Nutrition Research and Practice

  • 제16권4호
  • /
  • Pages.527-536
  • /
  • 2022
  • /
  • 1976-1457(pISSN)
  • /
  • 2005-6168(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지
DOI QR코드

DOI QR Code

Current status of foodservice nutrition management and effects of welfare facility support for the elderly in Cheongju City

  • Lee, Joo-Eun (Department of Food and Nutrition, Center for Social Welfare Foodservice Management, Seowon University)
  • 투고 : 2021.08.11
  • 심사 : 2021.12.09
  • 발행 : 2022.08.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

BACKGROUND/OBJECTIVES: South Korea is representative of countries experiencing rapid societal aging. This study aimed to understand the current status of foodservice nutrition management provided to welfare facilities for the elderly and to understand improvements after support from "the Center for Social Welfare Foodservice Management (CSWFM)" in Cheongju City. SUBJECTS/METHODS: The status of foodservice nutrition management was assessed by dietitians and hired by the CSWFM, who visited 40 welfare facilities (registered members of the CSWFM) for the elderly in Cheongju City. After visiting each facility three times from July to December 2019, the results of inspections on four areas, that is, 'menu', 'meal provision', 'cooking', and 'distribution' management for 2nd and 3rd visits (support visits) were compared with results obtained at initial visits. RESULTS: Before support as determined during 1st visits, compliance rates with 'menu', 'meal provision', 'cooking', and 'distribution' requirements were 72.1%, 75.5%, 58.3%, and 77.5%, respectively. The mean compliance rate for all 15 items on the questionnaire used was 70.8%. Items with low compliance rates were 'Is the soup provided by foodservice at the recommended salinity?' (compliance rate 37.5%) and 'Is the foodservice cooking conducted by referring to a recipe?' (42.5%). At the two support visits, mean compliance rates increased significantly (P < 0.01, P < 0.001), mean total score had significantly increased from 71.80 to 90.26 (P < 0.001), and mean soup salinity decreased significantly from 0.82% at 1st visits to 0.68% (P < 0.001) and 0.56% (P < 0.001) at the 1st and second follow-up visits. CONCLUSIONS: These results show that the status of nutrition management at welfare facilities for the elderly was much improved by CSWFM involvement, and indicate the CSWFM should continuously provide nutrition management support to facilities and that finances and opportunities for more welfare facilities for the elderly be expanded.

키워드

과제정보

This report represents part of a field inspection study conducted by the Center for Social Welfare Foodservice Management in Cheongju City. The author thanks team managers, team members, and directors of facilities for their efforts and cooperation.

