Oral Nutritional Supplement Taste Preferences of Inpatients
Abstract
Objective: This study aims to determine oral nutritional supplement (ONS) taste preferences of inpatients, and show the relationship of these preferences to age and comorbidities.
Methods: Two-hundred patients were included in the present study. Patients’ demographic characteristics, reasons for hospitalization, comorbidities, pharmaceuticals, smoking, alcoholism, depression status and NRS2002 scores were investigated. Five different tastes (vanilla, strawberry, coffee, bananas and peach) were tested. Visual analog scale (VAS: from 0 to 10 points) was used to detect patients’ preference scores for each taste.
Results: Mean age of the participants was 58.4±16.3 years (51.5% male). Polypharmacy, chronic alcoholism and smoking cigarette were seen in 61.5%, 4.5% and 12% of the participants, respectively. Medians of VAS scores were 8 points for coffee (min-max: 1-10), 8 points for strawberry (min-max: 2-10), 8 points for bananas (min-max: 1-10), 7 points for peach (min-max: 1-10) and 6 points for vanilla (min-max: 1-10) (p<0.001). Median VAS scores were significantly lower in peach and vanilla group than others (p<0.001). When VAS scores were compared according to gender, age, chronic diseases, educational level, polypharmacy, malnutrition, smoking and alcoholism, it was seen that there were no significantly differences between groups. However, VAS scores of vanilla and peach groups were significantly lower than the other tastes according to the above mentioned status (p<0.001).
Conclusion: In this study, it was shown that peach and vanilla were the least preferred tastes. But, no association was detected between ONS taste preferences, on one hand, and gender, age, chronic diseases, educational level, polypharmacy, malnutrition, smoking and alcoholism, on the other.
References
Mcalpine SJ, Harper J, Mcmurdo ME, Bolton-Smith C, Hetherington MM. Nutritional supplementation in older adults: pleasantness, preference and selection of sip-feeds. Br J Health Psychol 2003; 8: 57-66.
Tai K, Feinle-Bisset C, Horowitz M, Wishart JM, Chapman IM. Effects of nutritional supplementation on the appetite and energy intake responses to IV cholecystokinin in older adults. Appetite 2010; 55: 473-7.
Schiffman SS, Warwick ZS. Effect of flavor enhancement of foods for the elderly on nutritional status: food intake, biochemical indices, and anthropometric measures. Physiol Behav 1993; 53: 395-402.
Morley JE. Anorexia of aging: physiologic and pathologic. Am J Clin Nutr 1997; 66: 760-73.
Lammel Ricardi J, Marcadenti A, Perocchin De Souza S, Siviero Ribeiro A. Oral nutritional supplements intake and nutritional status among inpatients admitted in a tertiary hospital. Nutr Hosp 2013; 28: 1357-60.
Hickson M, Bulpitt C, Nunes M, Peters R, Cooke J, Nicholl C, et al. Does additional feeding support provided by health care assistants improve nutritional status and outcome in acutely ill older in-patients?--a randomised control trial. Clin Nutr 2004; 23: 69-77.
Ravasco P. Aspects of taste and compliance in patients with cancer. Eur J Oncol Nurs 2005; 9 Suppl 2: S84-91.
Keele AM, Bray MJ, Emery PW, Duncan HD, Silk DB. Two phase randomised controlled clinical trial of postoperative oral dietary supplements in surgical patients. Gut 1997; 40: 393-9.
Darmon P, Karsegard VL, Nardo P, Dupertuis YM, Pichard C. Oral nutritional supplements and taste preferences: 545 days of clinical testing in malnourished in-patients. Clin Nutr 2008; 27: 660-5.
Johnson FM. Alterations in taste sensation: a case presentation of a patient with end-stage pancreatic cancer. Cancer Nurs 2001; 24: 149-55.
Duffy VB, Bartoshuk LM. Food acceptance and genetic variation in taste. J Am Diet Assoc 2000; 100: 647-55.
Mcgough C, Peacock N, Hackett C, Baldwin C, Norman A, Frost G, et al. Taste preferences for oral nutrition supplements in patients before and after pelvic radiotherapy: a double-blind controlled study. Clin Nutr 2006; 25: 906-12.
Bartoshuk LM. Comparing sensory experiences across individuals: recent psychophysical advances illuminate genetic variation in taste perception. Chem Senses 2000; 25: 447-60.
Bartoshuk LM. Psychophysical advances aid the study of genetic variation in taste. Appetite 2000; 34: 105.
Schiffman SS. Taste and smell losses in normal aging and disease. JAMA 1997; 278: 1357-62.
Kennedy O, Law C, Methven L, Mottram D, Gosney M. Investigating age-related changes in taste and affects on sensory perceptions of oral nutritional supplements. Age Ageing 2010; 39: 733-8.
Rahemtulla Z, Baldwin C, Spiro A, Mcgough C, Norman AR, Frost G, et al. The palatability of milk-based and non-milk-based nutritional supplements in gastrointestinal cancer and the effect of chemotherapy. Clin Nutr 2005; 24: 1029-37.
Brown RO, Schlegel K, Hall NH, Bernard S, Heizer WD. Taste preferences for nutritional supplements: comparison of cancer patients and healthy controls using a wine-tasting scale. JPEN J Parenter Enteral Nutr 1986; 10: 490-3.
