Evidence map›Paper›PMID 32153857›Full record

ArticleBMC nutrition2017

Nutritional quality of regular and pureed menus in Canadian long term care homes: an analysis of the Making the Most of Mealtimes (M3) project.

Vanessa Vucea, Heather H Keller, Jill M Morrison, Alison M Duncan, Lisa M Duizer, Natalie Carrier, Christina O Lengyel, Susan E Slaughter

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02800291 (Making the Most of Mealtimes), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02800291 completednot on this map

Making the Most of Mealtimes (M3): Determinants of Food Intake in Long Term Care

TypeobservationalSponsorUniversity of WaterlooRan2015 to 2015Enrolled640ConditionsMalnutrition
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  9. Menu Assessment Tools Used in Residential Aged Care: A Scoping Review of Content and Quality.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Vanessa Vucea1Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1 Canada.
Heather H Keller1Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1 Canada.ORCID 0000-0001-7782-8103
Jill M Morrison1Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1 Canada.
Alison M Duncan3Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1 Canada.
Lisa M Duizer4Department of Food Science, University of Guelph, Guelph, ON N1G 2W1 Canada.
Natalie Carrier5École des sciences des aliments, de nutrition et d'études familiales, Faculté des sciences de la santé et des services communautaires, Université de Moncton, Moncton, NB E1A 3E9 Canada.
Christina O Lengyel6Department of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB R3T 2N2 Canada.
Susan E Slaughter7Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9 Canada.
University of Waterloo · CAUniversity of Guelph · CAUniversité de Moncton · CAUniversity of Alberta · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong term care (LTC) menus need to contain sufficient nutrients for health and pureed menus may have lower nutritional quality than regular texture menus due to processes (e.g., recipe alterations) required to modify textures. The aims of this study were to: determine adequacy of planned menus when compared to the Dietary Reference Intake (DRI); compare the energy, macronutrients, micronutrients and fibre of pureed texture and regular texture menus across LTC homes to determine any texture, home or regional level differences; and identify home characteristics associated with energy and protein differences in pureed and regular menus.

methodsMaking the Most of Mealtimes (M3) is a cross-sectional multi-site study that collected data from 32 LTC homes in four Canadian provinces. This secondary analysis focused on nutrient analysis of pureed and regular texture menus for the first week of the menu cycle. A site survey captured characteristics and services of each facility, and key aspects of menu planning and food production. Bivariate analyses were used to compare menus, within a home and among and within provinces, as well as to determine if home characteristics were associated with energy and protein provision for both menus. Each menu was qualitatively compared to the DRI standards for individuals 70+ years to determine nutritional quality.

resultsThere were significant provincial and menu texture interactions for energy, protein, carbohydrates, fibre, and 11 of 22 micronutrients analyzed (

conclusionsThere was variability in nutritional quality of menus from LTC homes in the M3 sample. Pureed menus tended to contain lower amounts of nutrients than regular texture menus and both menus did not meet DRI recommendations for select nutrients. This study demonstrates the need for improved menu planning protocols to ensure planned diets meet nutrient requirements regardless of texture.

trial registrationClinicalTrials.gov ID: NCT02800291, retrospectively registered June 7, 2016.

Indexed as

Dietary reference intakeLong term careMenu qualityNutrientsOlder adultsPureed texture

Identifiers

PMID32153857
PMCPMC7050785
OpenAlexW2766085697

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.