Black/White Differences in Nutritional Risk Among Rural Older Adults

Sharkey, RD Joseph R.; Haines, RD Pamela S.

doi:10.1300/j052v20n03_02

Cited by 17 publications

(16 citation statements)

References 37 publications

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“…Higher malnutrition risks were reported among homebound elderly (Lee and Novielli, 1996), low income older adults (Lokken et al, 2002;Miller et al, 1996;Sharkey et al, 2000) and those living in rural areas Sharkey and Haines, 2001), compared to those living in urban areas (Weatherspoon et al, 2004). Poor self-perceived health (Lokken et al, 2002;Miller et al, 1996;Weatherspoon et al, 2004) and functional status (Lee and Novielli, 1996;Sharkey et al, 2000) were also higher in those individuals identified at nutritional risk.…”

Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 97%

“…According to the NSI, up to 83% of community-dwelling older adults were at high risk of malnutrition (Ballard et al, 2013;Benedict et al, 1999;Coulston et al, 1996;Ledikwe et al, 2003;Lokken et al, 2002;Marshall et al, 1999;Marshall et al, 2001;Sharkey and Haines, 2001;Sharkey et al, 2000;Weatherspoon et al, 2004;Yap et al, 2007).…”

Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 99%

“…In this review, ten studies recruited MOW/home delivered meal service clients as study participants (Herndon, 1995;Keller, 2004Keller, , 2006Sharkey and Haines, 2001;Sharkey et al, 2000;Weatherspoon et al, 2004;Weddle et al, 1997;Wunderlich et al, 2011); whilst one study involved MOW applicants (Coulston et al, 1996). In the USA, 68% of MOW clients were able to maintain their physical function and minimise adverse effects of malnutrition with the help of a MOW service (Herndon, 1995).…”

Section: Meals On Wheels (Mow) / Home Delivered Meal Servicementioning

confidence: 99%

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Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 97%

Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 99%

Section: Meals On Wheels (Mow) / Home Delivered Meal Servicementioning

confidence: 99%

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Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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“…While poor nutrition has been defined in a number of ways, it is estimated that between 37% and 40% of communitydwelling older adults aged 65 and older experience inadequate nutrient intake (Ryan, Craig, & Finn, 1992). Those groups most likely to experience poor nutrition are black individuals, women, the poor, those with lower education, and those who are homebound (Coulston, Craig, & Voss, 1996;Fried & Walston, 1999;Frongillo, Rauschebach, Roe, & Williamson, 1992; Institute of Medicine, 2000;Ponza, Ohls, & Millen, 1996;Quandt & Chao, 2000;Quandt & Rao, 1999;Roe, 1990;Sharkey & Haines, 2001;Sharkey, Haines, & Zohoori, 2000;Weimer, 1998).…”

Section: Overview Of Social Isolation Support and Capital And Nutrimentioning

confidence: 99%

Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences

Locher

Ritchie

Roth

et al. 2005

Social Science & Medicine

285

222

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This study examines the relationships that exist between social isolation, support, and capital and nutritional risk in older black and white women and men. The paper reports on 1000 communitydwelling older adults aged 65 and older enrolled in the University of Alabama at Birmingham (UAB) Study of Aging, a longitudinal observational study of mobility among older black and white participants in the USA. Black women were at greatest nutritional risk; and black women and men were the groups most likely to be socially isolated and to possess the least amounts of social support and social capital. For all ethnic-gender groups, greater restriction in independent life-space (an indicator of social isolation) was associated with increased nutritional risk. For black women and white men, not having adequate transportation (also an indicator of social isolation) was associated with increased nutritional risk. Additionally, for black and white women and white men, lower income was associated with increased nutritional risk. For white women only, the perception of a low level of social support was associated with increased nutritional risk. For black men, not being married (an indicator of social support) and not attending religious services regularly, restricting activities for fear of being attacked, and perceived discrimination (indicators of social capital) were associated with increased nutritional risk. Black females had the greatest risk of poor nutritional NIH Public Access

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“…Minority status has also been associated with food insecurity among older adults (12,21,45). Among homebound older adults, African Americans were 3.7 times higher than whites to be at the highest level of nutritional risk (51), and minority status was associated with food insecurity in a sample of adults 60 y and older from NHANES (7,15). Low income is also a strong predictor of food insecurity status among older adults.…”

Section: Introductionmentioning

confidence: 97%

Food Insecurity is Associated With Social Capital, Perceived Personal Disparity, and Partnership Status Among Older and Senior Adults in a Largely Rural Area of Central Texas

Dean

Sharkey

Johnson

2011

Journal of Nutrition in Gerontology and Geriatrics

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This study examined the association of compositional measures of collective social functioning, composed of community and familial social capital and perceived personal disparity, with food security among older (aged 50-59 y) and senior (aged ≥ 60 y) adult residents of the largely rural Brazos Valley in Central Texas using data from the 2006 Brazos Valley Community Health Assessment (analytic N = 1059, 74% response rate). Among older adults and seniors, 18.6% reported food insecurity (5.5% often and 13.1% sometimes), defined as running out of food and not having money to buy more. Low community social capital was reported by 22.4% of participants, and 30.8% indicated they were single, widowed, or divorced, an indicator of limited familial social capital. A robust multinomial regression model found the odds of reporting greater food insecurity increased for individuals who were women, African American, residents of a household with a low or poverty-level income, individuals who perceived themselves to be worse off than others within their community, and those who had low social capital. The odds of being food insecure decreased for older respondents, partnered respondents and persons with more education (pseudo r(2) = 0.27, p < 0.0000). Compositional level measures of collective social functioning are important associates of food insecurity among older adults and seniors, regardless of severity.

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Black/White Differences in Nutritional Risk Among Rural Older Adults

Cited by 17 publications

References 37 publications

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences

Food Insecurity is Associated With Social Capital, Perceived Personal Disparity, and Partnership Status Among Older and Senior Adults in a Largely Rural Area of Central Texas

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