Abstract
Aim
This study aimed to gain a better understanding of the nutritional risk (NR) and nutritional needs of newly enrolled Meals on Wheels (MOW) participants.
Subjects and methods
This cross-sectional study in a Midwest state assessed the NR and dietary intake frequencies (DIF) of 167 newly enrolled MOW participants ages 60 years and older using the Dietary Screening Tool.
Results
Participants were primarily female (62.9%) and enrolled in MOW during the winter (85%). Over half (53.9%) classified “at NR,” 43.7% “at possible NR,” and 2.4% “not at NR.” “Low” DIF of dairy, lean protein, and processed meat were detected. “Moderate” DIFs of vegetable, total and whole grains, whole fruit and juice, and added fats, sugars, and sweets were also found. Male participants experienced higher NR (p < 0.0005) and consumed lower fruit and vegetable DIFs (p < 0.030) than females. Lean protein DIFs were lower in the winter than in the summer (p = 0.04).
Conclusion
Early identification of NR and factors influencing NR can help community food programs better address OA nutrition concerns.
Similar content being viewed by others
Availability of data and material
Not available.
Code availability
Not Applicable.
References
Adams J, Goffe L, Adamson AJ, Halligan J, O'Brien N, Purves R, Stead M, Stocken D, White M (2015) Prevalence and socio-demographic correlates of cooking skills in UK adults: cross-sectional analysis of data from the UK National Diet and nutrition survey. Int J Behav Nutr Act 12:99. https://doi.org/10.1186/s12966-015-0261-x
Administration on Aging, Administration for Community Living, and U.S. Department of Health and Human Services (2018) 2017 Profile of Older Americans. https://www.acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2017OlderAmericansProfile.pdf. Accessed 10 Mar 2020
Administration for Community Living (2020) Aging Integrated Database.” https://agid.acl.gov/DataGlance/SPR/ Accessed 22 May 2020
Ahn M, Kwon HJ, Kang J (2017) Supporting aging-in-place well: findings from a cluster analysis of the reasons for aging-in-place and perceptions of well-being. J Appl Geron. https://doi.org/10.1177/0733464817748779
Anne FL, Bisakha S, Kilgore ML, Locher JL (2014) The influence of gender, age, education, and household size on meal preparation and food shopping responsibilities. Public Health Nutr 17(9):2061–2070. https://doi.org/10.1017/S1368980013002267
Aparicio-Ugarriza R, Rumi C, Luzardo-Socorro R, Mielgo-Ayuso J, Palacios G, Bibiloni MM, Julibert EA, Tur JA, González-Gross M (2018) Seasonal variation and diet quality among Spanish people aged over 55 years. J Physiol Biochem 74(1):179–188. https://doi.org/10.1007/s13105-017-0599-4
Atkins JL, Ramsay SE, Whincup PH, Morris RW, Lennon LT, Wannamethee SG (2015) Diet quality in older age: the influence of childhood and adult socio-economic circumstances. Br J Nutr 113(9):1441–1452. https://doi.org/10.1017/S0007114515000604
Bailey RL, Mitchell DC, Miller CK, Still CD, Jensen GL, Tucker KL, Smiciklas-Wright H (2007) A dietary screening questionnaire identifies dietary patterns in older adults. J Nutr 137:421–426
Bailey RL, Miller PE, Mitchell DC, Hartman TJ, Lawrence FR, Sempos CT, Smiciklas-Wright H (2009) Dietary screening tool identifies nutritional risk in older adults. Am J Clin Nutr 90:177–183. https://doi.org/10.3945/ajcn.2008.27268
Baker AH, Wardle J (2003) Sex differences in fruit and vegetable intake in older adults. Appetite 40(3):269–175
Bernstein S, Zambell K, Amar MJ, Arango C, Kelley RC, Miszewski SG, Tryon S, Courville AB (2016) Dietary intake patterns are consistent across seasons in a cohort of healthy adults in a metropolitan population. J Acad Nutr Diet 116(1):38–45
Cottell KE, Dorfman LR, Straight CR, Delmonico MJ, Lofgren IE (2011) The effects of diet education plus light resistance training on coronary heart disease risk factors in community-dwelling older adults. J Nutr Health Aging 15(9):762–767
Deer RR, Volpi E (2015) Protein intake and muscle function in older adults. Curr Opin Clin Nutr 18(3):248–253
Drummond M, Smith J (2006) Ageing men's understanding of nutrition: implications for health. J Mens Health Gend 3(1):56–60. https://doi.org/10.1016/j.jmhg.2005.06.001
Ersoy N, Taşçi İ, Özgürtaş T, Salih B, Doruk H, Rakicioğlu N (2018) Effect of seasonal changes on nutritional status and biochemical parameters in Turkish older adults. Nutr Res Pract 12(4):315–323
