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Globally, there is growing demand to provide care that enables older people to “age-in-place" as their support needs increase. In Australia, this policy shift is evident in reforms to home-based aged care, including the Home Care Package (HCP)/Support at Home program. Despite the rapid expansion of these services, little is known about the nutritional health of the older people who rely on them. This internal pilot study aimed to test procedures for a cohort study exploring nutritional status in this population and determine whether their nutritional needs are being met. South Australian HCP recipients aged ≥65 years were recruited through providers and community outreach. Home interviews collected demographic, anthropometric, nutritional status (Mini-Nutritional Assessment-Short Form (MNA-SF)), dietary intake, and quality of life data. Descriptive statistics were applied and dietary intake was evaluated against relevant food and nutrient recommendations. Thirty HCP recipients (mean age 82 years; 21 female) participated. The mean MNA-SF score was 11.1, with one participant classified as malnourished and 15 at risk. Most participants did not meet the recommended daily serves of dairy, grains and vegetables, or recommended intakes of calcium, vitamin D, and fibre. Despite these findings, participants viewed themselves as having no nutritional problem (n=20), or were uncertain of their nutritional state (n=10). This pilot provides early evidence that nutritional risk is common and under-recognised among HCP recipients. The longitudinal cohort study is underway to confirm these results and further explore nutritional status and health outcomes in home care recipients, ultimately spotlighting nutrition in The Ageing Revolution.
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