Comparison between the Australian clinical food and fluid texture scale, the National Dysphagia Diet US and the UK adult texture classification systems for individuals with dysphagia. Texture-modified foods and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definitions. Nutr Diet. Results of studies that describe the prevalence of use of TMF in dementia and residential care facilities. Dysphagia is common in people living with dementia and associated with increased risk of aspiration pneumonia, dehydration, malnutrition, and death. Treatment options are limited and the use of texture-modified food and fluids TMF is a widespread clinical practice. This review aimed to evaluate the evidence for TMF in dementia. Studies were assessed for suitability, then reviewed with data extracted, and grouped by categories of outcome measures. A total of 3, publications were identified, and 22 studies met the inclusion criteria.
Metrics details. Long term care LTC menus need to contain sufficient nutrients for health and pureed menus may have lower nutritional quality than regular texture menus due to processes e. The aims of this study were to: determine adequacy of planned menus when compared to the Dietary Reference Intake DRI ; compare the energy, macronutrients, micronutrients and fibre of pureed texture and regular texture menus across LTC homes to determine any texture, home or regional level differences; and identify home characteristics associated with energy and protein differences in pureed and regular menus. Making the Most of Mealtimes M3 is a cross-sectional multi-site study that collected data from 32 LTC homes in four Canadian provinces. This secondary analysis focused on nutrient analysis of pureed and regular texture menus for the first week of the menu cycle. A site survey captured characteristics and services of each facility, and key aspects of menu planning and food production. Bivariate analyses were used to compare menus, within a home and among and within provinces, as well as to determine if home characteristics were associated with energy and protein provision for both menus. Alberta and New Brunswick had lower nutrient contents for both menu textures as compared to Manitoba and Ontario. Fibre and nine micronutrients were below DRI recommendations for both menu textures within all four provinces; variation in nutritional quality existed among homes within each province. Several home characteristics e. There was variability in nutritional quality of menus from LTC homes in the M3 sample. Pureed menus tended to contain lower amounts of nutrients than regular texture menus and both menus did not meet DRI recommendations for select nutrients.
Non-blinded parallel randomized controlled trial with 3-month follow-up. Malnutrition on the menu: Nutritional status of institutionalised elderly Australians in low-level care. There are no data for the prevalence of use of TMF exclusively in people with dementia, but as many as two-thirds of people in residential care are using TMF. Ovid Medlin Hum Nutr Diet. This study demonstrates the need for improved menu planning protocols to ensure planned diets meet nutrient requirements regardless of texture. This article has been cited by other articles in PMC. Title and abstract review excluded 3, articles, leaving 60 articles for full-text review. First, descriptive statistics were used to compute means for continuous home-level variables and frequencies for the categorical home-level variables. Abbreviation: TMF, texture-modified food and fluids. If pureed foods are used, the dietitian and speech language pathologist will prescribe the consistency needed by the resident. By accessing the work you hereby accept the Terms.