Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review

Journal of Nutrition in Gerontology and Geriatrics

Volumn 34, Issue 2, 2015, Pages 124-167

  Campbell, Anthony D ^a   Godfryd, Alice ^b   Buys, David R ^b,c,d,e   Locher, Julie L ^b,f  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^c MISSISSIPPI STATE UNIVERSITY   (United States)

^d Mississippi State University   (United States)

^e MISSISSIPPI STATE UNIVERSITY   (United States)

^f UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

home delivered meals; Meals on Wheels; outcomes; review

Indexed keywords

AGED; CATERING SERVICE; COMMUNITY CARE; COST BENEFIT ANALYSIS; ECONOMICS; ELDERLY CARE; FINANCIAL MANAGEMENT; HEALTH CARE POLICY; HEALTH STATUS; HOMEBOUND PATIENT; HUMAN; INDEPENDENT LIVING; LEGISLATION AND JURISPRUDENCE; MEAL; NUTRITIONAL STATUS; OUTCOME ASSESSMENT; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; COMMUNITY HEALTH SERVICES; COST-BENEFIT ANALYSIS; FINANCING, GOVERNMENT; FINANCING, ORGANIZED; FOOD SERVICES; HEALTH POLICY; HEALTH SERVICES FOR THE AGED; HEALTH STATUS; HOMEBOUND PERSONS; HUMANS; INDEPENDENT LIVING; MEALS; NUTRITIONAL STATUS; OUTCOME ASSESSMENT (HEALTH CARE);

EID: 84932599485     PISSN: 21551197     EISSN: 21551200     Source Type: Journal    
DOI: 10.1080/21551197.2015.1038463     Document Type: Article

References (104)

