title: Protein content of puréed diets: implications for planning.
abstract: OBJECTIVE
  Texture-modified diets offered in long-term care (LTC) facilities are often prepared from the regular menu, planned using Canada's Food Guide to Healthy Eating. The appropriateness of protein levels of puréed diets in LTC facilities was determined.
  
  
  METHODS
  Protein content was measured in 29 duplicate diets, collected from 20 urban LTC facilities in Saskatchewan (SK) and Ontario (ON). Mealtime puréed food intakes of 20 LTC residents were assessed. The target protein levels were calculated as estimated average requirements plus one or two standard deviations of intake, thus allowing for moderate (16%) or low (2.5%) risk of inadequacy, respectively.
  
  
  RESULTS
  The duplicate diets provided 57.9 +/- 7.9 and 85.4 +/- 31.1 g/day of protein in SK and ON, respectively. Protein intake of SK LTC residents consuming puréed food averaged 54 +/- 19 g/day. Only 43% of the SK puréed diets provided more than 59 g/day of protein and none provided more than 78 g/day; in contrast, 87% and 40% of ON puréed diets provided more than 59 and 78 g/day of protein, respectively.
  
  
  CONCLUSIONS
  In-house prepared puréed diets do not consistently provide sufficient protein levels to ensure a low risk of inadequacy for the LTC residents consuming these diets.
authors.affiliation: Saskatoon Helath Region, Saskatoon, SK, Canada.
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Dahl
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Whiting
authors.forename: Robert T
authors.initials: RT
authors.lastname: Tyler
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004032:Diet / Q000592:standards*; D004044:Dietary Proteins / Q000008:administration & dosage* / Q000032:analysis*; D002149:Energy Intake; D005522:Food Services; D006707:Homes for the Aged; D006801:Humans; D008612:Menu Planning; D009735:Nursing Homes; D009749:Nutrition Surveys; D009751:Nutritional Requirements; D009753:Nutritive Value; D009864:Ontario; D012525:Saskatchewan
chemical_list: D004044:Dietary Proteins