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Inadequate Nutrient Intakes Among Homebound Elderly And Their Correlation With Individual Characteristics And Health-related Factors.

J. Sharkey, L. Branch, N. Zohoori, C. Giuliani, J. Busby‐Whitehead, P. Haines
Published 2002 · Medicine

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BACKGROUND The prevalence of inadequate nutrient intakes among the homebound elderly and their correlation with individual characteristics and health-related factors remain poorly understood. OBJECTIVE We assessed the extent of inadequate dietary intakes of key nutrients among the homebound elderly by using the newly released dietary reference intakes and examined the associations of individual characteristics and health-related factors with low nutrient intakes. DESIGN This was a cross-sectional examination of data collected during the baseline assessment of a prospective study of nutrition and function among a randomly recruited sample of cognitively eligible recipients of home-delivered meals who completed a home visit and three 24-h dietary recalls (n = 345). Nutrient analysis was performed with the NUTRITION DATA SYSTEM software, and associations were identified through multiple regression models. RESULTS In multiple regression models, lower intakes of specific nutrients were associated with subjects who were women, who were black, who reported a low income and limited education, and who did not usually eat breakfast. On the basis of the estimated average requirement standard for nutrient inadequacy, the intake of >/= 6 nutrients was inadequate in 27% of subjects, of 3-5 nutrients in 40% of subjects, and of 1-2 nutrients in 29% of subjects. On the basis of the adequate intake standard, a less than adequate intake of calcium was reported by 96% of subjects and of vitamin D by 99% of subjects. CONCLUSIONS The findings suggest that home-delivered meals programs should target specific subgroups of participants with interventions, such as a breakfast meal or more-nutrient-dense meals, tailored to increase nutrient intakes and reduce the prevalence of nutrient inadequacy.
This paper references
10.7326/0003-4819-61-2-382_1
Recommended dietary allowances.
N. Board. (1953)
10.7326/0003-4819-94-2-283_2
Modern nutrition in health and disease
R. Goodhart (1968)
10.2307/2287692
A Guide to Econometrics
Peter E. Kennedy (1979)
10.1093/AJCN/36.6.1225
Nutritional status in a healthy elderly population: vitamin D.
J. Omdahl (1982)
10.1111/j.1532-5415.1985.tb07109.x
The Meaning of Cognitive Impairment in the Elderly
M. Folstein (1985)
10.1111/j.1532-5415.1985.tb02276.x
Estimating Stature from Knee Height for Persons 60 to 90 Years of Age
W. Chumlea (1985)
10.1300/J018V05N01_09
Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version.
J. Sheikh (1986)
10.1177/088453368600100118
Aging Decreases the Capacity of Human Skin to Produce Vitamin D3
Ja MacLaughlin (1986)
10.4324/9781315826233
Clinical Gerontology: A Guide to Assessment and Intervention
T. Brink (1986)
Sources of data for developing and maintaining a nutrient database.
S. Schakel (1988)
10.1111/j.1532-5415.1990.tb02401.x
Nutritional Intake, Socioeconomic Conditions, and Health Status in a Large Elderly Population
A. Bianchetti (1990)
Accuracy of telephone dietary recalls in elderly subjects.
S. Dubois (1990)
10.1093/AJCN/54.3.478
Dietary intake and biochemical indices of nutritional status in an elderly population, with estimates of the precision of the 7-d food record.
H. Payette (1991)
Estimating the nutrient intake of older adults: components of variation and the effect of varying the number of 24-hour dietary recalls.
N. Ahluwalia (1991)
10.1111/j.1532-5415.1992.tb01851.x
Risk Factors for Early Hospital Readmission in a Select Population of Geriatric Rehabilitation Patients: The Significance of Nutritional Status
D. Sullivan (1992)
10.1093/ajcn/55.6.1237S
Nutritional factors in physical and cognitive functions of elderly people.
