Nutritional Management by Dietitian at Elderly Nursing Homes in Gyeonggi-do

경기도 일부 노인요양시설의 영양사 유무에 따른 영양관리 현황

  • Received : 2013.09.09
  • Accepted : 2013.10.17
  • Published : 2013.11.02


The purpose of the study was to examine the current status of nutritional management at elderly nursing homes. A survey was performed of 83 nursing homes from January 5, 2011 to January 21, 2011 via mail. A total of 34 nursing homes responded to the survey and 149 elderly subjects were analyzed according to the presence of a dietitian. Among the 34 nursing homes, 70.6% had a dietitian on duty. All of the facilities with a dietitian had the dietitian making the meal plan, whereas 70% of the facilities without dietitian served meals planned by a non-professional person. Overall, however, a low proportion of nursing homes implemented dietetic treatments for residents with diseases. For the nutritional assessment of these residents, a mini nutritional assessment (MNA) was performed. MNA scores were significantly associated with body mass index (BMI), mid-arm circumference (MAC), calf circumference (CC), ingestion problems, and weight loss during the last 3 months (P<0.001). Among the elderly studied, 5.4% were malnourished, and 36.9% were at risk for malnutrition by MNA score. The results of this survey show that the current management of nutrition at nursing homes is insufficient because the elderly who needed dietetic treatment did not receive proper care. Dietetic management is the most important service in all nursing homes. Therefore, to improve the nutritional status of elderly residents in nursing homes, systematic nutrition management by nutrition experts should be implemented.


Long-term care Insurance;dietitian;nutritional status;assessment;nursing home;MNA (Mini Nutrition Assessment)


  1. Beattie W (1998): Current challenges to providing personalized care in a long term care facility. Int J Health Care Qual Assur Inc Leadersh Health Serv 11(2-3):i-v
  2. Cho EH, Chang HJ, Kwak YK (2006): Analysis of the job activities and demand of dietitian in the elderly health-care facilities. J Korean Diet Assoc 12(4):313-328
  3. Chung SH, Sohn CM (2005): Nutritional status of hopitalized geriatric patients using by the mini nutritional assessment. Korea J Community Nutr 10(5):645-653
  4. Donini LM, Savina C, Rosano A, De Felice MR, Tassi L, De Bernardini L, Pinto A, Giusti AM, Cannella C (2003): MNA predictive value in the follow-up of geriatric patients. J Nutr Health Aging 7(5):282-293
  5. Guigoz Y (2006): The Mini Nutritional Assessment (MNA) review of the literature-What does it tell us? J Nutr Health Aging 10(6):466-485
  6. Hong SY, Seo SH (2010): Job performance frequency and the training needs of dieticians in elderly healthcare facilities. J Korean Diet Assoc 16(2):160-177
  7. Kim WY, Yang EJ, Won HS (1997): Management of food service and health care in long-term care in Korea. Korean J Dietary Culture 12(3):331-339
  8. Korean National Statistical Office (2010): The statistics of estimated future population. Available from: Accessed February 15, 2011
  9. Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A (2005): Evaluation of mini-nutritional assessment for Japanese frail elderly. Nutrition 21(4):498-503
  10. Kwak KS, Bae YJ, Kim MH (2008): Nutritional status and dietary quality in the low-income elderly residing at home or in health care facilities. J Korean Diet Assoc 14(4):337-350
  11. Long Term Care Insurance (2010): Insurance Benefit In-Home Services. Available from: Accessed August 22, 2010
  12. Ministry of Health and Welfare. Availale from: Accessed August 15, 2010
  13. National Health Insurance Corporation (2012): The statistics of Long Term Care Insurance Service. Available from Assessed February 15, 2011
  14. Nestle Nutrition Institute (2010): Mint Nutritional Assessment MNA$^{(R)}$. Available from: Accessed December 12, 2011
  15. Omran ML, Morley JE (2000): Assessment of protein energy malnutrition in older persons, part I: history, examination, body composition, and screening tools - comparison of bone mineral and soft tissue mass measurements in vivo with established methods. Nutrition 16(1):50-63
  16. Pauly L, Stehle P, Volkert D (2007): Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr 40(1): 3-12
  17. Persson MD, Brismar KE, Katzarski KS, Nordenstrom J, Cederholm TE (2002): Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. J Am Geriatr Soc 50(12): 1996-2002
  18. Seo SH, Yun NR (2011): Food service management and food safety knowledge and practices of employees in elderly welfare facilities. J Korean Diet Assoc 17(3):287-301
  19. Sunwoo D (2010): An improvement plan for the government policy on long-term care insurance. Health and Welfare Policy Forum 10(168):16-24
  20. Suh HJ, Lee YN, Jang YA, Kim BH, Lee HS, Kim CI (2004): Current status and management of congregate meal service program for the elderly at community centers. J Korean Diet Assoc 10(3):333-344
  21. Van Nes MC, Herrmann FR, Gold G, Michel JP, Rizzoli R (2001): Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing 30(3): 221-226
  22. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL (1999): The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15(2):116-122
  23. Visvanathan R, Macintosh C, Callary M, Penhall R, Horowitz M, Chapman I (2003): The nutritional status of 250 older Australian recipients of domiciliary care services and its association with outcomes at 12 months. J Am Geriatr Soc 51(7):1007-1011

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  3. Study on Energy and Nutrient Intake and Food Preference of the Elderly in Care Facilities vol.21, pp.2, 2016,
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Supported by : Ministry of Health & Welfare