Huzurevlerin'de Yaşlılara Sunulan Beslenme Hizmetlerinin Değerlendirilmesi ve Yaşlıların Beslenme Durumlarının Saptanması
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The present study is a descriptive research conducted to evaluate nutritional services and nutritional assessment of institutionalized elderly. Nutritional services and food safety practices were evaluated, hygiene perception of foodservice staff and microbiological quality of salad samples were investigated in 25 nursing homes which were chosen with stratified sampling method among statistical NUTS 1 (The Nomenclature of Territorial Units for Statistics) regions throughout Turkey. Food consumption using 24 hour recall method and anthropometric measurements of the elderly were recorded, nutritional status by Mini Nutritional Assessment (MNA) was determined and satisfaction from nutritional services of elderly was surveyed. It was determined that 65.11±10.53% of the indicators in “Food and Nutritional Care Indicators in Assisted Living Facilities For Older Adults” which evaluates nutritional services was complied by the institutions and compliance level was lower than 80% in 22 of them (88.0%). Nutritional services were significantly better in the institutions in which dietitians were working. Score of food safety practices of institutions was 66.84±7.96. Score of total hygiene perception of staff was 154.46±12.74 while lowest perception was on personal hygiene and rules for hand hygiene were not followed. Total mesophilic aerobic bacteria (TMAB) (8.4x105 cfu/g) was found in all, coliform (1.7x104 cfu/g) in 88.0%, S aureus (7.7x102 cfu/g) in 44.0% and E coli (>100 cfu/g) was found in 12.0% of salad samples while E coli O157:H7 and Salmonella spp. were not detected in any of the samples. Body mass index (BMI) of elderly men and women were 26.59±4.58 kg/m2 and 30.07±6.32 kg/m2, respectively. Waist circumference of elderly men and women were 98.90±1.33 cm and 100.62±1.34 cm, respectively. Most of the elderly were overweight based on BMI, at risk of metabolic diseases based on waist circumference. Mid upper arm circumference of most of the elderly men is under 5th percentile. Of the elderly, 49.1% were at risk of malnutrition while 6.7% had malnutrition. Mean MNA score of elderly men was higher than women (23.27±3.58, 21.57±3.63, respectively) (p<0.001). Most of the elderly were overweight, obese and abdominal obese while malnutrition risk was high. Calcium and magnesium intakes of elderly were inadequate according to the requirements. Elders were generally satisfied from nutritional services. It was concluded that nutritional services and food safety practices should be improved in the institutions foodservice staff should be regularly educated, microbiological quality of salads should be promoted for health of elderly and nutritional status of elderly should be continually monitored in the institutions.