Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors

Sharkey, Joseph R.; Branch, Laurence G.; Zohoori, Namvar; Giuliani, Carol; Busby‐Whitehead, Jan; Haines, Pamela S.

doi:10.1093/ajcn/76.6.1435

Cited by 126 publications

(107 citation statements)

References 48 publications

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“…Moreover, consumption of fruits, both fruits and vegetables, meat, fish and egg portions per day were relatively lower among the undernourished elderly than among the nourished elderly. The nutrition and behaviour risk factors associated with the prevalence of undernutrition in the institutionalised elderly from the present study were in line with those of previous studies (31)(32)(33) . The elderly who experienced a loss of appetite were 2·2 times more likely to be undernourished than those who retained their appetite.…”

Section: Discussionsupporting

confidence: 93%

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

Rathnayake

Wimalathunga

Weech

et al. 2015

Public Health Nutr.

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Objective: The present study aimed to assess nutritional status, dietary diversity and lifestyle risk factors associated with undernutrition in an institutionalised Sri Lankan elderly population. Design: The study was of cross-sectional design followed by a stratified sampling method. Setting: Twelve homes for the elderly recruited from six provinces in Sri Lanka. Subjects: A total of 311 institutionalised elderly aged ≥60 years. Results: The mean age of the study population was 75 (SD 8) years. Prevalence of undernutrition was 30 %. Mean food variety score, dietary diversity score and dietary serving score of the study population were 8·7 (SD 1·5), 7·3 (SD 1·2) and 10·9 (SD 2·0), respectively. Mean daily intakes of fruit, vegetables, meat, fish, eggs and pulses and dairy portions were below the national recommendations, whereas the mean consumption of sugar exceeded the national recommendation. Only the mean intake of starch was within the recommendation. Food allergies (OR = 8·0; 95 % CI 3·9, 16·2), skipping meals (OR = 3·8; 95 % CI 2·0, 7·5) and lack of leisure activities (OR = 3·1; 95 % CI 1·5, 6·7) significantly increased the risk of undernutrition, whereas the use of dentures decreased the risk (OR = 0·20; 95 % CI 0·06, 0·69). Conclusions: High prevalence of undernutrition and low dietary diversity were observed in an institutionalised elderly Sri Lankan population. Therefore, there is an urgent need to implement nutrition interventions as part of geriatric care to reduce undernutrition and improve the diets of the institutionalised elderly population in Sri Lanka.

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Section: Discussionsupporting

confidence: 93%

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

Rathnayake

Wimalathunga

Weech

et al. 2015

Public Health Nutr.

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“…Again, this increase might partly be due to the increase in age-related chronic diseases, although other hypotheses such as vitamin B 12 supplementation because of chronic gastritis or decreased absorption cannot be ruled out (Carmel, 1997;Thurman and Mooradian, 1997;Sharkey et al, 2002). Vitamin or dietary supplement users in Switzerland P Marques-Vidal et al Vitamin or dietary supplement users in Switzerland P Marques-Vidal et al Vitamin or dietary supplement users in Switzerland P Marques-Vidal et al Subjects with a higher educational level reported a higher frequency of VMS or DS intake, which is in agreement with several authors (Marques-Vidal et al, 2000;Waskiewicz et al, 2003;Brustad et al, 2004;Rock, 2007), but not with others (Rössler et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…These values are higher than those reported previously (Brzozowska et al, 2002) and might indicate a better prevention of osteoporosis among women in Switzerland. Still, although male gender and increased body mass index might be protective towards osteoporosis (Felson et al, 1993), the low prevalence of calcium supplements (with or without vitamin D) in men raises some concern, as it has been shown that dietary calcium intake among elderly is below the recommended levels (Gennari, 2001;Marshall et al, 2001;Sharkey et al, 2002;Dumartheray et al, 2006) and that mortality and morbidity after hip fracture are much greater in men (Adler, 2006). Supplemental iron is usually prescribed for anaemia, which is more frequent among premenopausal women (Hercberg et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

et al. 2007

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Background and objectives: Vitamin þ mineral supplement (VMS) and dietary supplement (DS) use is widespread in the general population, but the motivations for such use are poorly known. The prevalence and characteristics of VMS and DS users in Lausanne, Switzerland, were thus assessed. Method: Cross-sectional study was performed including 3249 women and 2937 men (CoLaus study). VMS were defined as single or multivitamin-multimineral preparations. DS included omega-3 or omega-6 fatty acids, herbal teas, plant or animal extracts and bacterial (Lactobacillus) preparations. Calcium and iron supplements were assessed separately. Results: Twenty-six percent of the subjects reported using VMS or DS. VMS were the most frequently consumed item (16.8%), followed by DS (10%), calcium (6.6%) and iron (1.8%). Women reported a higher consumption than men. In women, VMS, DS and calcium use increased and iron use decreased with age, whereas in men only VMS and calcium intake increased with age. Multivariate analysis showed female gender, being born in Switzerland, increased age, higher education and increased physical activity to be positively related with VMS and DS. On bivariate analysis, VMS and DS users presented more frequently with arthritis, anxiety, depression and osteoporosis, but on multivariate analysis only positive relationships between DS use and anxiety/depression (odds ratio (OR) ¼ 1.40; 95% confidence interval (CI): [1.16-1.70]) and calcium and osteoporosis (OR ¼ 10.6;.4]) were found. Conclusion: VMS and DS use is common in the population of Lausanne and associated with a better health profile. Calcium supplements are taken to prevent osteoporosis, whereas the rationale for taking other VMS and DS is unclear.

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“…Diversos estudios nacionales 19,30,31 , regionales 13,15 , otros países en vías de desarrollo 27 e incluso de países desarrollados 26,28,32,33 han mostrado una ingesta inadecuada de zinc en los adultos mayores, acentuándose la reducción de la ingesta con la edad 5 . Por otra parte, una ingesta insufi ciente de cobre en este grupo etario ha sido demostrada en estudios nacionales 19,29 y algunos realizados en países desarrollados 32,34 .…”

Section: Prevalencia De Deficiencia De Zn Y Cu En Adultos Mayores -Munclassified

Prevalencia de las deficiencias de zinc y cobre en adultos mayores de la Región Metropolitana de Santiago

et al. 2011

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Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors

Abstract: 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.

Cited by 126 publications

References 48 publications

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

Prevalence and characteristics of vitamin or dietary supplement users in Lausanne, Switzerland: the CoLaus study

Prevalencia de las deficiencias de zinc y cobre en adultos mayores de la Región Metropolitana de Santiago

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