Validation of a plate diagram sheet for estimation of energy and protein intake in hospitalized patients

Validation of a plate diagram sheet for estimation of energy and protein intake in hospitalized patients

Summary Background & aims Validation of simple methods for estimating energy and protein intakes in hospital wards are rarely reported in the literature. The aim was to validate a plate diagram sheet for estimation of energy and protein intakes of patients by comparison with weighed food records...

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Bibliographic Details
Published in:Clinical nutrition (Edinburgh, Scotland) Vol. 32; no. 5; pp. 746 - 751
Main Authors: Bjornsdottir, Rannveig, Oskarsdottir, Erna S, Thordardottir, Friða R, Ramel, Alfons, Thorsdottir, Inga, Gunnarsdottir, Ingibjorg
Format: Journal Article
Language:English
Published: Kidlington Elsevier Ltd 01-10-2013
Elsevier
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Dietary Proteins - administration & dosage
Energy Intake
Feeding. Feeding behavior
Female
food intake
food records
Food Service, Hospital
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
Health Knowledge, Attitudes, Practice
Heart Diseases - surgery
Hospital Units - manpower
Hospitals, University
human resources
Humans
Iceland
Male
Meals
Middle Aged
Nutrition Assessment
Nutritional Sciences - education
Patient Education as Topic
Patients
Protein intake
Thoracic Diseases - surgery
Validation
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Young Adult
Iceland
Energy intake
Validation
Protein intake
Patients
Human
Estimation
Energy input
Metabolic diseases
Protein
Plate
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Summary:Summary Background & aims Validation of simple methods for estimating energy and protein intakes in hospital wards are rarely reported in the literature. The aim was to validate a plate diagram sheet for estimation of energy and protein intakes of patients by comparison with weighed food records. Methods Subjects were inpatients at the Cardio Thoracic ward, Landspitali National University Hospital, Reykjavik, Iceland ( N  = 73). The ward personnel used a plate diagram sheet to record the proportion (0%, 25%, 50%, 100%) of meals consumed by each subjects, for three days. Weighed food records where used as a reference method. Results On average the plate diagram sheet overestimated energy intake by 45 kcal/day (1119 ± 353 kcal/day versus 1074 ± 360 kcal/day, p  = 0.008). Estimation of protein intake was not significantly different between the two methods (50.2 ± 16.4 g/day versus 48.7 ± 17.7 g/day, p  = 0.123). By analysing only the meals where ≤50% of the served meals were consumed, according to the plate diagram recording, a slight underestimation was observed. Conclusion A plate diagram sheet can be used to estimate energy and protein intakes with fair accuracy in hospitalized patients, especially at the group level. Importantly, the plate diagram sheet did not overestimate intakes in patients with a low food intake.
Bibliography:http://dx.doi.org/10.1016/j.clnu.2012.12.007
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ISSN:0261-5614
1532-1983
DOI:10.1016/j.clnu.2012.12.007