Francis SL, MacNab L, Shelley M (2014) A theory-based newsletter nutrition education program reduces nutritional risk and improves dietary intake for congregate meal participants. J Nutr Gerontol Geriatr 33(2):91–107. https://doi.org/10.1080/21551197.2014.906336
Frongillo EA, Isaacman TD, Horan CM, Wethington E, Pillemer K (2010) Adequacy of and satisfaction with delivery and use of home-delivered meals. J Nutr Elder 29(2):211–226
Gorissen SHM, Witard OC (2018) Characterising the muscle anabolic potential of dairy, meat and plant-based protein sources in older adults. Proc Nutr Soc 77(1). https://doi.org/10.1017/S002966511700194X
Hamirudin AH, Charlton K, Walton K (2016) Outcomes related to nutrition screening in community living older adults: a systematic literature review. Arch Gerontol Geriatr. https://doi.org/10.1016/j.archger.2015.09.007
Hanach NI, McCullough F, Avery A (2019) The impact of dairy protein intake on muscle mass, muscle strength, and physical performance in middle-aged to older adults with or without existing sarcopenia: a systematic review and meta-analysis. Adv Nutr 10(1):59–69. https://doi.org/10.1093/advances/nmy065
Hartmann C, Dohle S, Siegrist M (2013) Importance of cooking skills for balanced food choices. Appetite 65(1):125–131. https://doi.org/10.1016/j.appet.2013.01.016
Jahns L, Johnson LK, Scheett AJ, Stote KS, Raatz SK, Subar AF, Tande D (2016) Measures of diet quality across calendar and winter holiday seasons among midlife women: a 1-year longitudinal study using the automated self-administered 24-hour recall. J Acad Nutr Diet 116(12). https://doi.org/10.1016/j.jand.2016.07.013
Jensen GL (2008) Inflammation: roles in aging and sarcopenia. J Parenter Enter Nutr 32(6):656–659. https://doi.org/10.1177/0148607108324585
Lake AA, Hyland RM, Mathers JC, Rugg-Gunn AJ, Wood CE, Adamson AJ (2006) Food shopping and preparation among the 30-somethings: whose job is it? (the ASH30 study). Brit Food J 108(6):475–486. https://doi.org/10.1108/00070700610668441
Lana A, Rodriguez-Artalejo F, Lopez-Garcia E (2015) Dairy consumption and risk of frailty in older adults: a prospective cohort study. J Am Geriatr Soc 63(9):1852–1860. https://doi.org/10.1111/jgs.13626
Lillehoj CJ, Yap L, Montgomery D, Shelley M, Francis SL (2018) Nutritional risk among congregate meal site participants: benefits of a SNAP-Ed program. J Nutr Gerontol Geriatr 37:204–217. https://doi.org/10.1080/21551197.2018.1516592
Lloyd JL (2017) Hunger in older adults: challenges and opportunities for the Aging Services Network. https://www.mealsonwheelsamerica.org/docs/defaultsource/research/hungerinolderadults-fullreport-feb2017.pdf?sfvrsn=2. Accessed 10 March 2020
Lloyd JL, Wellman NS (2015) Older Americans act nutrition programs: a community-based nutrition program helping older adults remain at home. J Nutr Gerontol Geriatr. https://doi.org/10.1080/21551197.2015.1031592
Mabli J, Gearan E, Cohen R, Niland K, Redel N, Panzarella E, Carlson B (2017) Evaluation of the effect of the Older Americans Act Title III-C Nutrition Services Program on participants’ food security, socialization, and diet quality. https://www.acl.gov/sites/default/files/programs/2017-07/AoA_outcomesevaluation_final.pdf. Accessed 10 March 2020
MacNab L, Francis SL, Lofgren I, Violette C, Shelley MC, Delmonico M, Xu F (2018) Factors influencing dietary intake frequencies and nutritional risk among community-residing older adults. J Nutr Gerontol Geriatr 37:255–268. https://doi.org/10.1080/21551197.2018.1524809
Mercille G, Richard L, Gauvin L, Kestens Y, Shatenstein B, Daniel M, Payette H (2016) The food environment and diet quality of urban-dwelling older women and men: assessing the moderating role of diet knowledge. Can J Public Health 107(Suppl 1):5309. https://doi.org/10.17269/cjph.107.5309
Millen BE, Silliman RA, Cantey-Kiser J, Copenhafer DL, Ewart CV, Ritchie CS, Quatromoni PA, Kirkland JL, Chipkin SR, Fearon NA, Lund ME, Garcia RI, Barry PP (2001) Nutritional risk in an urban homebound older population the nutrition and healthy aging project. J Health Aging 5(4):269–277
Nicklett EJ, Kadell AR (2013) Fruit and vegetable intake among older adults: a scoping review. Maturitas 75(4):305–312. https://doi.org/10.1016/j.maturitas.2013.05.005
Older Americans Act of 1965, 42 USC §§ 330-339
Rozenberg S, Body J-J, Bruyère O, Bergmann P, Brandi ML, Cooper C, Devogelaer J-P, Gielen E, Goemaere S, Kaufman J-M, Rizzoli R, Reginster J-Y (2016) Effects of dairy products consumption on health: benefits and beliefs—a commentary from the Belgian bone Club and the European Society for Clinical and Economic Aspects of osteoporosis, osteoarthritis and musculoskeletal diseases. Calcif Tissue Int 98:1–17. https://doi.org/10.1007/s00223-015-0062-x
