Country of origin predicts nutrition risk among community living older people
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To assess the nutrition risk status of community living older people and to identify associated risk factors.
A cross-sectional study using convenience sampling.
North Shore City, Auckland, New Zealand. Data collection was carried out by a research nutritionist using computer assisted personal interviewing in the participant’s own home.
Fifty-one independently living people aged between 80 and 85 years.
A survey using three validated questionnaires: Practitioner Assessment of Network Type (PANT) to evaluate social networks; Elderly Assessment System (EASY-Care) to evaluate physical and mental wellbeing and Seniors in the Community: Risk Evaluation for Eating and Nutrition Version II (SCREEN II) to assess nutrition risk.
A third of the participants (31%) were at high risk of malnutrition (SCREEN II score <50; range 29–58 out of maximum score of 64). The majority of participants (82%) lived alone and nearly half (47%) had supportive social networks including close relationships with local family, friends and neighbours. Low self-rated health, disability and social factors (being born outside of New Zealand, losing a spouse and loneliness) were key underlying factors associated with being at nutrition risk.
Nutrition risk is common among aged individuals living in the community. Health and social factors that shape eating behaviours place older people at increased nutrition risk. Strategies are needed for the early identification of risk factors to prevent nutrition problems. Engaging older people at risk to share meal preparation and dining experiences may foster better outcomes.
- Health of older people strategy: health sector action to 2010 to support positive ageing. Ministry of Health, Wellington
- Wilkinson, T., Sainsbury, R. (1998) The association between mortality, morbidity and age in New Zealand’s oldest old. International Journal of Aging & Human Development 46: pp. 333-343 CrossRef
- Ministry of Social Policy, The New Zealand Positive Ageing Strategy. 2001. Wellington. http://www.osc.govt.nz/documents/nzpositiveageingstrategy.pdf
- Position paper of the American Dietetic Association: nutrition across the spectrum of aging. Journal of the American Dietetic Association 105: pp. 616-633 CrossRef
- Wylie, C., Copeman, J., Kirk, S. (1999) Health and social factors affecting the food choice and nutritional intake of elderly people with restricted mobility. Journal of Human Nutrition and Dietetics 12: pp. 375-380 CrossRef
- Donini, L.M., Savina, C., Cannella, C. (2003) Eating Habits and Appetite Control in the Elderly: The Anorexia of Aging. International Psychogeriatrics 15: pp. 73-87 CrossRef
- Posthauer, M., Dorse, B., Foiles, R. (1994) ADA’s definitions for nutrition screening and nutrition assessment. Journal of the American Dietetic Association 94: pp. 838-839 CrossRef
- Elia, M., Zellipour, L., Stratton, R. (2005) To screen or not to screen for adult malnutrition?. Clinical Nutrition 24: pp. 867-884 CrossRef
- Keller, H., Hedley, M., Wong Brownlee, S. (2000) Development of SCREEN-Seniors in the Community: Risk Evaluation for Eating and Nutrition. Can J Diet Prac Res 61: pp. 62-72
- Keller, H., Goy, R., Kane, S.-L. (2005) Validity and reliability of SCREEN II (Seniors in the Community; Risk evaluation for eating and nutrition, Version II). Eur J Clin Nutr 59: pp. 1149-1157 CrossRef
- Barrett, P., Twitchin, S., Kletchko, S., Ryan, F. (2006) The Living Environments Of Community-Dwelling Older People Who Become Frail: Another Look At The Living Standards Of Older New Zealanders Survey. Social Policy Journal of New Zealand 28: pp. 133-157
- Locher, J., Ritchie, C., Roth, D., Sawyer Baker, P., Bodner, E., Allman, R. (2005) Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Social Science & Medicine 60: pp. 747-761 CrossRef
- Castro, J. (2002) Age-related changes in the social, psychological, and temporal influences on food intake in free-living, healthy, adult humans. Journal of Gerontology: Medical Sciences 57A: pp. M368-M377
- Walker, D., Beauchene, R.E. (1991) The relationship of loneliness, social isolation, and physical health to dietary adequacy of independently living elderly. Journal of the American Dietetic Association 91: pp. 300-305
- Davis, M.A., Murphy, S.P., Neuhaus, J.M., Lein, D. (1985) Living arrangements and dietary quality of older U.S. adults. Journal of Gerontology 40: pp. 434-442
- McIntosh, W., Shifflett, P., Picou, J. (1989) Social support, stressful events, strain, dietary intake, and the elderly. Medical Care 27: pp. 140-153 CrossRef
- Mezuk, B., Rebok, G.W. (2008) Social Integration and Social Support Among Older Adults Following Driving Cessation. Journal of Gerontology 63B: pp. S298-S303
- Davey, J. (2004) Coping without a car. New Zealand Institute for Research on Ageing, Wellington
- Wenger GC. Review of findings on support networks of older Europeans. Journal of Cross-Cultural Gerontology. 1997 (12):1–21.
