Observed dietary intake in adults with intellectual disability living in the community

Abstract

Background: Knowledge is lacking about dietary habits among people with intellectual disability (ID) living in community residences under new living conditions. Objective: To describe the dietary habits of individuals with ID living in community residences, focusing on intake of food, energy and nutrients as well as meal patterns. Design: Assisted food records and physical activity records over a 3-day observation period for 32 subjects. Results: Great variation was observed in daily energy intake (4.9-14 MJ) dispersed across several meals, with on average 26% of energy coming from in-between-meal consumption. Main energy sources were milk products, bread, meat products, buns and cakes. The daily intake of fruit and vegetables (320 ± 221 ) as well as dietary fiber (21 ± 9.6 g) was generally low. For four vitamins and two minerals, 19-34% of subjects showed an intake below average requirement (AR). The physical activity level was low for all individuals (1.4± 0.1). Conclusion: A regular meal pattern with a relatively high proportion of energy from in-between-meal eating occasions and a low intake of especially fruits were typical of this group of people with ID. However, the total intake of energy and other food items varied a great deal between individuals. Thus, every adult with ID has to be treated as an individual with specific needs. A need for more knowledge about food in general and particularly how fruit and vegetables could be included in cooking as well as encouraged to be eaten as in-between-meals seems imperative in the new living conditions for adults with ID.

Keywords: observed food record; community residence; intellectual disability; fruit and vegetables; micronutrients

(Published online: 20 November 2008)

Citation: Food & Nutrition Research 2008. DOI: 10.3402/fnr.v52i0.1857