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Marsh, Kirandeep (2023) The Nottingham-Ice cream project: dietary intake, food waste and ice cream solutions. MRes thesis, University of Nottingham.

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Abstract

Older adults with fragility hip and spine fractures are often extremely frail and vulnerable to malnutrition. Malnutrition is a debilitating condition in these patients. Prescription of oral nutritional supplements (ONS) is recommended to improve dietary intake.

Unfortunately,there has been limited studies exploring dietary intake and oral nutritional supplement (ONS) compliance in these people. The first phase of this research aimed to address the gap by observing daily energy and protein intake, plate waste and ONS compliance and reporting on food waste at ward level. Overall average three day dietary intake (food only) was recorded at 893 (533) kcal and 35.6 (33.8)g protein. Overall ward food waste was high; the total waste from lunch and supper can be extrapolated to 86.8kg a week or 4526kg a year (4.5 Tonnes). Finally, compliance to ONS was low; 28.3 (38.8)%.

In response to low compliance to ONS a new high protein, fortified ice cream called Nottingham-Ice cream (N-ICE CREAM) was developed. There is promising but limited research exploring the potential of ice cream as a nutritional intervention. The second part of this research compared the acceptability of N-ICE CREAM with standard ONS. The majority preferred N-ICE CREAM. Mean compliance and hedonic ratings for N-ICE CREAM were greater than the milkshake ONS. Confidence in consuming both products decreased with increasing length of time.

N-ICE CREAM presents as a promising nutritional intervention. Further, research is needed to explore the most suitable time for N-ICE CREAM administration and long-term compliance, as well as clinical outcomes.

Item Type:	Thesis (University of Nottingham only) (MRes)
Supervisors:	Avery, Amanda Sahota, Opinder
Keywords:	Malnutrition, Older adults, Nutrition, Dietary supplements, Fortified ice cream
Subjects:	Q Science > QP Physiology T Technology > TX Home economics
Faculties/Schools:	UK Campuses > Faculty of Science > School of Biosciences
Item ID:	72491
Depositing User:	Marsh, Kirandeep
Date Deposited:	22 Jul 2023 04:40
Last Modified:	22 Jul 2023 04:40
URI:	https://eprints.nottingham.ac.uk/id/eprint/72491

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