1918738 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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