Improvements in nutritional intake and quality of life among frail homebound older adults receiving home-delivered breakfast and lunch.
OBJECTIVE
This study evaluated the influence that expanding a home-delivered meals service to include breakfast and lunch would have on the nutritional status and quality of life of at-risk older adults.


METHODS
This cross-sectional field study compared two groups. The breakfast group (n=167) received a home-delivered breakfast and lunch, 5 days per week. The comparison group (n=214) received a home-delivered lunch 5 days per week. Participants' 24-hour food recall, demographics, malnutrition risk, functional status, and surveys of quality of life as health, loneliness, food enjoyment, food security, and depression were obtained.


METHODS
Study participants were recruited from five Elderly Nutrition Programs involved in the Morning Meals on Wheels breakfast service demonstration project. They formed a geographically and racially/ethnically diverse sample. Participants ranged in age from 60 to 100 years, were functionally limited, and at high nutritional risk. Most were low income, lived alone, and had difficulty shopping or preparing food.


METHODS
Descriptive statistics were used to assess group comparability. Independent sample t tests were used to examine group differences, with Bonferroni's method used to control for familywise Type I error.


RESULTS
Breakfast group participants had greater energy/nutrient intakes (P<.05), greater levels of food security (P<.05), and fewer depressive symptoms (P<.05) than comparison group participants.


CONCLUSIONS
The addition of a breakfast service to traditional home-delivered meals services can improve the lives of frail, homebound older adults. Agencies should be encouraged to expand meals programs to include a breakfast service to a targeted population.
Department of Dietetics and Nutrition, Florida International University, Miami, USA. gollubdatnoff@bellsouth.net
Elizabeth A
EA
Gollub
Dian O
DO
Weddle
D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D002149:Energy Intake; D005260:Female; D005522:Food Services / Q000592:standards*; D016330:Frail Elderly / Q000523:psychology*; D018577:Homebound Persons / Q000523:psychology*; D006801:Humans; D008297:Male; D009748:Nutrition Disorders / Q000453:epidemiology*; D009749:Nutrition Surveys; D009752:Nutritional Status; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology