Document Detail

Vitamin fortification of puréed foods for long-term care residents.
MedLine Citation:
PMID:  19709470     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Elderly people are at risk for malnutrition, and those who consume a puréed diet may be particularly at risk. A fortification procedure was developed at a long-term care (LTC) facility, and nutrient intakes and serum vitamin levels were assessed to determine whether they subsequently increased. METHODS: Fortification levels were determined using a combination of two techniques: the Dietary Reference Intakes planning formula and Health Canada's defined nutrient contribution method. For six puréed foods, triangle sensory tests were performed to determine whether fortification changed the flavour of the foods. Four fortified foods were incorporated into the daily puréed menu at an LTC facility. Nutrient intakes of 10 residents and serum vitamin B12, folate, and 25-hydroxyvitamin D levels of 11 residents were analyzed at baseline and eight weeks after the intervention. RESULTS: Nutrient intakes increased after the intervention for all nutrients in the fortification mix (p0.01). 25-hydroxyvitamin D and folate levels increased after the intervention (p0.01), but serum vitamin B12 levels did not change (p>0.05). CONCLUSIONS: The development of acceptable vitamin-fortified puréed foods is feasible and is an effective way to increase the micronutrient status of LTC residents. Mineral fortification requires further work to minimize flavour changes.
Jennifer L Adolphe; Susan J Whiting; Wendy J Dahl
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en diététique : une publication des Diététistes du Canada     Volume:  70     ISSN:  1486-3847     ISO Abbreviation:  Can J Diet Pract Res     Publication Date:  2009  
Date Detail:
Created Date:  2009-08-27     Completed Date:  2009-10-29     Revised Date:  2009-12-01    
Medline Journal Info:
Nlm Unique ID:  9811151     Medline TA:  Can J Diet Pract Res     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  143-50     Citation Subset:  IM    
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
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MeSH Terms
Folic Acid / blood
Food, Fortified / analysis*
Long-Term Care*
Malnutrition / prevention & control
Nutritional Requirements
Pilot Projects
Vitamin B 12 / blood
Vitamin D / analogs & derivatives,  blood
Vitamins / administration & dosage*,  analysis
Reg. No./Substance:
0/Vitamins; 1406-16-2/Vitamin D; 59-30-3/Folic Acid; 64719-49-9/25-hydroxyvitamin D; 68-19-9/Vitamin B 12

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

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