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Impact of Home-Delivered Meals on Nutrition Status and Nutrient Intake among Older Adults in Central Texas

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

This study aimed to measure changes in nutrition risk and nutrient intake after older adults received home-delivered meals (HDM) for 3 months.

Design

This study used a pre-posttest study design, with data collected before and after 3 months of HDM services.

Setting

Two HDM programs that serve the metropolitan areas of Austin and San Antonio, Texas.

Participants

Study participants were aged 60 years or older, without dementia or terminal illness, and receiving HDM in Austin, Texas and San Antonio, Texas for 3 months.

Measurements

The Nutrition Screening Initiative (NSI) and Mini Nutrition Assessment-Short Form (MNA-SF) were used to assess nutritional risk. The National Cancer Institute Diet History Questionnaire II (DHQ II) was used to assess nutrient intake over the past month.

Results

After receiving 3 months of HDM, nutrition status significantly improved as measured by the NSI and MNA-SF. More participants met or exceeded the recommended dietary allowances (RDA) for magnesium and zinc after receiving HDM compared to before receiving HDM. Dietary supplement intake was associated with a higher nutritional risk.

Conclusion

Improvements in nutrition status were found after 3 months of receiving HDM, whereas intake of most nutrients did not change significantly. Results of this study provide further evidence that HDM can reduce nutritional risk of older adults, and may inform HDM programs on the differences of NSI and/or MNA-SF to assess nutritional risk of clients.

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References

  1. Vincent GK, Velkoff VA. The Next Four Decades, The Older Population in the United States: 2010 to 2050. Washington DC. US Census Bureau. 2010 May 14 p. Report No.: P25-1138.

    Google Scholar 

  2. Drewnowski A, Evans WJ. Nutrition, physical activity, and quality of life in older adults: summary. J Gerontol A Biol Sci Med Sci. 2001;56 Spec No(2):89–94.

    Article  Google Scholar 

  3. Amarantos E, Martinez A, Dwyer J. Nutrition and quality of life in older adults. J Gerontol A Biol Sci Med Sci. 2001;56 Spec No(2):54–64.

    Article  Google Scholar 

  4. Chen CC, Schilling LS, Lyder CH. A concept analysis of malnutrition in the elderly. J Adv Nurs. 2001;36(1):131–42.

    Article  PubMed  CAS  Google Scholar 

  5. Agarwal E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: A narrative review. Maturitas. 2013;76(4):296–302.

    Article  PubMed  CAS  Google Scholar 

  6. Hamirudin AH, Charlton K, Walton K. Outcomes related to nutrition screening in community living older adults: A systematic literature review. Arch Gerontol Geriatr 2016;62:9–25.

    Article  PubMed  Google Scholar 

  7. Colello KJ. Older Americans Act: Title III Nutrition Services Program. Washington DC. Congressional Research Service. 2011 Jun. 12 p Report No.: RS21202

    Google Scholar 

  8. United States Government Accountability Office. Older Americans Act, More Should Be Done to Measure the Extent of Unmet Need for Services. Washington DC. 2011 Feb. 94 p Report No: GAO-11-237.

  9. Campbell AD, Godfryd A, Buys DR, Locher JL. Does Participation in Homedelivered Meals Programs Improve Outcomes for Older Adults?: Results of a Systematic Review. J Nutr Gerontol Geriatr. 2015;34(2): 124–167.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Wright L, Vance L, Sudduth C, Epps JB. The Impact of a Home-Delivered Meal Program on Nutritional Risk, Dietary Intake, Food Security, Loneliness, and Social Well-Being. J Nutr Gerontol Geriatr. 2015;34(2):218–27.

    Article  PubMed  Google Scholar 

  11. Dasgupta M, Sharkey JR, Wu G. Inadequate Intakes of Indispensable Amino Acids Among Homebound Older Adults. J Nutr Elder. 2005;24(3):85–99.

    Article  PubMed  Google Scholar 

  12. Krondl M, Lau D, Coleman P, Stocker G. Tailoring of Nutritional Support for Older Adults in the Community. J Nutr Elder. 2003;23(2): 17–32

    Article  PubMed  Google Scholar 

  13. Sharkey JR, Branch LG, Zohoori N, Giuliani C, Busby-Whitehead J, Haines PS. Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors. Am J Clin Nutr. 2002;76(6):1435–45.

    Article  PubMed  CAS  Google Scholar 

  14. Millen BE, Ohls JC, Ponza M, McCool AC. The elderly nutrition program: an effective national framework for preventive nutrition interventions. J Am Diet Assoc. 2002;102(2):234–40.

    Article  PubMed  Google Scholar 

  15. Frongillo EA, Wolfe WS. Impact of Participation in Home-Delivered Meals on Nutrient Intake, Dietary Patterns, and Food Insecurity of Older Persons in New York State. J Nutr Elder. 2010;29(3):293–310.

    Article  PubMed  Google Scholar 

  16. Roy MA, Payette H. Meals-on-wheels improves energy and nutrient intake in a frail free-living elderly population. J Nutr Health Aging. 2006;10(6):554–60.