- Wenger, G.C. (1994) Support networks of older people: A guide for practitioners. Centre for Social Policy Research and Development, University College of Wales, Bangor
- Sidenvall, B., Nydahl, M., Fjellstrom, C. (2001) Managing food shopping and cooking: the experiences of older Swedish women. Ageing and Society 21: pp. 151-168 CrossRef
- Sharkey, J.R., Branch, L.G., Zohoori, N., Giuliani, C., Busby-Whitehead, J., Haines, P.S. (2002) Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors. Am J Clin Nutr 76: pp. 1435-1445
- Benyamini, Y., Leventhal, E.A., Leventhatl, H. (2003) Elderly people’s ratings of the importance of health-related factors to their self-assessments of health. Social Science and Medicine 56: pp. 1661-1667 CrossRef
- Osler, M., Heitmann, B.L., Høidrup, S., Jørgensen, L.M., Schroll, M. (2004) Food intake patterns, self rated health and mortality in Danish men and women. A prospective observational study. Journal of Epidemiol and Community Health 555: pp. 399-403
- Goldman, N., Glei, D., Chang, M.-C. (2003) The role of clinical risk factors in understanding self-rated health. Annals of Epidemiology 14: pp. 49-57 CrossRef
- Salmond, C., Crampton, P., Atkinson, J. (2007) NZDep2006 Index of Deprivation. Department of Public Health, University of Otago., Wellington
- Keller, H.H. (2006) The SCREEN I (Seniors in the Community: Risk Evaluation for Eating and Nutrition) index adequately represents nutritional risk. Journal of Clinical Epidemiology 59: pp. 836-841 CrossRef
- Philp, I. (2000) EASY-Care. A systematic approach to the assessment of older people. Geriatric Medicine 30: pp. 15-19
- Keller, H., Hedley, M., Wong, S.-L., Vanderkooy, P., Tindale, J., Norris, J. (2006) Community organised food and nutrition education: participation, attitudes and nutritional risk in seniors. J Nutr Health Aging 10: pp. 15-20
- Keller, H.H., McKenzie, J.D. (2003) Nutritional risk in vulnerable community-living seniors. Canadian Journal of Dietetic Practice and Research 64: pp. 195-201 CrossRef
- Position of the American Dietetic Association: nutrition, ageing, and the continuum of care. Journal of American Dietetic Association 100: pp. 580-595 CrossRef
- Castro, J., Stroebele, N. (2002) Food intake in the real world: implications for nutrition and aging. Clinics in Geriatric Medicine 18: pp. 685-697 CrossRef
- Locher, J., Robinson, C., Roth, D., Ritchie, C., Burgio, K. (2005) The Effect of the Presence of Others on Caloric Intake in Homebound Older Adults. Journal of Gerontology: Medical Sciences 60A: pp. 1475-1478
- Chipperfield, J.G. (2008) Everyday Physical Activity as a Predictor of Late-Life Mortality (vol 48, pg 349, 2008). Gerontologist 48: pp. 708-708
- Donini, L.M., Savina, C., Cannella, C. (2003) Eating habits and appetite control in the elderly: the anorexia of aging. International Psychogeriatrics 15: pp. 73-87 CrossRef
- Bernstein, M.A., Tucker, K.L., Ryan, N.D. (2002) Higher dietary variety is associated with better nutritional status in frail elderly people. Journal of the American Dietetic Association 102: pp. 1096-1104
- Gama, E.V., Damina, J., Molino, J.P., Lopez, M.R., PErez, M.L., Iglesias, F.J. (2000) Association of individual activites of daily living with self-rated health in older people. Age and Ageing 29: pp. 267-270 CrossRef
- Burge, K., Gazibarich, B. (1999) Nutritional risk among a sample of community-living elderly attending senior citizens’ centres. Australian Journal of Nutrition and Dietetics 56: pp. 137-143
- Keller, H.H., Goy, R., Kane, S.-L. (2005) Validity and reliability of SCREEN II (Seniors in the Community: Risk evaluation for eating and nutrition, Version II). European Journal of Clinical Nutrition 59: pp. 1149-1157 CrossRef
- Campbell, A.J., Busby, W.J., Robertson, C., Horwarth, C. (1995) Control over future health in old age: Characteristics of believers and sceptics. Age and Ageing 24: pp. 204-209 CrossRef
- Whichelow, M.J., Prevost, A.T. (1996) Dietary patterns and their associations with demographic, lifestyle and health variables in a random sample of British adults. British Journal of Nutrition 76: pp. 17-30 CrossRef
- Idler, E.L., Angel, R.J. (1990) Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. American Journal of Public Health 80: pp. 446-452 CrossRef
- Ministry for Culture and Heritage. Life in New Zealand -assisted immigration. 2008. http://www.nzhistory.net.nz/culture/assisted-immigration/life-in-new-zealand
- Kerse, N., Butler, M., Robinson, E., Todd, M. (2004) Wearing slippers, falls and injury in residential care. Australian & New Zealand Journal of Public Health 28: pp. 180-187 CrossRef
- Statistics New Zealand. New Zealand’s 65+ population. A Statistical Volume: 2 2007.
- Baker, A., Wardle, J. (2003) Sex differences in fruit and vegetable intake in older adults. Appetite 40: pp. 269-275 CrossRef
- Country of origin predicts nutrition risk among community living older people
The journal of nutrition, health & aging
Volume 15, Issue 4 , pp 253-258
- Cover Date
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- Additional Links
- Older people
- nutrition risk
- New Zealand
- Industry Sectors
- Author Affiliations
- 1. Institute of Food, Nutrition & Human Health, Auckland, New Zealand
- 3. Institute of Food, Nutrition and Human Health, Massey University, Albany Campus, Private Bag 102904, North Shore Mail Centre, Auckland, New Zealand
- 2. Institute of Mathematical Sciences, Massey University, Albany, New Zealand