Abstract
Abstract The adequate nutrition for residents in social welfare homes is one of the basic tasks in terms of living needs. Numerous studies indicate that the amount allocated to nutrition service among institutionalized elderly is insufficient. The aim of the study was to determine the relationship between the amount of the daily rate and the quality of nutrition in social welfare homes. The research material consisted of 3000 menus from 30 social welfare homes located in Upper Silesia (Poland). The menus were evaluated using the Diet Quality Index (Kurskal-Wallis test; p = 0.05). In the quantitative assessment we took into consideration: the number of meals, the frequency of consumption of various product groups and the content of selected micro- and macro-nutrients. The research confirmed significant differences in daily rates among institutions; 14% of facilities have a daily rate of EUR 3.00 - 4.00 per person, 21% - EUR 2.00 - 2.99, 48% - EUR 1.00 - 1.99, 17% less than EUR 1.00. The establishments with a higher daily rate (EUR 3.00 - 4,00 - 35%) provide the residents with 5 meals. A similar situation applies to plant products - only 23% of institutions with the rate lower than EUR 2.00 provide fresh vegetables and fruits to residents, and in the case of the rates above EUR 2.00 it is 67%. Quantitative assessment of menus indicated that mean dietary intakes did not meet recommendations for calcium, vitamin D, fat and protein requirements. Fat intake was 1.5 times higher than recommended. This study showed significant relationship between the amount of the daily rate in social welfare homes facilities and the number of meals and the nutritional quality of foods. Key messages The adequate nutrition for residents in social welfare homes is one of the basic tasks in terms of living needs. The aim of the study was to determine the relationship between the amount of the daily rate and the quality of nutrition in social welfare homes.
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