1. Institute of Medicine. Nutrition and Healthy Aging in the Community: Workshop Summary. Washington, DC: The National Academies Press; 2012.
2. J.L.Locher, N.S.Wellman. “Never the twain shall meet:” Dual systems exacerbate malnutrition in older adults recently discharged from hospitals. J Nutr Gerontol Geriatr. 2011 Jan; 30(1):24–8.
3. T.Marie. Platter angels. 5 December 2013. Accessed at http://www.cctvcambridge.org/Meals%20on%20Wheels on 2 April 2014.
4. C.E.Vickery. Meals on Wheels. In: S.H.Katz Ed. Encyclopedia of Food and Culture. New York: Charles Scribner's’ Sons; 2003:465–6.
5. J.L.Lloyd, N.S.Wellman. Older Americans Act Nutrition Programs: a community based nutrition program helping older adults remain at home. J Nutr Gerontol Geriatr. 2015; 34:90–109.
6. Administration on Aging Nutrition Services (OAA Title IIIC). Accessed at http://www.aoa.acl.gov/AoA_Programs/HPW/Nutrition_Services/index.aspx on 25 March 2015
7. D.R.Buys, C.O.Robinson, M.Marler, C.Hamlin, J.L.Locher. A faith-based initiative to recruit volunteers for a home-delivered meals program serving homebound older adults: a theoretically-derived model. Public Health Nutr. 2011 August; 14(8):1473–8.
8. H.Zhu, R.An. Impact of home-delivered meal programs on diet and nutrition among older adults: a review. Nutrition and Health. 2013; 22(2):89–103.
9. Kaiser Family Foundation. Medicare advantage fact sheet. 1 May 2014. Accessed at http://kff.org/medicare/fact-sheet/medicare-advantage-fact-sheet/ on 25 March 2015.
10. Kaiser Family Foundation. Medicaid's role in meeting the long term care needs of seniors. 14 January 2013. Accessed at https://kaiserfamilyfoundation.files.wordpress.com/2013/02/8403.pdf on 25 March 2015.
11. Centers for Medicare and Medicaid Services. Readmissions reduction program. 4 August 2014. Accessed at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html on 25 March 2015.
12. N.V.Dhurandhar, D.Schoeller, A.W.Brown, S.B.Heymsfield, D.Thomas, T.I.A.Sørensen et al. Energy balance measurement: when something is not better than nothing. Int J Obes (Lond). 2014. doi:10.1038/ijo.2014.199.
13. A.Donabedian. The quality of care: How can it be assessed? JAMA. 1988; 121(11):1145–50.
14. R.L.Kane, D.M.Radosevich. Conducting Health Outcomes Research. Sudbury, MA: Jones & Bartlett Learning; 2010.
15. Federal Interagency Forum on Aging-Related Statistics. Older Americans 2012: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office; June 2012.
16. K.S.Thomas. Outcomes matter: the need for improved data collection and measurement in our nation's home-delivered meals programs. J Nutr Gerontol Geriatr. 2015; 34:85–9.
17. D.Moher, A.Liberati, J.Tetzlaff, D.G.Altman The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLOS Med. 2009; 6(6):e1000097. doi:10.1371/journal.pmed1000097.
18. E.A.Frongillo, M.H.Cantor, T.MacMillan, T.D.Isaacman, R.Sherrow, M.Henry, et al. Who are the recipients of Meals-on-Wheels in New York City? A profile of based on a representative sample of Meals-on-Wheels recipients, Part I. J Nutr Elder. 2010; 29(2):16–149.
19. E.A.Frongillo, T.D.Isaacman, C.M.Horan, E.Wethington, K.Pillemer. Adequacy of and satisfaction with delivery and use of home-delivered meals. J Nutr Elder. 2010; 29(2):211–26.
20. V.Timonen, C.O'Dwyer. “It is nice to see someone coming in”: exploring the social objectives of Meals-on-Wheels. Can J Aging. 2010; 29:399–410.
21. N.G.Choi, M.Teeters, L.Perez, B.Farar, D.Thompson. Severity and correlates of depressive symptoms among recipients of meals on wheels: age, gender, and racial/ethnic differences. Aging Ment Health. 2010; 14(2):145–54.
22. C.O'Dwyer, C.A.Corish, V.Timonen. Nutritional status of Irish older people in receipt of meals-on-wheels and the nutritional content of the meals provided. J Hum Nutr Diet. 2009; 22(6):521–7.