    PubMed  CAS  Google Scholar 

  17. Wright L, Vance L, Sudduth C, Epps JB. The Impact of a Home-Delivered Meal Program on Nutritional Risk, Dietary Intake, Food Security, Loneliness, and Social Well-Being. J Nutr Gerontol Geriatr. 2015;34(2):218–27.

    Article  PubMed  Google Scholar 

  18. White J V, Dwyer JT, Posner BM, Ham RJ, Lipschitz DA, Wellman NS. Nutrition screening initiative: development and implementation of the public awareness checklist and screening tools. J Am Diet Assoc. 1992;92(2):163–7.

    PubMed  CAS  Google Scholar 

  19. Sinnett S, Bengle R, Brown A, Glass AP, Johnson MA, Lee JS. The Validity of Nutrition Screening Initiative DETERMINE Checklist Responses in Older Georgians. J Nutr Elder. 2010;29(4):393–409.

    Article  PubMed  Google Scholar 

  20. Texas Department of Aging and Disability Services, Access & Intake/Area Agencies on Aging. Instructions for completing the Nutrition Risk Assessment (NRA) [Internet]. Texas: Texas Department of Aging and Disabilty Services; 2010 May [cited 2018 Mar 12] Available from: https://www.dads.state.tx.us/providers/aaa/Forms/standardized/NRA.pdf

  21. Charlton KE, Kolbe-Alexander TL, Nel JH. The MNA, but not the DETERMINE, screening tool is a valid indicator of nutritional status in elderly Africans. Nutrition. 2007;23(7–8):533–42.

    Article  PubMed  Google Scholar 

  22. Phillips MB, Foley AL, Barnard R, Isenring EA, Miller MD. Nutritional screening in community-dwelling older adults: a systematic literature review. Asia Pac J Clin Nutr. 2010;19(3):440–9

    PubMed  Google Scholar 

  23. Cereda E. Mini Nutritional Assessment. Curr Opin Clin Nutr Metab Care. 2012;15(1):29–41.

    Article  PubMed  Google Scholar 

  24. Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNASF). J Gerontol A Biol Sci Med Sci. 2001;56(6):M366–72.

    Article  PubMed  CAS  Google Scholar 

  25. Green SM, Watson R. Nutritional screening and assessment tools for older adults: literature review. J Adv Nurs. 2006;54(4):477–90.

    Article  PubMed  Google Scholar 

  26. Frey WH. The Uneven Aging and “Younging” of America: State and Metropolitan Trends in the 2010 Census. Washington DC. Metropolitan Poly Program at Brookings 2011 Jun. 19 p.

    Google Scholar 

  27. Simsek H, Sahin S, Ucku R, Sieber CC, Meseri R, Tosun P, Akcicek F. The diagnostic accuracy of the revised mini nutritional assessment short form for older people living in the community and in nursing homes. J Nutr Health Aging. 2014;18(8):725–9.

    Article  PubMed  CAS  Google Scholar 

  28. Sahyoun NR, Jacques PF, Dallal GE, Russell RM. Nutrition Screening Initiative Checklist may be a Better Awareness/Educational Tool than a Screening One. J Am Diet Assoc. 1997;97(7):760–4.

    Article  PubMed  CAS  Google Scholar 

  29. Thomas KS, Akobundu U, Dosa D. More Than A Meal? A Randomized Control Trial Comparing the Effects of Home-Delivered Meals Programs on Participants’ Feelings of Loneliness. J Gerontol B Psychol Sci Soc Sci. 2016;71(6):1049–58.

    Article  PubMed  Google Scholar 

  30. Gahche JJ, Bailey RL, Potischman N, Dwyer JT. Dietary Supplement Use Was Very High among Older Adults in the United States in 2011–2014. J Nutr. 2017;147(1):1968–1976.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  31. Bailey RL, Gahche JJ, Lentino CV, Dwyer JT, Engel JS, Thomas PR, Betz JM, Sempos, CT, Picciano MF. Dietary supplement use in the United States, 2003–2006. J Nutr. 2011;141(2):261–6.

    Article  PubMed  CAS  Google Scholar 

  32. Zuniga K, McAuley E. Considerations in selection of diet assessment methods for examining the effect of nutrition on cognition. J Nutr Health Aging. 2015;19(3):333–40.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Kinesiology, Health, and Nutrition, University of Texas at San Antonio, San Antonio, TX, USA

    Sarah L. Ullevig, E. T. Sosa & E. Uc

  2. School of Family and Consumer Sciences, Texas State University, San Marcos, TX, USA

    S. Crixell, B. Greenwald, S. Marceaux & B. J. Friedman

Authors
  1. Sarah L. Ullevig
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  2. E. T. Sosa
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  3. S. Crixell
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  4. E. Uc
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  5. B. Greenwald
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  6. S. Marceaux
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  7. B. J. Friedman
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Correspondence to Sarah L. Ullevig.

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Ullevig, S.L., Sosa, E.T., Crixell, S. et al. Impact of Home-Delivered Meals on Nutrition Status and Nutrient Intake among Older Adults in Central Texas. J Nutr Health Aging 22, 861–868 (2018). https://doi.org/10.1007/s12603-018-1038-0

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  • DOI: https://doi.org/10.1007/s12603-018-1038-0

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