I. Rosenberg (1992)
10.1111/j.1532-5415.1992.tb01962.x
Validation of a Telephone Version of the Mini‐Mental State Examination
W. Roccaforte (1992)
Nutrition interventions manual for professionals caring for older Americans
GL Blackburn (1992)
Risk factors for early hospital readmission in a select population of rehabilitation patients
D. Sullivan (1992)
10.1093/AJCN/57.5.609
Advantage of knee height over height as an index of stature in expression of body composition in adults.
R. Roubenoff (1993)
10.1093/AJCN/58.6.882
Effects of skin thickness, age, body fat, and sunlight on serum 25-hydroxyvitamin D.
A. Need (1993)
10.1111/j.1532-5415.1994.tb07483.x
Nutrition and Function: Is There a Relationship Between Body Mass Index and the Functional Capabilities of Community‐Dwelling Elderly?
A. Galanos (1994)
10.1093/GERONJ/49.3.M123
Nutritional risk in New England elders.
B. Posner (1994)
10.1002/1097-4679(199403)50:2<256::AID-JCLP2270500218>3.0.CO;2-E
Validation of the Geriatric Depression Scale--Short Form among inpatients.
E. Lesher (1994)
10.1016/0002-8223(94)92548-8
Screening elderly in the community: the relationship between dietary adequacy and nutritional risk.
T. Melnik (1994)
10.1159/000213659
Body measurements of black and white elderly persons with emphasis on body composition.
J. Prothro (1995)
10.2105/AJPH.85.5.677
Predictors of dietary intake in a functionally dependent elderly population in the community.
H. Payette (1995)
10.1300/J052V14N04_02
Using the Nutrition Screening Initiative to survey the nutritional status of clients participating in a home delivered meals program.
A. Herndon (1995)
10.1016/S0002-8223(96)00158-7
Monitoring dietary change in a low-fat diet intervention study: advantages of using 24-hour dietary recalls vs food records.
I. Buzzard (1996)
10.1016/S0002-8223(96)00157-5
Meals-on-wheels applicants are a population at risk for poor nutritional status.
A. Coulston (1996)
Serving elders at risk ; the Older Americans Act nutrition programs : national evaluation of the Elderly Nutrition Program, 1993-1995 /; Michael Ponza, James C. Ohls, Barbara E. Millen.
M. Ponza (1996)
10.1016/S0002-8223(97)00188-0
Nutrition Screening Initiative Checklist may be a better awareness/educational tool than a screening one.
N. Sahyoun (1997)
10.1046/J.1365-2648.1997.00415.X
Undernutrition in the elderly population living at home in the community: a review of the literature.
P. McCormack (1997)
10.1016/S0002-8223(97)00235-6
Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service.
C. Chima (1997)
10.1016/S0002-8223(97)00184-3
Population nutrient intake approaches dietary recommendations: 1991 to 1995 Framingham Nutrition Studies.
B. Millen (1997)
10.1177/073346489701600202
Meal Patterns of Older Adults in Rural Communities: Life Course Analysis and Implications for Undernutrition
S. Quandt (1997)
10.1001/JAMA.1997.03550160077042
Taste and smell losses in normal aging and disease.
S. Schiffman (1997)
10.1093/AJCN/66.4.815
Nutritional status of urban homebound older adults.
C. Ritchie (1997)
10.1093/AJCN/67.2.342
Dietary calcium and vitamin D intake in elderly women: effect on serum parathyroid hormone and vitamin D metabolites.
H. K. Kinyamu (1998)
FOOD AND NUTRITION BOARD
its Panel on Folate (1998)
10.1016/S0002-8223(98)00036-4
Stature prediction equations for elderly non-Hispanic white, non-Hispanic black, and Mexican-American persons developed from NHANES III data.
W. Chumlea (1998)
10.1001/JAMA.279.21.1720
Depressive symptoms and physical decline in community-dwelling older persons.
B. Penninx (1998)
10.1111/J.1753-4887.1998.TB01628.X
The role of nutrition in immunity in the aged.
B. Lesourd (1998)
Factors Affecting Nutrient Intake of the Elderly
Jon P. Weimer (1998)
Uses and interpretation of anthropometry in the elderly for the assessment of physical status. Report to the Nutrition Unit of the World Health Organization: the Expert Subcommittee on the Use and Interpretation of Anthropometry in the Elderly.