23. T.Lirette, J.Podovennikoff, W.Wismer, L.Tondu, L.Klatt. Food preferences and meal satisfaction of meals on wheels recipients. J Gerontol A Biol Sci Med Sci. 2008; 63(3):275–82.
24. L.Duerr. Food security status of older adult home-delivered meals program participants and components of its measurement. J Nutr Elder. 2006; 26(1–2):1–26.
25. K.Parsons, C.Rolls. Assessing the need for hot meals: a descriptive Meals on Wheels study. Can J Diet Pract Res. 2004; 65(2):90–2.
26. J.R.Sharkey. Variation in nutritional risk among Mexican American and non-Mexican American homebound elders who receive home-delivered meals. J Am Diet Assoc. 2004; 104(8):1219–21.
27. J.R.Sharkey. Risk and presence of food insufficiency are associated with low nutrient intakes and multimorbidity among homebound older women who receive home-delivered meals. J Nutr. 2003; 133(11):3485–91.
28. M.Krondl, D.Lau, P.Coleman, G.Stocker. Tailoring of nutritional support for older adults in the community. J Nutr Elder. 2003; 23(2):17–32.
29. J.R.Sharkey, L.G.Branch, N.Zohoori, C.Giuliani, J.Busby-Whitehead, P.S.Haines. Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors. Am J Clin Nutr. 2002; 76(6):1435–45.
30. J.R.Sharkey, N.Schoenberg. Variations in nutrition risk among black and white women who receive home-delivered meals. J Women Aging. 2002; 14(3–4):99–119.
31. J.R.Sharkey. The interrelationship of nutritional risk factors, indicators of nutritional risk, and severity of disability among home-delivered meal participants. Gerontologist. 2002; 42(3):373–80.
32. B.E.Millen, J.C.Ohls, M.Ponza, A.C.McCool. The elderly nutrition program: an effective national framework for preventive nutrition interventions. J Am Diet Assoc. 2002; 102(2):234–40.
33. N.G.Choi. Determinants of frail elders’ lengths of stay in meals on wheels. Gerontologist. 1999; 39(4):397–404.
34. L.I.Vailas, S.A.Nitzke, M.Becker, J.Gast. Risk indicators for malnutrition are associated inversely with quality of life for participants in meal programs for older adults. J Am Diet Assoc. 1998; 98(5):548–53.
35. D.L.MacLellan. Contribution of home-delivered meals to the dietary intake of the elderly. J Nutr Elder. 1997; 16(3):17–32.
36. A.M.Coulston, L.Craig, A.C.Voss. Meals-on-wheels applicants are a population at risk for poor nutritional status. J Am Diet Assoc. 1996; 96(6):570–3.
37. E.Fogler-Levitt, D.Lau, A.Csima, M.Krondl, P.Coleman. Utilization of home-delivered meals by recipients 75 years of age or older. J Am Geriatr Soc. 1996; 44(6):689–92.
38. A.S.Herndon. Using the Nutritional Screening Initiative to survey the nutritional status of clients participating in a home delivered meals program. J Nutr Elder. 1995; 14(4):15–29.
39. H.L.Long, W.A.Miller. Oral status and well-being of home delivered meal recipients. Gerontology. 1994; 11(2):15–123.
40. L.Ellis, D.A.Roe. Home-delivered meals for the elderly: distribution of services in New York State. Am J Public Health. 1993; 83(7):1034–6.
41. E.A.FrongilloJr., B.S.Rauschenbach, D.A.Roe, D.F.Williamson. Characteristics related to elderly persons’ not eating for 1 or more days: implications for meal programs. Am J Public Health. 1992; 82(4):600–2.
42. D.A.Stevens, L.E.Grivetti, R.B.McDonald. Nutrient intake of urban and rural elderly receiving home-delivered meals. J Am Diet Assoc. 1992; 92(6):714–8.
43. C.De Graaf, W.Van Staveren, K.Sneeuw, N.Stam. The elderly and food services: consumers’ perspective of a meals-on-wheels service. Bibl Nutr Dieta. 1990; 45:133–42.
44. O.Walden, P.A.Hayes, D.Y.Lee, D.H.Montgomery. The provision of weekend home-delivered meals by state and a pilot study indicating the need for weekend home delivered meals. J Nutr Elder. 1988; 8(1):31–43.
45. S.C.Cairns, A.W.Caggiula. Evaluation of the attitudes of recipients of home-delivered meals. J Am Diet Assoc. 1974; 65(5):560–2.
46. J.F.Williams, C.E.Smith. Home-delivered meals for the aged and handicapped. J Am Diet Assoc. 1959; 35(2):146–9.
