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Evaluation of adherence to different pureed diets in a hospital context
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Resumo(s)
Food waste in hospital settings is higher than in other food sectors. Hospital diets constitute the main food and nutritional source for patients, so that incomplete food intake can have negative clinical consequences. In the pureed texture diet, foods are presented in a homogeneous, moist, cohesive manner and without lumps or pieces, resembling the texture of a pudding. The aim of present study was to evaluate adherence to a homogeneous and tri-compartmentalized pureed diet in adult patients admitted to a public hospital. Observational study to assess adherence to a creamy diet at lunch and dinner, on three different days. The pureed tri-compartmentalized diet dish was provided at lunch and a homogeneous diet at dinner. The tricompartmental diet plate presented individualized macronutrients (protein, carbohydrates and vegetables) and in the homogeneous diet these components were mixed. As regards the soup and dessert provided, there was no distinction between the meals. To quantify food waste, the physical method of individual weighing was considered. A satisfaction questionnaire was applied to determine patient preferences. A total of 152 complete meals were evaluated from 76 patients with a mean age of 78.9 years (SD=9.4), of which 51.3% were male (n=39). Plate waste in the homogeneous diet was 71.0% and in the tri-compartmentalized diet it was 65.8%. Regarding the waste of soup and dessert, it was greater at lunch than at dinner. It was found that 33.3% of patients preferred the tri-compartmentalized pureed diet due to its improved presentation and flavor, however 45.1% of patients reported having no preference regarding the presentation of the dish in this diet (Table 1). The high food waste of the pureed diet requires intervention, so presenting the meal plate in a tri-compartmentalized format appears to be a possible action to improve food intake.
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Diets
Contexto Educativo
Citação
Serdoura, S., Lopes, M., Gomes, I., Rodrigues, J. C., & Vieira, M. A. (2025). Evaluation of adherence to different pureed diets in a hospital context. XXIV Congresso de Nutrição e Alimentação da Associação Portuguesa de Nutrição (APN) 2025 - Acta Portuguesa de Nutrição, 41, 97. https://actaportuguesadenutricao.pt/wp-content/uploads/2025/09/ACTA-41_LOW-2.pdf
Editora
Associação Portuguesa de Nutrição