P. B. Eveleth (1998)
The Morning Meals on Wheels Pilot Program: the benefits to elderly nutrition program participants and nutrition
DO Weddle (1998)
10.1891/1521-0987.1.1.55
Research Challenges to Recruitment and Retention in a Study of Homebound Older Adults: Lessons Learned From the Nutritional and Dental Screening Program
C. Ritchie (1999)
10.1016/S0002-8223(99)00140-6
Nutrient intakes and adequacy among an older population on the eastern shore of Maryland: the Salisbury Eye Evaluation.
J. Cid-Ruzafa (1999)
10.1016/S0031-9384(98)00264-9
Do Chemosensory Changes Influence Food Intake in the Elderly?
B. Rolls (1999)
10.2105/AJPH.89.9.1346
Exploring the effect of depression on physical disability: longitudinal evidence from the established populations for epidemiologic studies of the elderly.
B. Penninx (1999)
10.1024/0300-9831.69.3.198
The potential preventive effects of vitamins for cataract and age-related macular degeneration.
P. Jacques (1999)
Statistical software release
Stata Corporation (1999)
10.1093/JN/130.9.2256
Living arrangements affect dietary quality for U.S. adults aged 50 years and older: NHANES III 1988-1994.
M. Davis (2000)
Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline
Nutrition Board. (2000)
10.1097/00004836-200006000-00005
Nutrition in the elderly.
M. McGee (2000)
10.2105/AJPH.90.10.1636
The association of dietary folate, B6, and B12 with cardiovascular mortality in Spain: an ecological analysis.
M. Medrano (2000)
10.1038/sj.ejcn.1601107
Standardization of the 24-hour diet recall calibration method used in the European Prospective Investigation into Cancer and Nutrition (EPIC): general concepts and preliminary results
N. Slimani (2000)
of Health and Human Services
US Departmen (2000)
10.2105/AJPH.91.1.68
Financial difficulty in acquiring food among elderly disabled women: results from the Women's Health and Aging Study.
L. Klesges (2001)
Nutritional risk in an urban homebound older population. The nutrition and healthy aging project.
B. Millen (2001)
10.1016/S0002-8223(01)00078-5
Dietary reference intakes: vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc.
P. Trumbo (2001)
10.1093/GERONB/56.2.S94
Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments.
J. S. Lee (2001)
10.1093/GERONB/56.1.P12
The disablement process in very late life: a study of the oldest-old in Sweden.
E. Femia (2001)
Black/white differences in nutritional risk among rural older adults: the Home-Delivered Meals Program
Sharkey (2001)
10.1023/A:1021801927353
Healthy People 2010
S. Yu (2004)



This paper is referenced by
10.1111/1475-6773.13609
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Layla G Booshehri (2021)
10.3390/ijerph18083949
A Scoping Review of Homebound Older People: Definition, Measurement and Determinants
Young Ko (2021)
10.52547/nsft.16.1.13
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P. Shirani (2021)
10.1017/S1368980020003249
Changes in micronutrient intake and factors associated with this change among older Australian men: the Concord Health and Ageing in Men Project.
