Factors Associated With the Use of Meals-On-Wheels among Home Care Clients: The Nutormed Study
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CitationNykänen Irma. Tiihonen Miia. Hartikainen Sirpa. (2016). Factors Associated With the Use of Meals-On-Wheels among Home Care Clients: The Nutormed Study. JOURNAL OF NUTRITIONAL HEALTH & FOOD SCIENCE, 4 (5) , 1-4 . 10.15226/jnhfs.2016.00175.
Background: The risk of malnutrition is quite common among home care clients. To aim of this study were to describe nutritional status of Meals-on-Wheels (MOW) clients and factors associated with use of MOW among home care clients.
Methods: This cross-sectional study was conducted as part of the Nutrition, Oral health and Medication (NutOrMed) study. The study population consisted of 266 home care clients in the year 2013, MOW clients (n=153) and non-MOW clients (n=113). The data contained information on socio demographic factors, nutritional status, functional ability, depressive symptoms, comorbidities, dementia diagnosis and drug use.
Results: The mean (SD) age of the home care clients was 84.4 (5.3) years and 73% (n = 196) of them were female. 90% (n=139) of MOW clients were at risk of malnutrition or malnourished, compared to 80% (n=90) of non-MOW clients. MOW clients were more likely to be living alone, impairments in the activities of daily living (ADL) and have diagnosis of a dementive disorder. Clients who were unsatisfied with MOW were more likely to be at risk of malnutrition or malnutrition and depressive (GDS-15).
Conclusion: Using MOW is common among home care clients and MOW clients were more likely to be at risk of malnutrition, living alone, have a decline in the performance of activities of daily living and diagnosed dementia. Unsatisfied with the quality of MOW were more likely to be at risk of malnutrition or malnourished and depressive.