{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T20:57:01Z","timestamp":1780433821166,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004752","name":"State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004752","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Malnutrition is prevalent among aged care residents and is exacerbated by inadequate provision and intake of protein. High rates of malnutrition and inadequate provision of protein were two issues raised by the Royal Commission into Aged Care Quality and Safety that prompted the Federal government to provide financial support to the sector to improve nutrition in residents. We aimed to determine if protein provision to, and intake in, residents has improved and meets requirements following the Royal Commission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Protein intakes from 12 Pre\u2010Royal Commission studies were identified from a literature search (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092378 residents, 85.9\u2009years, 72.3% female). Post\u2010Royal Commission intakes of 78 residents (84.3\u2009years, 84.6% female) were documented. Protein intakes were measured using weighed intake or visual plate waste assessment over 1\u20133\u2009days. Intakes (\u00b195% confidence interval) for protein (g), relative protein (g\/kg body weight), high\u2010protein foods and energy (kJ\/kg body weight) were calculated. Differences occurred if the 95% confidence interval between Pre\u2010 and Post\u2010Royal Commission intakes did not overlap.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean relative protein (0.9\u2009g\/kg body weight; 95% confidence interval: 0.8\u20130.9) and energy (98\u2009kJ\/kg body weight; 95% confidence interval: 97\u2013100) intakes of residents pre\u2010Royal Commission did not differ to post\u2010Royal Commission residents (protein: 0.9\u2009g\/kg body weight; 95% confidence interval: 0.8\u20131.0, energy: 96\u2009kJ\/kg body weight; 95% confidence interval: 88\u2013104). Provision and intakes of high\u2010protein foods remained below recommended levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Protein intake of residents and provision of high\u2010protein foods were inadequate prior to and remain below recommendations since the Royal Commission. Regulatory changes such as minimal national nutritional standards for food provision are required to ensure nutritional adequacy of aged care residents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1747-0080.70075","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:49:50Z","timestamp":1775476190000},"page":"387-398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Protein intake in aged care residents before and after the Royal Commission into Aged Care Quality and Safety: A review of historical data compared to contemporary intakes"],"prefix":"10.1111","volume":"83","author":[{"given":"Emily","family":"Adams","sequence":"first","affiliation":[{"name":"Department of Endocrinology University of Melbourne\/Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalise","family":"Macriyiannis","sequence":"additional","affiliation":[{"name":"Department of Endocrinology University of Melbourne\/Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9820-6229","authenticated-orcid":false,"given":"Shannon","family":"Turnbull","sequence":"additional","affiliation":[{"name":"Department of Endocrinology University of Melbourne\/Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3900-2030","authenticated-orcid":false,"given":"Sandra","family":"Iuliano","sequence":"additional","affiliation":[{"name":"Department of Endocrinology University of Melbourne\/Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Government Department of Health and Aged Care.Aged care data snapshot: 2024. Accessed November 2025.https:\/\/www.gen-agedcaredata.gov.au\/resources\/access-data\/2024\/october\/aged-care-data-snapshot-2024."},{"key":"e_1_2_10_3_1","unstructured":"Aged Care Quality and Safety Commission.Aged care quality standards: guidance and resources.2023. Accessed November 2025.https:\/\/www.agedcarequality.gov.au\/sites\/default\/files\/media\/quality-standards-guidance-resource-aug-23.pdf."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S000711451600461X"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12851"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12131296"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-022-1868-7"},{"key":"e_1_2_10_8_1","unstructured":"BartlR BunneyC.New South Wales Government Best Practice Food and Nutrition Manual for Aged Care Homes.2015. Accessed November 2025.https:\/\/www.cclhd.health.nsw.gov.au\/wp\u2010content\/uploads\/BestPracticeFoodandNutritionManualforAgedCare.pdf."},{"key":"e_1_2_10_9_1","unstructured":"Queensland Health.Nutrition standards for meals and menus.2022. Accessed November 2025.https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0030\/156288\/qh\u2010nutrition\u2010standards.pdf."},{"key":"e_1_2_10_10_1","unstructured":"Department of Human Services (Victoria).Nutrition standards for menu items in Victorian hospitals and residential aged care facilities.2009. Accessed Nov 2024.https:\/\/www2.health.vic.gov.au\/...\/%7BFD518768-F48E-4712-BF66-69C86A188243."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.489"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-013-0042-7"},{"key":"e_1_2_10_13_1","unstructured":"Australian Government Department of Health and Ageing.Australian guide to healthy eating.2015.www.eatforhealth.gov.au"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-013-0025-8"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.08.005"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2009.09.024"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/0361073X.2024.2421686"},{"key":"e_1_2_10_18_1","first-page":"141","article-title":"A dairy\u2010based protein, calcium and vitamin D supplement reduces falls and femoral neck bone loss in aged care residents: a cluster randomised trial","volume":"2","author":"Iuliano\u2010Burns S","year":"2012","journal-title":"J Aging Res Clin Pract"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2364"},{"key":"e_1_2_10_20_1","unstructured":"Australian Government Royal Commission into Aged Care Quality and Safety.Care dignity and respect: final report.2021.https:\/\/agedcare.royalcommission.gov.au\/publications\/final-report"},{"key":"e_1_2_10_21_1","unstructured":"Australian Government Federal Registry of Legislation.Aged Care Act 2024.2025. 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Best practice guidelines for Australian residential aged care services.2025. Accessed November 2025.https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2025-06\/falls-guidelines-for-racs.pdf."},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.7748\/nop.27.5.29.e697"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12937-015-0057-5"},{"key":"e_1_2_10_35_1","unstructured":"BrownS.Aged care financial performance survey sector report: financial year ended 30 June 2024. Accessed November 2025.https:\/\/www.stewartbrown.com.au\/images\/documents\/StewartBrown_\u2010_Aged_Care_Financial_Performance_Survey_Report_FY_June_2024.pdf."},{"key":"e_1_2_10_36_1","unstructured":"Australian Commission into Aged Care Quality and Safety.Draft: Standard 6 \u2013 food and nutrition: guidance material for the strengthened aged care quality standards for review and discussion.2024. 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