Arpita Das (2020)
10.1007/978-3-319-69892-2_544-1
Nutrition and Lifestyle
Eva Kiesswetter (2020)
10.1177/2150132720922716
Community-Dwelling Adults at Nutrition Risk: Characteristics in Relation to the Consumption of Oral Nutritional Supplements
S. Sulo (2020)
10.18502/ehj.v6i1.3410
Effectiveness of a Theory of Planned Behavior-Based Intervention for Promoting Medication Adherence among Rural Elderly Hypertensive Patients in Iran
Ebrahim Jalali Javaran (2020)
10.18502/ehj.v6i2.5012
Medication Adherence Status and its related Factors among Older Adults in Yazd, Iran
Tayebeh Sanati (2020)
10.1007/s12603-019-1224-8
Anorexia of Aging Associated with Nutrients Intake in Brazilian Elderly
L. Hara (2019)
10.5772/intechopen.85469
Importance of the Nutrition with Antioxidants in the Treatment of Cancer and Others Damages
E. Trinidad (2019)
10.1177/1084822318810384
Access to Five Nonprimary Health Care Services by Homebound Older Adults: An Integrative Review
Cynthia Sterling-Fox (2019)
Intervención educativa en ancianos receptores de un servicio de teleasistencia destinado al incremento de conocimientos sobre alimentación y actividad física y a la reducción del riesgo de inseguridad alimentaria, malnutrición y sedentarismo (ICAAF-RIMAS)
G. Carrasco (2019)
10.1108/NFS-01-2019-0028
Dietary intake is compromised among elderly living in agricultural settlements
Norain Zainudin (2019)
The Impact of Perceived and Observed Food Environments on Fruit and Vegetable Consumption and Obesity: A Theory-based Study among U.S. Older Adults
Qianzhi Jiang (2018)
10.1017/S0954422418000045
Selected B vitamins and their possible link to the aetiology of age-related sarcopenia: relevance of UK dietary recommendations
N. Aytekin (2018)
10.1007/s12603-018-1038-0
Impact of Home-Delivered Meals on Nutrition Status and Nutrient Intake among Older Adults in Central Texas
S. Ullevig (2018)
10.1017/S1368980017004244
Functional determinants of dietary intake in community-dwelling older adults: a DEDIPAC (DEterminants of DIet and Physical ACtivity) systematic literature review
E. Kiesswetter (2018)
10.3390/nu10080971
Dietary Patterns and Quality of Life in Older Adults: A Systematic Review
T. Govindaraju (2018)
10.4236/JSS.2018.612012
Your Health, My Happiness: Optimism and Socioeconomic Status as Moderators between Spousal Health and Life Satisfaction among the Elderly
Yue Zhao (2018)
10.1007/s12603-017-0935-y
Nutritional Risk and Quality of Life in Community-Dwelling Elderly: A Cross-Sectional Study
R. Damiao (2018)
10.1080/21551197.2017.1281785
Does Depressive Affect Mediate the Relationship between Self-Care Capacity and Nutritional Status Among Rural Older Adults? : A Structural Equation Modeling Approach
S. E. Jung (2017)
10.18869/ACADPUB.JOGE.1.3.1
The relationship between diabetic knowledge and self-care among the Elderly with diabetes Type 2 in Kerman-2016
Vahidreza Borhaninejad (2017)
10.1155/2017/2160819
Health Indicators of US Older Adults Who Received or Did Not Receive Meals Funded by the Older Americans Act
E. Vieira (2017)
10.15562/bmj.v5i1.276
Study of Non-Appropriate Medications Among Elderly Patients in Hospitals Affiliated with IUMS Using The STOPP Screening Tool in 2013
Z. Kavosi (2016)
10.1016/j.exger.2016.09.009
Moderate ‘multivitamin’ supplementation improved folate and vitamin B12 status in the elderly
S. Tal (2016)
10.1111/jhn.12310
Dietary intake in the dependent elderly: evaluation of the risk of nutritional deficit.
S. Fernández-Barrés (2016)
10.1080/01635581.2016.1158299
Nutritional Adequacy and Diet Quality in Colorectal Cancer Patients Postsurgery: A Pilot Study
I. Alegria-Lertxundi (2016)
10.21103/ARTICLE6(2)_CC1
How Health Relationship Management Services (HRMS) Benefits the Elderly
Cynthia Meckl-Sloan (2016)
10.7282/T3HH6N59
Nutritional Adequacy of Home Food Inventories of Seniors Receiving Home-Delivered Meals in South Carolina
Nancy F. Lashway (2016)
Development of Geriatric foods for enhanced digestibility and nutrient availability
Shilpee Gupta (2016)
10.1186/s41043-016-0061-1
Assessment of mineral intake in the diets of Polish postmenopausal women in relation to their BMI—the RAC-OST-POL study
D. Głąbska (2016)
10.31989/FFHD.V5I3.174
Vitamin C: optimal dosages, supplementation and use in disease prevention
Callen Pacier (2015)
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