47. J.S.Lee, J.Shannon, A.Brown. Characteristics of older Georgians receiving Older Americans Act Nutrition Program Services and other home- and community-based services: findings from the Georgia Aging Information Management System (GA AIMS). J Nutr Gerontol Geriatr. 2015; 34:168–88.
48. N.Luscombe-Marsh, J.Chapman, R.Visvanathan. Hospital admissions in poorly nourished, compared with well-nourished, older South Australians receiving ‘Meals on Wheels': findings from a pilot study. Australas J Ageing. 2013; 33(3):164–9.
49. M.F.Steele, J.D.Bryan. Dietary intake of homebound elderly recipients and nonrecipients of home-delivered meals. J Nutr Elder. 1985; 5:23–4.
50. R.G.Williams. Rationing: how it is done with community services for the older disabled. Int Rehabil Med. 1980; 2(4):160–6.
51. R.A.DiMaria-Ghalili, N.Laverty, K.Baron, J.A.Nasser. Benchmarking a home-delivered meal program's annual satisfaction survey: a Metropolitan Area Neighborhood Nutrition Alliance (MANNA) initiative in Philadelphia. J Nutr Gerontol Geriatr. 2015; 34:189–206.
52. S.I.Hong. Understanding patterns of service utilization among informal caregivers of community older adults. Aging Ment Health. 2010; 14(2):145–54.
53. D.C.Wallace, B.L.Fields, J.Witucki, C.Boland, I.Tuck. Use of home and community-based services by elderly black and white females. Gerontologist. 2000; 40(5):612–17.
54. N.Chumbler, C.Beverly, C.Beck. Determinants of in-home health and support service utilization for rural older adults. Res Sociol Health Care. 1998; 15:205–27.
55. D.C.Wallace, P.K.Hirst. Community-based service use among the young, middle, and old old. Public Health Nurs. 1996; 13(4):286–93.
56. P.A.Webber, P.Fox, D.Burnett. Living alone with Alzheimer's disease: effects on health and social service utilization patterns. Gerontologist. 1994; 34(1):8–14.
57. A.Vaudin, N.R.Sahyoun. Food anxiety is associated with poor health status among recently hospital-discharged older adults. J Nutr Gerontol Geriatr. 2015; 34:245–62.
58. L.Wright, L.Vance, C.Sudduth, J.Epps. The impact of a home-delivered meal program on nutritional risk, dietary intake, food security, loneliness, and social well-being. J Nutr Gerontol Geriatr. 2015; 34:218–27.
59. S.Marceaux. The impact of participation in Meals on Wheels and More (MOWAM) in Austin, TX, on dietary intake and health status. 2012. Dissertation thesis. Accessed at https://digital.library.txstate.edu/handle/10877/4303.
60. E.A.Frongillo, W.S.Wolfe. Impact of participation in home-delivered meals on nutrient intake, dietary patterns, and food insecurity of older persons in New York State. J Nutr Elder. 2010; 29(3):293–310.
61. J.R.Sharkey. Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and implications or service provision. Gerontologist. 2005; 45(6):773–82.
62. J.R.Sharkey, N.E.Schoenberg. Prospective study of black-white differences in food insufficiency among homebound elders. J Aging Health. 2005; 17(4):507–27.
63. W.I.McAuley, M.E.McCutcheon, S.S.Travis, J.Lloyd. Participant characteristics predicting voluntary early withdrawal from a multidisciplinary program providing home-delivered meals and dietitian/social work case management to homebound elders. J Nutr Elder. 2005; 25(2):83–99.
64. P.Edelman, S.Hughes. The impact of community care on provision of informal care to homebound elderly persons. J Gerontol. 1990; 45(2):S74–S84.
65. E.A.FrongilloJr., D.F.Williamson, D.A.Roe, J.E.Scholes. Continuance of elderly on home-delivered meals programs. Am J Public Health. 1987; 77(9):1176–9.
66. R.An. Association of home-delivered meals on daily energy and nutrient intakes: findings from the National Health and Nutrition Examination Surveys. J Nutr Gerontol Geriatr. 2015; 34:263–72.
67. J.Cho, J.L.Thorud, S.Marishak-Simon, L.Frawley, A.B.Stevens. A model home-delivered meals program to support transitions from hospital to home. J Nutr Gerontol Geriatr. 2015; 34:207–17.
