Abstract：
Purpose : The aim of this study is to compare the nutritional status of older adult inpatients consuming Texture-Modified Diets (TMD) to older adult inpatients consuming a regular diet. Methods : The study was designed as cross-sectional and was conducted in three large hospitals in northern Vietnam. The data for 344 older adult inpatients were collected in 2021 by dietitians. Results : The result showed 104 subjects were prescribed TMD. The textures of hospital diets have still not been adequately developed. In particular, the hospitals had not yet developed pureed meals. All older adult inpatients (74.7 ± 6.8 years old, 52.9% female) had 28.8% malnutrition by the GLIM criteria. The TMD group had a malnutrition prevalence two times higher than the regular diet group. Total energy intake from hospital meal and outside snacks in the regular diet group was higher than in the TMD group, about 150 kcal. Although energy provided from the hospital diet in both groups was similar, hospital meal wastage in the TMD group was higher than in the regular diet group. Conclusion : The older adult inpatients on TMD may have a nutritional status worse than those consuming a regular diet. Hospital diets need to be improved in texture and quality. J. Med. Invest. 69 : 230-236, August, 2022.
摘要：
目的：本研究的目的是比较食用改善质地饮食（TMD）的老年住院患者与食用常规饮食的老年住院患者的营养状况。方法：本研究按横断面设计，在越南北部的三家大型医院进行。营养师在2021年收集了344名老年住院患者的数据。结果：结果显示104名受试者服用TMD。医院饮食的质地仍未得到充分发展。特别是,医院尚未开发出纯肉食品。所有老年成人住院患者（74.7±6.8岁，52.9％的女性）根据GLIM标准营养不良28.8％。TMD组的营养不良患病率是常规饮食组的两倍。常规饮食组的住院餐和室外零食的总能量摄入高于TMD组，大约150千卡。虽然两组医院饮食提供的能量相似，TMD组的医院膳食浪费高于常规饮食组。结论：老年TMD患者的营养状况可能比正常饮食的患者差。医院饮食需要改善质地和质量。J.Med.投资。69：230-236，八月，2022年。