Stelmach-Mardas M, Kleiser C, Uzhova I, Peñalvo JL, La Torre G, Palys W, Lojko D, Nimptsch K, Suwalska A, Linseisen J, Saulle R, Colamesta V, Boeing H (2016) Seasonality of food groups and total energy intake: a systematic review and meta-analysis. Eur J Clin Nutr 70:700. https://doi.org/10.1038/ejcn.2015.224
Subar AF, Freedman LS, Tooze JA, Kirkpatrick SI, Boushey C, Neuhouser ML, Thompson FE, Potischman N, Guenther PM, Tarasuk V, Reedy J, Krebs-Smith SM (2015) Addressing current criticism regarding the value of self-report dietary data. J Nutr 145(12):2639–2645
Taetzsch A, Quintanilla D, Maris S, Letendre J, Mahler L, Xu F, Delmonico M, Lofgren IE (2015) Impact on diet quality and resilience in urban community dwelling obese women with a nutrition and physical activity intervention. J Aging Res Clin Pract 4(2):102–108. https://doi.org/10.14283/jarcp.2015.56
Thomas KS, Smego R, Akobundu U, Dosa D (2015) Characteristics of older adults on waiting lists for meals: identifying areas for intervention. J Appl Geron. https://doi.org/10.1177/0733464815614918
Thompson J, Tod A, Bissell P, Bond M (2017) Understanding food vulnerability and health literacy in older bereaved men: a qualitative study. Health Expect 20(6):1342–1349. https://doi.org/10.1111/hex.12574
Thorning TK, Raben A, Tholstrup T, Soedamah-Muthu SS, Givens I, Astrup A (2016) Milk and dairy products: good or bad for human health? An assessment of the totality of scientific evidence. Food Nutr Res 60:32527. https://doi.org/10.3402/fnr.v60.32527
Tilly J (2017) Opportunities to improve nutrition for older adults and reduce risk of poor health outcomes. https://nutritionandaging.org/wp-content/uploads/2017/03/Malnutrition-Issue-Brief-final-3-2017.pdf. Accessed 10 March 2020
U.S. Census Bureau (2018). Population 65 years and over in the United States, 2013–2017 American Community Survey 5-Year Estimates. https://www.census.gov/newsroom/press-kits/2018/acs-5year.html. Accessed 30 May 2020
U.S. Department of Agriculture and U.S. Department of Health and Human Services (2020) Dietary guidelines for Americans, 2020–2025, 9th edn, Dec 2020. https://www.dietaryguidelines.gov/. Accessed 8 Feburary 2021
U.S. Department of Agriculture, Food and Nutrition Service. (2020) HEI Scores for Americans https://www.cnpp.usda.gov/hei-scores-americans. Accessed 30 May 2020
United Nations, Department of Economic and Social Affairs, Population Division (2019) World population ageing 2019: highlights (ST/ESA/SER.A/430). https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf Accessed 10 March 2020
Wham CA, Bowden JA (2011) Eating for health: perspectives of older men who live alone. Nutr Diet 68(3):221–226. https://doi.org/10.1111/j.1747-0080.2011.01535.x
Zhu H, An R (2014) Impact of home-delivered meals programs on diet and nutrition among older adults. Nutr and Health 22(2):89–103. https://doi.org/10.1177/0260106014537146
Acknowledgements
This work was supported by the United States Department of Agriculture NE-1439 multi-state project “Changing the Health Trajectory for Older Adults Through Effective Diet and Activity Modifications.”
Funding
This work was supported by the United States Department of Agriculture NE-1439 multi-state project “Changing the Health Trajectory for Older Adults Through Effective Diet and Activity Modifications.”
Author information
Authors and Affiliations
Contributions
Both authors contributed to the study design, data analysis, and manuscript preparation.
Corresponding author
Ethics declarations
Ethics approval
Study protocol was reviewed by the Iowa State University Institutional Review Board for Human Subjects and classified as “exempt.”
Consent to participate
No informed consent was required since this study was exempt. Data were collected during a routine program enrollment process.
Conflicts of interest
The authors have no conflicts of interests to report.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
At the time of the study, Ms. Rudolph was a Graduate Research Assistant in the Department of Food Science and Human Nutrition at Iowa State University
Rights and permissions
About this article
Cite this article
Rudolph, C.S., Francis, S.L. Nutritional risk and dietary intake among newly enrolled meals on wheels participants. J Public Health (Berl.) 30, 1633–1640 (2022). https://doi.org/10.1007/s10389-021-01552-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-021-01552-8