Frontiers in Public Health

Senior-friendly meals improved older adults’ quality of life

In a randomized crossover trial of 111 older adults, 10 weeks of adapted lunches improved health-related quality-of-life scores by 0.053 compared with standard lunches.

Randomized trial in peopleInterventions

Edited by Boris Djordjevic · AgingResearch.News

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The randomized crossover trial analyzed 111 men and women aged 65 or older living in the community and attending a welfare center in South Korea. Participants received daily senior-friendly or standard lunches for 10 weeks, then switched after a one-week break. The adapted foods were modified to ease chewing and swallowing. Meals were designed to have similar calories and nutrition.

Compared with standard lunches, senior-friendly meals improved questionnaire-based health scores, where one represented full health. Participants reported fewer problems with mobility, self-care and usual activities, and less pain or discomfort. The researchers also calculated an increase in quality-adjusted life expectancy, an estimate combining health-related quality of life with remaining expected lifespan. They used Korean life tables and assumed the diet did not change life expectancy itself.

Why it matters

Age-related nutritional challenges raise the question of whether adapting everyday meals can support older adults’ physical functioning and quality of life.

Caveats

The life-expectancy result was modeled, not observed longer survival, and the analysis excluded 19 people who withdrew or refused participation. Participants attended one center and generally had no severe physical or cognitive limitations; the supplied text does not report adverse-event results.

From the paper

Participants

A total of 111 participants were enrolled in the study.

Methods, Experimental design and participants

Who took part

The participants were community-dwelling older adults who attended Baekhwa Senior Welfare Center and generally exhibited mild or no severe limitations in physical or cognitive functioning.

Methods, Experimental design and participants

Duration

Each intervention phase lasted 10 weeks, and the washing-out period lasted 1 week.

Methods, Experimental design and participants

Limitation

First, the crossover design does not allow for a permanently untreated control group, and the estimates rely on variation in exposure timing.

Conclusion

Health-related quality-of-life utility weights

The coefficient on treatment effect is 0.053 (SE = 0.013, p < 0.01) for utility weight and 0.655 (SE = 0.142, p < 0.01) for QALE.

Results, FE estimates

Physical functioning

The estimated effects are −0.266 (p < 0.05) for mobility, −0.087 (p < 0.05) for self-care, −0.134 (p < 0.05) for usual activities, −0.281 (p < 0.05) for pain/discomfort, and −0.178 (p < 0.05) for anxiety/depression.

Results, EQ-5D dimension

Quoted word for word from the full text on PubMed Central.