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The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review

Abstract : Background: Setting up a home-delivered meal service often allows older people suffering from physical and/or cognitive disabilities to stay at home. However, older people who delegate their food activities (food purchasing, cooking…) have been reported to have a worse nutritional status than people who take care of their food activities. In this context, we will conduct a systematic review of all studies related to the nutritional issue in home-delivered meal older recipients. Methods: In June 2020, we searched 3 databases (Pubmed, Web of Science, EMBASE) to identify studies from all years on older adults at home and receiving home-delivered meal services (population). The following outcomes were considered: nutritional status (Body Mass Index, weight, undernutrition) and nutritional intake. Any nutritional intervention, comparator, and study design were relevant for inclusion. Results: Forty-eight original studies met the inclusion criteria, most of them being published after the year 2000 (n = 34) and undertaken in the USA (n = 32). The selection includes 30 cross-sectional and 18 longitudinal studies. The main findings of this review are the following: (1) home-delivery meal older recipients are at high risk of undernutrition; (2) providing home-delivery meals may improve the nutritional status and nutrient intake; (3) this improvement is even higher when the home-delivery meal service is improved, for instance by providing dietetic counseling or adding supplementary snacks/meals or enriched food. However, even an improved service does not allow all the older recipients meeting their recommended nutritional allowance. Conclusion: This review reveals a need to further develop strategies allowing home-delivery meal older recipients to fulfill their nutritional needs. From a methodological point of view, there is a need to describe in more detail the home-delivered services provided to studies' participants to better consider meal frequency and meal content in the results.
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Contributor : Sabine Julien <>
Submitted on : Wednesday, March 31, 2021 - 2:42:07 PM
Last modification on : Thursday, April 1, 2021 - 3:34:08 AM

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Ségolène Fleury, Paul Tronchon, Juliane Rota, Charlotte Meunier, Oliver Mardiros, et al.. The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review. Frontiers in nutrition, Frontiers media, 2021, 8, pp.629580. ⟨10.3389/fnut.2021.629580⟩. ⟨hal-03186919⟩



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