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Attachment 10Barriers to food intake in acute ca XX-> C G Search Google or type a URLJ:Barriers to food intake in acute care hospitals: a report of the Canadian Malnutrition Task Force1/13C:THE OFFICIAL JOURNAL OFTHE BRITISH DIETETIC ASSOCIATIONand DieteticsJournal of Human Nutrition and DieteticsCLINICAL NUTRITIONBarriers to food intake in acute care hospitals: a report ofthe Canadian Malnutrition Task ForceH. Keller, ‘ J. Allard,? E. Vesnaver,” M. Laporte, L. Gramlich, P. Bernier,” B. Davidson,D. Duerksen,” K. Jeejeebhoy” & H. Payette 10″Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, ON, CanadaDepartment of Medicine, University Hospital Network, University of Toronto, Toronto, ON, Canada”University of Guelph, Guelph, ON, Canada’Reseau de Sante Vitalite Health Network, Cambellton, NB, Canada”Department of Medicine, University of Alberta, Alberta Health Services, Edmonton, AB, Canada”Jewish General Hospital, Montreal, QC, CanadaCanadian Malnutrition Task Force, Canadian Nutrition Society, Toronto, ON, Canada”Department of Medicine St-Boniface Hospital, University of Manitoba, Winnipeg, MB, Canada”Department of Medicine St-Michael Hospital, University of Toronto, Toronto, ON, CanadaQC, Canada”Centre de recherche sur le vieillissement, CSSS-IUGS, Faculte de Medecine et des Sciences de la Sante, Universite de Sherbrooke, Sherbrooke.KeywordsAbstractdietetics, food service, malnutrition, meals,nutrition screening.Background: Poor food intake is common in acute care patients and canexacerbate or develop into malnutrition, influencing both recovery andCorrespondenceH. Keller, Schlegel-UW Research Institute foroutcome. Yet, research on barriers and how they can be alleviated is lack-Aging, University of Waterloo, Waterloo, N21 3J1,ing. The present study aimed to (i) describe the prevalence of food intakeOntario, Canada.barriers in diverse hospitals and (ii) determine whether patient, careTel.: 519 888 4567or hospital characteristics are associated with the experience of theseE-mail: rriers.Methods: Patients (n = 890; 87%) completed a validated questionnaire onHow to cite this articlebarriers to food intake, including perceptions of food quality, just beforeKeller H., Allard J., Vesnaver E., Laporte M.,Gramlich L, Bernier P., Davidson B., Duerksen D..their discharge from a medical or surgical unit in each of 18 hospitals acrossleejeebhoy K., Payette H. (2015) Barriers to foodCanada. Scores were created for barrier domains. Associations between theseintake in acute care hospitals: a report of thebarriers and selected patient characteristics collected at admissiCanadian Malnutrition Task Force. J Hum Nutrthroughout the hospital stay and site characteristics were determined usingDiet. 28, 546-557bivariate analyses.doi: 10.111 1/jhn. 12314Results: Common barriers were being interrupted at meals (41.8%), notbeing given food when a meal was missed (69.2%), not wanting orderedfood (58%), loss of appetite (63.9%) and feeling too sick (42.7%) or tired(41.1%) to eat. Younger patients were more likely (P < 0.0001) to reportbeing disturbed at meals (44.6%) than older patients (33.9%) and missingmeal for tests (39.0% versus 31.0%, P < 0.05). Patients who were malnourshed, women, those with more comorbidity, and those who ate <50% of+the meal reported several barriers across domains.Conclusions: The present study confirms that barriers to food intake arecommon in acute care hospitals. This analysis also identifies that specificpatient subgroups are more likely to experience food intake barriers.Because self-reported low food intake in hospital was associated with severalbarriers, it is relevant to consider assessing, intervening and monitoring bar-riers to food intake during the hospital stay.O Type here to searchem nNP 3(?2:21 PM4/25/2019LJ
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