{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:05:43Z","timestamp":1765807543399,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T00:00:00Z","timestamp":1521072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The prevalence of diabetes in older adults in residential aged care (RAC) is twice that of community dwelling older adults. Older adults with diabetes have been highlighted as being at high risk of frailty and malnutrition, particularly when managed on a therapeutic diet. However, assumptions may be based on clinical presentation of our oldest old which may be at conflict with the clinical presentation of younger older adults. The aim of this retrospective audit was to identify the characteristics of aged care residents with diabetes, their comorbidities and malnutrition risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Residents' with diabetes paper\u2010based records were audited for demographic data, diet code, medical and medication history, malnutrition risk screening scores and anthropometric data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 295 residents with diabetes records were audited across 13 sites in South Australia. Younger older adults (65\u201374 years) were generally in a healthy weight range (23\u201330 kg\/m<jats:sup>2<\/jats:sup>) or obese (&gt;30 kg\/m<jats:sup>2<\/jats:sup>) and had gained weight since admission to RAC; whereas the oldest old were more likely to have lost weight and had a lower body mass index range 22.6\u201328.9 kg\/m<jats:sup>2<\/jats:sup>. An unexpected finding was the variability between RAC sites in dietary management of diabetes and potential inappropriate dietary management of malnutrition, as indicated by their food service diet codes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest that younger older adults in RAC are more likely to be overweight which is maintained over a typical length of stay. Study findings indicate that diabetes management is inconsistent and highlights the need for mandated RAC menu guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12418","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T13:36:55Z","timestamp":1521121015000},"page":"494-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Characteristics of older adults with diabetes: What does the current aged care resident look like?"],"prefix":"10.1111","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-6640","authenticated-orcid":false,"given":"Olivia","family":"Farrer","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9808-4748","authenticated-orcid":false,"given":"Alison","family":"Yaxley","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Walton","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics, School of Medicine, University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,15]]},"reference":[{"volume-title":"Population Projections Australia, 2012 to 2101","year":"2013","author":"Australian Bureau of Statistics (ABS)","key":"e_1_2_5_2_1"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1262-3636(05)73650-8"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2005.10.004"},{"key":"e_1_2_5_5_1","first-page":"132","article-title":"A liberalized approach to diets for diabetes in long term care","volume":"10","author":"Dorner B","year":"2002","journal-title":"Director"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2016.06.013"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2112"},{"volume-title":"Best Practice Food and Nutrition Manual for Aged Care Facilities","year":"2012","author":"Bartl R","key":"e_1_2_5_8_1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.1.70"},{"volume-title":"Healthy Eating & Diabetes: A Guide for Aged Care Facilities","year":"2011","author":"Richardson TSA","key":"e_1_2_5_10_1"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2014.12.021"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/51.1.67"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(01)00353-4"},{"key":"e_1_2_5_14_1","first-page":"185","article-title":"Evaluation of nutritional status and its relationship with functional status in older citizens with diabetes mellitus using the mini nutritional assessment (MNA) tool. 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