68. E.L.P.Sattler, J.S.Lee, H.N.Young. Factors associated with inpatient hospital (re)admissions in Medicare beneficiaries in need of food assistance. J Nutr Gerontol Geriatr. 2015; 34:228–44.
69. Y.M.Chen, B.Berkowitz. Older adults’ home- and community-based care service use and residential transitions: a longitudinal study. BMC Geriatrics. 2012; 10:12–44.
70. K.Kim, E.A.Frongillo. Patterns of food insecurity and participation in food assistance programmes over time in the elderly. Public Health Nutr. 2009; 12(11):2113–9.
71. H.H.Keller. Meal programs improve nutritional risk: a longitudinal analysis of community-living seniors. J Am Diet Assoc. 2006; 106(7):1042–8.
72. L.Davies, R.Purves, M.D.Holdsworth. Longitudinal study on elderly recipients of meals-on-wheels. J Hum Nutr. 1981; 53(6):442–7.
73. K.E.Charlton, K.Walton, L.Moon, K.Smith, A.T.McMahon, F.Ralph, et al. “It could probably help someone else but not me”: a feasibility study of a snack program offered to meals on wheels clients. J Nutr Health Aging. 2013; 17(4):364–9.
74. S.A.Galea, K.Walton, K.Charlton, A.McMahon. What's on the tray? Nutritional intake of Meals on Wheels clients. Nutr Dietet. 2013; 70(1):79–80.
75. S.Wunderlich, Y.Bai, J.Piemonte. Nutrition risk factors among home delivered and congregate meal participants: need for enhancement of nutrition education and counseling among home delivered meal participants. J Nutr Gerontol Geriatr. 2012; 31(1):38–58.
76. L.Watkins, C.Hall, D.Kring. Hospital to home: a transition program for frail older adults. Am J Med. 2012; 125(6):e7–11.
77. P.C.Goeminne, E.H.De Wit, C.Burtin, Y.Valcke. Higher food intake and appreciation with a new food delivery system in a Belgian hospital. Meals on Wheels, a bedside meal approach: a prospective cohort trial. Appetite. 2012; 59(1):108–16.
78. N.R.Sahyoun, U.O.Anyanwu, J.R.Sharkey, L.Netterville. Recently hospital-discharged older adults are vulnerable and may be underserved by the Older Americans Act Nutrition Program. Can J Aging. 2010; 29(3):399–410.
79. E.A.Gollub, D.O.Weddle. Improvements in nutritional intake and quality of life among frail homebound older adults receiving home-delivered breakfast and lunch. J Am Diet Assoc. 2004; 104(8):1227–35.
80. A.J.Krester, T.Voss, W.W.Kerr, C.Cavadini, J.Friedmann. Effects of two models of nutritional intervention on homebound older adults at nutrition risk. J Am Diet Assoc. 2003; 103(3):329–36.
81. J.A.Gleason, K.L.Bordet, K.Koehn, S.Y.Holay, E.J.Schaefer. Cardiovascular risk reduction and dietary compliance with a home-delivered diet and lifestyle modification program. J Am Diet Assoc. 2002; 102(10):1445–51.
82. L.Richard, C.Gosselin, F.Trickey, C.Robitaille, Payette. “Outings to your taste”: a nutrition program for the elderly. Gerontologist. 2000; 40(5):612–7.
83. W.Corson, T.Grannemann, N.Holden. The evaluation of the National Long Term Care Demonstration. 5. Formal community services under channeling. Health Serv Res. 1989; 52(4):519–22.
84. D.A.Lipschitz, C.O.Mitchell, R.W.Steele, K.Y.Milton. Nutritional evaluation and supplementation of elderly subjects participating in a “meals on wheels” program. JPEN. 1985; 9(3):343–7.
85. G.Osteraas, B.M.Posner, G.H.Pelto, R.L.Wolf, L.Aronstein, M.Mikkola, et al. Developing new options in home-delivered meals: the SMOC demonstration elderly nutrition project. J Am Diet Assoc. 1983; 82(5):524–8.
86. E.F.Racine, J.Lyerly, J.L.Troyer, J.Warren-Findlow, W.J.McAuley. The Influence of home-delivered dietary approaches to stop hypertension meals on body mass index, energy intake, and percent of energy needs consumed among older adults with hypertension and/or hyperlipidemia. J Acad Nutr Diet. 2012; 112(11):1755–62.
87. K.Noda, B.Zhang, A.Iwata, H.Nishikawa, M.Ogawa, T.Nomiyama, et al. Lifestyle changes through the use of delivered meals and dietary counseling in a single-blind study. Circ J. 2012; 76(6):1335–44.
