The association of eating assistance with energy intake of long term care residents with cognitive impairment: the making the most of mealtimes study (M3)
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Abstract
Introduction: Long term care (LTC) residents with cognitive impairment (CI) are at an increased risk of becoming malnourished due to eating challenges and eating assistance factors. Objective: To examine resident and eating assistance factors associated with energy intake of LTC residents with CI. Methods: Secondary data from the Making the Most of Mealtimes study utilized the Relational Behavioural Scale, Minimum Data Set, Screening Tool for Acute Neuro Dysphagia, Patient Generated - Subjective Global Assessment, Mini Nutritional Assessment- Short Form and score ≥ 3 from the Cognitive Performance Scale. Descriptive statistics, backwards stepwise regressions, bivariate analyses and linear regressions were completed. Results: Higher energy intake was associated with being male, younger age, dysphagia risk, more vitamins consumed, less eating challenges, greater severity of CI and frequently receiving eating assistance. Conclusion: Interventions to support eating independence and address eating challenges are needed to improve food intake for persons with CI in LTC.