Development of a dietary intake monitoring system for nursing homes.
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Biomedical subjects
Publications and source records attributed to N E Johnson.
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The nutrient content of meals planned for and consumed by residents of 14 Wisconsin nursing homes was determined. Menus were low in energy, niacin, magnesium, zinc, vitamin B6, and total folate. Intakes of those nutrients and nine others were also low for a large proportion of the population. Approximately 30 percent of the men and women consumed fewer than 1,200 kcal. It is recommended that nursing homes should; (a) use a food plan which meets the nutrient needs for a broad range of energy intakes and (b) periodically monitor dietary patterns to detect those residents who consume inadequate diets.
College-educated Catholic women in the 1976 National Survey of Family Growth had higher actual and expected fertility than did college-educated Protestants. Moreover, Catholic colleges or universities had a pronatalist effect on alumnae. Thus, a significant part of the higher Catholic than Protestant cumulative fertility among college-educated women arose from the greater propensity of such Catholics to attend sectarian schools and colleges. The implications are explored.
The use and applications of programmable calculator in dietary analysis are presented. Results which approximate those of large computers can be obtained with considerably less time, money, and data manipulation. Program flexibility allows operators to determine the number of foods and nutrients to be analyzed. Input, data checking, and results of total nutrient consumption are achieved within minutes. The dietary analysis described in this article is well suited for small hospitals and clinics, for teaching purposes and dietary surveys and for use by non-nutritionists who have a one-time or regular need to incorporate dietary information into their work.
Data were collected in food service systems of 14 nursing homes to measure and correlate 16 variables hypothesized to affect quantitative productivity, defined as minutes per meal equivalent. Analysis of data showed that as two variables--ratio of the number of employees to full-time equivalent positions and total labor hours--increased, minutes per meal equivalent increased; thus quantitative productivity decreased. As four variables--turnover of full-time employees and of all employees, ratio of number of residents to full-time equivalent worker, and total meal equivalents served--increased, minutes per meal equivalent decreased; thus quantitative productivity increased.
The need was identified for a short method to ensure that food served to nursing home residents provides 100 per cent of Recommended Dietary Allowances for fourteen nutrients without exceeding 110 per cent of the allowances for calories. In one or all three nursing homes studied, food served was nutritionally adequate except for: Niacin, zinc, magnesium, vitamin B6, and folacin. The pattern of food used showed more variation between nursing homes than within a single nursing home, suggesting that a short method should be developed for each nursing home.
A model food plan was developed to serve as a short method to ensure nutritional adequacy of food served to nursing home residents. Criteria were that the food plan provide 100 per cent of 1974 Recommended Dietary Allowances (RDAs) for fourteen nutrients without exceeding 110 per cent of allowances for calories. To meet the criteria, an increase in pounds of meat, fish, and poultry; dried beans, peas, and nuts; green leafy vegatables; bananas; and dry cereals over actual food issues was required. The model plan is presented in the form of pounds of food, per sixteen food groups, required for 100 persons, per day.
Activity sampling was used to determine the time foodservice personnel spent in work and delay activities in fourteen non-governmental skilled nursing facilities with bed capacities ranging from 81 to 120 and an occupancy rate above 80 per cent. Mean total minutes per meal equivalent (during three days of study) ranged from 7.13 to 18.95, with a mean of 11.25. Analysis of variance indicated significant differences (p < 0.01) in total minutes per meal equivalent and in direct, indirect, and delay time among the fourteen homes; no statistically significant differences were found among days.
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Quality of the mother's diet, expressed as a NAR index, was significantly correlated (r = 0.301, P less than 0.05) with birth weight of the infant. Eight women who reported that they had smoked during pregnancy had infants with significantly lower birth weights (P less than 0.01), gained less weight during prenatal care (P less than 0.01), and had a lower NAR index (P less than 0.10) than 32 women who said they did not smoke during pregnancy. The relationship of birth weight to 44 maternal and environmental factors was examined by multiple regression analysis to isolate variables significantly and independently related to birth weight. This analysis showed that birth weight of the infant was positively related to number of weeks of gestation, overall dietary quality, delivery weight of the mother squared, age of the mother squared, and number of previous pregnancies squared, and negatively related to weeks of gestation squared, iron and protein intake, age of mother, number of people in the household, and number of cigarettes smoked by the mother per day. Nine factors accounted for up to 86% of the variability in birth weight. Inclusion of quality of the diet improved the prediction equations by 6 to 8%.
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Studies of family size in successive generations have found a small but persistently positive effect of size of family of orientation. Recent work has suggested that this relationship may be influenced by birth order, intergenerational change in lifestyle, and familial satisfaction. Data from a 24-year longitudinal study of women in Pennsylvania indicate that number of siblings does influence size of family of procreation. More important, this relationship is stronger among women who were first-born that later-born, stronger for those not experiencing intergenerational change than for those who changed, and stronger among those who at age 16 were satisfied with their parental family than for those who were dissatisfied.
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