88. J.L.Troyer, W.J.McAuley, M.E.McCutcheon. Cost effectiveness of medical nutrition therapy and therapeutically designed meals for older adults with cardiovascular disease. J Am Diet Assoc. 2010; 110(12):1840–51.
89. J.L.Troyer, E.F.Racine, G.W.Ngugi, W.I.McAuley. The effect of home-delivered Dietary Approach to Stop Hypertension (DASH) meals on the diets of older adults with cardiovascular disease. J Nutr Educ Behav. 2010; 42(2):2–82.
90. H.I.Silver, M.S.Dietrich, V.H.Castellanos. Increase energy density of the home-delivered lunch meal improves 24-hour nutrient intakes in older adults. J Nutr Ed. 2008; 27(3–4):405–15.
91. R.B.Haynes, P.Kris-Etherton, D.A.McCarron, S.Oparil, A.Chait, L.M.Resnick, et al. Nutritionally complete prepared meal plan to reduce cardiovascular risk factors: a randomized clinical trial. J Am Diet Assoc. 1999; 99(9):1077–83.
92. J.S.Lee, M.A.Johnson, A.Brown. Older Americans Act Nutrition Program improves participants’ food security in Georgia. J Nutr Gerontol Geriatr. 2011; 30(2):122–39.
93. M.A.Roy, H.Payette. Meals-on-wheels improves energy and nutrient intake in a frail free-living elderly population. J Nutr Health Aging. 2006; 10(6):554–60.
94. D.L.Edwards, E.A.FrongilloJr., B.Rauschenbach, D.A.Roe. Home-delivered meals benefit the diabetic elderly. J Am Diet Assoc. 1993; 93(5):587–8.
95. K.A.Thomas, V.Mor. Providing more home-delivered meals is one way to keep older adults with low care needs out of nursing homes. Health Aff. 2013; 32(10):1796–02.
96. D.R.Buys, C.Borch, M.Kilgore, C.A.Zizza, J.L.Locher. A state-level examination of the association between home and community-based services and rates of nursing home residency with special attention to nutrition programs. J Nutr Gerontol Geriatr. 2012; 31(4):404–24.
97. H.Xu, M.Weiner, S.Paul, J.Thomas, B.Craig, M.Rosenman, et al. Volume of home- and community-based Medicaid waiver services and risk of hospital admissions. J Am Geriatr Soc. 2010; 58(1):109–15.
98. N.S.Wellman. Aging at home: more research on nutrition and independence, please. Am J Clin Nutr. 2010; 91(5):1151–2.
99. M.Ponza, J.C.Ohls, B.E.Millen, A.M.McCoolb, K.E.Needels, L.Rosenberg, et al. Serving elders at risk. The Older Americans Act Nutrition Programs: national evaluation of the Elderly Nutrition Program 1993–1995. Volume II: title VI evaluation findings. 1996. Accessed at http://mathematica-mpr.com/publications/pdfs/nutrition/elderlynutrition_vol2.pdf
100. M.Ponza, J.C.Ohls, B.E.Millen, A.M.McCoolb, K.E.Needels, L.Rosenberg, et al. Serving elders at risk. The Older Americans Act Nutrition Programs: national evaluation of the Elderly Nutrition Program 1993–1995. Volume I: title III evaluation findings. 1996. Accessed at http://www.mathematica-mpr.com/~/media/publications/PDFs/nutrition/elderlynutrition_vol1.pdf on 28 April 2015.
101. N.Altshuler, J.Schimmel. Aging in place: do Older Americans Act Title III services reach those most likely to enter nursing homes? Administration on Aging Research Brief Number 1. 2010. Accessed at http://www.aoa.gov/AoARoot/Program_Results/docs/2010?AoA_1_NursingHomes_041311.pdf
102. A.Barrett, J.Schimmel. Multiple service use among OAA Title III program participants. Administration on Aging Research Brief Number 3. 2010. Accessed at http://www.aoa.gov/AoA-Root?Program_Results/docs/2010?AoA_3_MultipleServices_041311.pdf
103. A.Barrett, J.Schimmel. OAA Title III services target the most vulnerable elderly in the United States. Administration on Aging Research Brief Number 2. 2010. Accessed at http://www.aoa.gov/AoARoot?Program_Results/docs/2010/AoA_2_HealthStatus_041311.pdf
104. Administration for Community Living. Administration on Aging Evaluation of the Title III-C Elderly Nutrition Program. Accessed at http://www.aoa.acl.gov/Program_Results/Program_Evaluation.aspx on 28 March 2015.