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A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting

The prevalence of malnutrition is increasing globally due to factors such as age-related pathological conditions and diseases that impact food and beverage intake. In hospital settings, older adult patients often require homogenised diets, which can lead to malnutrition due to poor palatability and...

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Autores principales: Crippa, Camilla, Matteucci, Sofia, Pastore, Manuela, Morenghi, Emanuela, Starace, Erica, De Pasquale, Giulia, Pieri, Gabriella, Soekeland, Fanny, Gibbi, Stefano Maria, Lo Cricchio, Giuliana, Zorloni, Andrea, Mazzoleni, Beatrice, Mancin, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10675474/
https://www.ncbi.nlm.nih.gov/pubmed/38004125
http://dx.doi.org/10.3390/nu15224731
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author Crippa, Camilla
Matteucci, Sofia
Pastore, Manuela
Morenghi, Emanuela
Starace, Erica
De Pasquale, Giulia
Pieri, Gabriella
Soekeland, Fanny
Gibbi, Stefano Maria
Lo Cricchio, Giuliana
Zorloni, Andrea
Mazzoleni, Beatrice
Mancin, Stefano
author_facet Crippa, Camilla
Matteucci, Sofia
Pastore, Manuela
Morenghi, Emanuela
Starace, Erica
De Pasquale, Giulia
Pieri, Gabriella
Soekeland, Fanny
Gibbi, Stefano Maria
Lo Cricchio, Giuliana
Zorloni, Andrea
Mazzoleni, Beatrice
Mancin, Stefano
author_sort Crippa, Camilla
collection PubMed
description The prevalence of malnutrition is increasing globally due to factors such as age-related pathological conditions and diseases that impact food and beverage intake. In hospital settings, older adult patients often require homogenised diets, which can lead to malnutrition due to poor palatability and limited variety. This study compared the Standard Homogenised Diet (HSD) and a Modified Homogenized Diet (HMD) proposed in a tertiary hospital in Northern Italy. A retrospective and observational design was used to analyse data from 86 adult patients with various conditions requiring a homogenised diet. The primary goal was to compare food intake, rheological characteristics, and palatability of the two diets. The secondary objective was to evaluate the economic impact by comparing costs and quantifying food waste from unused meals. Patients on HMD had a median daily caloric intake of 852 kcal (IQR 787–926 kcal) compared to 631 kcal (IQR 506–797 kcal) in the HSD group. Taste, texture, palatability, and ease of intake for HMD outperformed HSD with scores such as 3.7 ± 0.6 vs. 2.5 ± 0.4 for taste. Economically, HMD was EUR 0.53 less expensive per day than HSD, and food wastage costs were significantly lower for HMD (EUR 2.66 ± 0.81) than HSD (EUR 4.66 ± 1.27). Overall, HMD presented substantial benefits in patient satisfaction and cost-efficiency. This insight may aid diverse care settings to enhance meal acceptance and nutritional intake for patients needing homogenised diets.
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spelling pubmed-106754742023-11-09 A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting Crippa, Camilla Matteucci, Sofia Pastore, Manuela Morenghi, Emanuela Starace, Erica De Pasquale, Giulia Pieri, Gabriella Soekeland, Fanny Gibbi, Stefano Maria Lo Cricchio, Giuliana Zorloni, Andrea Mazzoleni, Beatrice Mancin, Stefano Nutrients Article The prevalence of malnutrition is increasing globally due to factors such as age-related pathological conditions and diseases that impact food and beverage intake. In hospital settings, older adult patients often require homogenised diets, which can lead to malnutrition due to poor palatability and limited variety. This study compared the Standard Homogenised Diet (HSD) and a Modified Homogenized Diet (HMD) proposed in a tertiary hospital in Northern Italy. A retrospective and observational design was used to analyse data from 86 adult patients with various conditions requiring a homogenised diet. The primary goal was to compare food intake, rheological characteristics, and palatability of the two diets. The secondary objective was to evaluate the economic impact by comparing costs and quantifying food waste from unused meals. Patients on HMD had a median daily caloric intake of 852 kcal (IQR 787–926 kcal) compared to 631 kcal (IQR 506–797 kcal) in the HSD group. Taste, texture, palatability, and ease of intake for HMD outperformed HSD with scores such as 3.7 ± 0.6 vs. 2.5 ± 0.4 for taste. Economically, HMD was EUR 0.53 less expensive per day than HSD, and food wastage costs were significantly lower for HMD (EUR 2.66 ± 0.81) than HSD (EUR 4.66 ± 1.27). Overall, HMD presented substantial benefits in patient satisfaction and cost-efficiency. This insight may aid diverse care settings to enhance meal acceptance and nutritional intake for patients needing homogenised diets. MDPI 2023-11-09 /pmc/articles/PMC10675474/ /pubmed/38004125 http://dx.doi.org/10.3390/nu15224731 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Crippa, Camilla
Matteucci, Sofia
Pastore, Manuela
Morenghi, Emanuela
Starace, Erica
De Pasquale, Giulia
Pieri, Gabriella
Soekeland, Fanny
Gibbi, Stefano Maria
Lo Cricchio, Giuliana
Zorloni, Andrea
Mazzoleni, Beatrice
Mancin, Stefano
A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title_full A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title_fullStr A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title_full_unstemmed A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title_short A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting
title_sort comparative evaluation of the caloric intake and economic efficiency of two types of homogenized diets in a hospital setting
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10675474/
https://www.ncbi.nlm.nih.gov/pubmed/38004125
http://dx.doi.org/10.3390/nu15224731
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