참고문헌

  1. United Nations. World population ageing 2019 [Internet]. New York (NY): United Nations; 2020 [cited 2021 July 29]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Report.pdf.
  2. Korean Statistical Information Service. Major population index [Internet]. Daejeon: Statistics Korea; 2019 [cited 2021 July 29]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&checkFlag=N.
  3. Fuster V. Changing demographics: a new approach to global health care due to the aging population. J Am Coll Cardiol 2017;69:3002-5. https://doi.org/10.1016/j.jacc.2017.05.013
  4. Hoffmann AT. Quality of life, food choice and meal patterns - field report of a practitioner. Ann Nutr Metab 2008;52 Suppl 1:20-4. https://doi.org/10.1159/000115343
  5. Buckinx F, Allepaerts S, Paquot N, Reginster JY, de Cock C, Petermans J, Bruyere O. Energy and nutrient content of food served and consumed by nursing home residents. J Nutr Health Aging 2017;21:727-32. https://doi.org/10.1007/s12603-016-0782-2
  6. Engelheart S, Akner G. Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home. J Nutr Health Aging 2015;19:265-72. https://doi.org/10.1007/s12603-015-0440-0
  7. Saghafi-Asl M, Vaghef-Mehrabany E. Comprehensive comparison of malnutrition and its associated factors between nursing home and community dwelling elderly: a case-control study from Northwestern Iran. Clin Nutr ESPEN 2017;21:51-8. https://doi.org/10.1016/j.clnesp.2017.05.005
  8. Kwon JS, Lee SH, Lee KM, Lee YN. Study on energy and nutrient intake and food preference of the elderly in care facilities. Korean J Community Nutr 2016;21:200-27. https://doi.org/10.5720/kjcn.2016.21.2.200
  9. Han GS, Yang EJ. Status of health and nutritional intake of the elderly in long-term care facilities: focus on Gwangju metropolitan city. J Nutr Health 2020;53:27-38. https://doi.org/10.4163/jnh.2020.53.1.27
  10. Vanderwee K, Clays E, Bocquaert I, Gobert M, Folens B, Defloor T. Malnutrition and associated factors in elderly hospital patients: a Belgian cross-sectional, multi-centre study. Clin Nutr 2010;29:469-76. https://doi.org/10.1016/j.clnu.2009.12.013
  11. Huppertz VA, van der Putten GJ, Halfens RJ, Schols JM, de Groot LC. Association between malnutrition and oral health in Dutch nursing home residents: results of the LPZ study. J Am Med Dir Assoc 2017;18:948-54. https://doi.org/10.1016/j.jamda.2017.05.022
  12. Ga H. Long-term care system in Korea. Ann Geriatr Med Res 2020;24:181-6. https://doi.org/10.4235/agmr.20.0036
  13. Ministry of Food and Drug Safety. Public notice of the enactment of the regulations on support for food management for the elderly, etc. vulnerable class [Internet]. Cheongju: Ministry of Food and Drug Safety; 2021 [cited 2021 July 31]. Available from: https://www.mfds.go.kr/brd/m_207/view.do?seq=14464.
  14. Ministry of Food and Drug Safety. Guideline of center for social welfare facility foodservice management [Internet]. Cheongju: Ministry of Food and Drug Safety; 2021 [cited 2021 July 31]. Available from: https://ccfsm.foodnara.go.kr/home/?menuno=164.
  15. Ministry of Food and Drug Safety. Guidelines for operation and management of 'Samsam (low salt)' food service [Internet]. Cheongju: Ministry of Food and Drug Safety; 2020 [cited 2021 July 31]. Available from: https://www.foodsafetykorea.go.kr/portal/board/board.do?menu_grp=MENU_NEW03&menu_no=3601.
  16. Korea Centers for Disease Control & Prevention. Korea health statistics 2019 [Internet]. Cheongju: Korea Centers for Disease Control & Prevention; 2020 [cited 2021 July 31]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
  17. World Health Organization. WHO issues new guidance on dietary salt and potassium [Internet]. Geneva: World Health Organization; 2013 [cited 2021 July 31]. Available from: https://www.who.int/news/item/31-01-2013-who-issues-new-guidance-on-dietary-salt-and-potassium.
  18. Park SY, Ahn SH, Kim JN, Kim HK. Sodium content and nutrients supply from free lunch meals served by welfare facilities for the elderly in Gyeonggi-do. Korean J Food Nutr 2013;26:459-69. https://doi.org/10.9799/KSFAN.2013.26.3.459
  19. Ministry of Food and Drug Safety. Checklist guide for social welfare facilities food service management. Cheongju: Ministry of Food and Drug Safety; 2020. p.128.
  20. Park HN, Kim SM. Salinity monitoring of soups of the institutions enrolled at center for children's foodservice management. J East Asian Soc Diet Life 2016;26:507-16. https://doi.org/10.17495/easdl.2016.12.26.6.507
  21. Ministry of Health and Welfare. Korean nutritional intake standards 2020 [Internet]. Sejong: Ministry of Health and Welfare; 2020 [cited 2021 July 31]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=362385.
  22. Liu W, Chen S, Jiang F, Zhou C, Tang S. Malnutrition and physical frailty among nursing home residents: a cross-sectional study in China. J Nutr Health Aging 2020;24:500-6. https://doi.org/10.1007/s12603-020-1348-x
  23. Medeiros MM, Figueredo OM, Pinheiro MA, Oliveira LF, Wanderley RL, Cavalcanti YW, Rodrigues Garcia RCM. Factors associated with the overlap of frailty and nutrition in institutionalized older adults: a multicenter study. Arch Gerontol Geriatr 2020;90:104150. https://doi.org/10.1016/j.archger.2020.104150
  24. Barton AD, Beigg CL, Macdonald IA, Allison SP. A recipe for improving food intakes in elderly hospitalized patients. Clin Nutr 2000;19:451-4. https://doi.org/10.1054/clnu.2000.0149
  25. Claes JE, Maesschalck L, Huysmans V, Eyck H, Schittecat S, Pastuer M, Moldenaers P. Rheological study of breakfast replacing recipes used in the treatment of dysphagia. J Texture Stud 2012;43:142-52. https://doi.org/10.1111/j.1745-4603.2011.00324.x
  26. Kwon J, Kim J, Cho S, Noh G, Lee SS. Characterization of food allergies in patients with atopic dermatitis. Nutr Res Pract 2013;7:115-21. https://doi.org/10.4162/nrp.2013.7.2.115
  27. Jensen-Jarolim E, Jensen SAF. Food allergies in the elderly: collecting the evidence. Ann Allergy Asthma Immunol 2016;117:472-5. https://doi.org/10.1016/j.anai.2016.08.036
  28. Lee JH. Effects of periodic visiting education support on nutrition and hygiene practices at center for children's foodservice management: focus on Ulsan area. J Korean Diet Assoc 2016;22:1-12. https://doi.org/10.14373/JKDA.2016.22.1.1
  29. Lee JE. Administrators' experience of using service provided by center for children's foodservice management among home-based child care centers in Seoul. J Korean Diet Assoc 2017;23:240-62. https://doi.org/10.14373/JKDA.2017.23.3.240
  30. Seo J, Kwon KI, Kim GH. Study on the actual conditions of institution foodservice management in the elderly welfare facilities by the employment of dietitians. Korean J Food Cook Sci 2019;35:216-25. https://doi.org/10.9724/kfcs.2019.35.2.216
  31. Seo EH, Park EJ. Nutrition intake status of the elderly in residential welfare facilities by dietitian employment. J Korean Soc Wellness 2016;11:473-83. https://doi.org/10.21097/ksw.2016.11.11.4.473