Objective The term ‘culinary dependence’ denotes a situation in which someone delegates all or part of their daily meal-related activities to a third party. The present study aimed to explore nutritional risk among older people (≥65 years) with culinary dependence. Method The first survey included 559 people either living at home without help, with help unrelated to food activities, with help related to food activities or living in nursing home. The second survey included 319 people with food help provided by a caregiver, by meals-on-wheels or by a nursing home. Nutritional status was assessed with the Mini-Nutritional Assessment. Sociological background and wellness variables (health, cognitive and mental status) were collected. Results The first survey found a strong association between culinary dependence and nutritional risk. About half of the people who delegated their food-related activities were malnourished or at risk of malnutrition compared with only 4% for people with no help and 12% for people with help unrelated to food activity. According to the second survey, this prevalence varied slightly depending on who the tasks were delegated to (46% for those who had the support of a caregiver; 60% for those who used a meals-on-wheels service; 69% for those living in nursing home). According to multivariate analyses, dependence categories, depressive symptoms and cognitive status were identified as independent determinants of malnutrition. Conclusion Without inferring a causal relationship between dependence and malnutrition, there is a strong need for care structures to take into account the issue of malnutrition when developing services targeting older people.

中文翻译：

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有烹饪依赖的法国老年人营养不良风险的患病率

目标 “烹饪依赖”一词是指某人将其全部或部分日常膳食相关活动委托给第三方的情况。本研究旨在探讨有烹饪依赖的老年人（≥65 岁）的营养风险。方法 第一项调查包括 559 人在家中没有帮助、在与食物活动无关的帮助下、在与食物活动有关的帮助下或住在疗养院。第二次调查包括 319 人，他们得到了看护人、带餐车或疗养院提供的食物帮助。营养状况通过小型营养评估进行评估。收集了社会学背景和健康变量（健康、认知和精神状态）。结果 第一次调查发现烹饪依赖与营养风险之间存在密切关联。约半数委派食物相关活动的人营养不良或有营养不良的风险，相比之下，没有帮助的人和与食物活动无关的人只有 4% 和 12%。根据第二次调查，这种流行率略有不同，具体取决于任务被委派给的人（46% 的人有看护者的支持；60% 的人使用轮式送餐服务；69% 的人在疗养院）。根据多变量分析，依赖类别、抑郁症状和认知状态被确定为营养不良的独立决定因素。结论 在不推断依赖和营养不良之间的因果关系的情况下，护理结构非常需要在开发针对老年人的服务时考虑营养不良问题。