Home-delivered meals benefit the diabetic elderly

Edwards, Deborah L.; Frongillo, Edward A.; Rauschenbach, Barbara S.; Roe, Daphne A.

doi:10.1016/0002-8223(93)91824-a

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…Reductions in food stamps have already been associated with increased rates of hunger 10,67 and food assistance programs have been demonstrated to decrease rates of hunger and hospitalizations in the elderly with diabetes. 68 Rates of food insufficiency in former program participants, as well as lower health status and higher health care utilization in the diabetic population, may be important measures of the effect of welfare reform.…”

Section: Discussionmentioning

confidence: 99%

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Is food insufficiency associated with health status and health care utilization among adults with diabetes?

et al. 2001

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OBJECTIVES:Preliminary studies have shown that among adults with diabetes, food insufficiency has adverse health consequences, including hypoglycemic episodes and increased need for health care services. The purpose of this study was to determine the prevalence of food insufficiency and to describe the association of food insufficiency with health status and health care utilization in a national sample of adults with diabetes. METHODS:We analyzed data from adults with diabetes (n = 1,503) interviewed in the Third National Health and Nutrition Examination Survey. Bivariate and multivariate analyses were used to examine the relationship of food insufficiency to selfreported health status and health care utilization.RESULTS: Six percent of adults with diabetes reported food insufficiency, representing more than 568,600 persons nationally (95% confidence interval, 368,400 to 768,800). Food insufficiency was more common among those with incomes below the federal poverty level (17% vs 4%, P .001). Adults with diabetes who were food insufficient were more likely to report fair or poor health status than those who were not (63% vs 43%; odds ratio, 2.2; P = .05). In a multivariate analysis, fair or poor health status was independently associated with poverty, nonwhite race, low educational achievement, and number of chronic diseases, but not with food insufficiency. Diabetic adults who were food insufficient reported more physician encounters, either in clinic or by phone, than those who were food secure (12 vs 7, P < .05). In a multivariate linear regression, food insufficiency remained independently associated with increased physician utilization among adults with diabetes. There was no association between food insufficiency and hospitalization in bivariate analysis.CONCLUSIONS: Food insufficiency is relatively common among low-income adults with diabetes and was associated with higher physician utilization.KEY WORDS: food insufficiency; diabetes; health status. J GEN INTERN MED 2001;16:404 ± 411.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is food insufficiency associated with health status and health care utilization among adults with diabetes?

et al. 2001

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“…Excluding the above articles yielded a final pool of eight studies (Edwards et al, 1993;Frongillo and Wolfe, 2010;Gleason et al, 2002;Marceaux, 2012;Ponza et al, 1996;Racine et al, 2012;Steele and Bryan, 1985;Troyer et al, 2010). Table 1 summarizes the eight studies included in the review, including two RCTs (from the same intervention) (Racine et al, 2012;Troyer et al, 2010), one cohort study (Frongillo and Wolfe, 2010), two pre-post studies (Gleason et al, 2002;Marceaux, 2012), and three cross-sectional studies (Edwards et al, 1993;Ponza et al, 1996aPonza et al, , 1996bSteele and Bryan, 1985). The difference between pre-post and cohort studies is that the latter not only had an intervention group as in the former but also a control group which was followed before and during the intervention.…”

Section: Study Selectionmentioning

confidence: 99%

“…The earliest work included in the review is a cross-sectional study published in 1986. Besides food and nutrient intakes, other outcome measures include food insecurity (Edwards et al, 1993;Frongillo and Wolfe, 2010), dietary accordance (Troyer et al, 2010), energy intake (Frongillo and Wolfe, 2010;Gleason et al, 2002;Ponza et al, 1996aPonza et al, , 1996bRacine et al, 2012), nutritional risk (Marceaux, 2012), diabetic control (Edwards et al, 1993), anthropometry (Gleason et al, 2002;Racine et al, 2012), quality of life (Gleason et al, 2002), and social contacts (Ponza et al, 1996a(Ponza et al, , 1996b. Table 2 reports the results and conclusions of the eight studies included in the review.…”

Section: Study Selectionmentioning

confidence: 99%

Impact of home-delivered meal programs on diet and nutrition among older adults

Zhu

2013

Nutr Health

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“…They concluded that, while it is likely these differences are at least partially caused by the program, methodological limitations make it impossible to attribute these differences formally to causal effects of the program. Several other studies have also found improved nutrient intake associated with HDM (1,(3)(4)(5), as well as other benefits such as reduced social isolation and reduced hospitalization (1,(6)(7)(8), but also had methodological limitations.…”

Section: Introductionmentioning

confidence: 99%

Impact of Participation in Home-Delivered Meals on Nutrient Intake, Dietary Patterns, and Food Insecurity of Older Persons in New York State

Frongillo

Wolfe

2010

Journal of Nutrition For the Elderly

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The aim of this study was to determine if (1) participation in Home-Delivered Meals (HDM) results in improved dietary patterns and nutrient intake, lower food insecurity, and reduced loss of weight; (2) subgroups of older persons are more likely to benefit; and (3) nutritional indicators of impact other than nutrient intake may be useful. The design used was quasi-experimental, with longitudinal assessment of individuals on HDM at baseline (before receipt of services), 6, and 12 months, and comparison to non-randomized group receiving other services. Outcomes included measured weight and height, 24-hour dietary recall, and food insecurity. Paired t test, multiple linear regression, and selection models using multiple logistic regression were performed. All older persons in three New York State counties referred for aging services over a 5-month period were asked to participate (n = 456), and 212 agreed (171 on HDM). At 6 months, the sample size was 101 (34 discharged, 42 hospital/died/moved, 26 chose not to continue), and at 12 months it was 68 (similar reasons). After receiving meals for 6 and 12 months, participants showed greater improvement in most dietary intake variables than either a non-HDM comparison group or HDM participants who ate no HDM meal on the day of assessment. Compared to initial values, participants improved significantly in some variables for dietary patterns, nutrient intake, and nutrient density, and were less likely to be food insecure. Furthermore, HDM was more likely to impact those living alone and those with poorer initial status. This study provides strong evidence that HDM has a positive impact on the nutritional well-being of older persons. Food insecurity and dietary patterns are useful nutritional indicators of impact.

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Home-delivered meals benefit the diabetic elderly

Cited by 10 publications

References 4 publications

Is food insufficiency associated with health status and health care utilization among adults with diabetes?

Is food insufficiency associated with health status and health care utilization among adults with diabetes?

Impact of home-delivered meal programs on diet and nutrition among older adults

Impact of Participation in Home-Delivered Meals on Nutrient Intake, Dietary Patterns, and Food Insecurity of Older Persons in New York State

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