Journal of Nutrition in Gerontology and Geriatrics最新文献_第8页

Application of the Theory of Planned Behavior to Predict Nutrition Students’ Intention to Work with Older Adults 计划行为理论在预测营养学生与老年人合作意向中的应用

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2020-01-02 DOI: 10.1080/21551197.2019.1664967

S. Jung, J. Lawrence, J. Hermann, Amy McMahon

{"title":"Application of the Theory of Planned Behavior to Predict Nutrition Students’ Intention to Work with Older Adults","authors":"S. Jung, J. Lawrence, J. Hermann, Amy McMahon","doi":"10.1080/21551197.2019.1664967","DOIUrl":"https://doi.org/10.1080/21551197.2019.1664967","url":null,"abstract":"Abstract As Registered Dietitian Nutritionists play an important role in providing nutrition care plans for successful aging, it is important to identify factors influencing nutrition students’ intention to work with older adults. A cross-sectional study was conducted to identify significant predictors of nutrition students’ intention to work with older adults by utilizing the Theory of Planned Behavior (TPB). A total of 183 students, majoring in Nutrition at a large Southern University, completed a questionnaire examining validated TPB constructs. Structural Equation Modeling with maximum likelihood was used to analyze the data. The structural model provided a good fit to the data (x2 = 44.95, df = 38, p < 0.01; RMSEA = 0.03, CFI = 0.99; TLI = 0.99. Attitude (γ = 0.49, p < 0.001) and subjective norm (γ = 0.39, p < 0.001) emerged as significant predictors of nutrition students’ intention to work with older adults. Findings highlight the importance of providing dietetics curricula that provide opportunities for students to develop positive attitudes toward working with older adults. Dietetic educators should present themselves as positive role models in working with older adults, as the educators influence students’ intention to work with this population.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"1 1","pages":"44 - 55"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82389947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Validation of an Online Screener, the Mediterranean Eating Pattern for Americans-III in Older Patients with Parkinson’s Disease 美国老年帕金森患者地中海饮食模式在线筛查的验证

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2020-01-02 DOI: 10.1080/21551197.2019.1683116

Katherine E Weaver, J. Goldman, Neltje Ribbens, H. Rasmussen, K. Gustashaw, C. Tangney

{"title":"Validation of an Online Screener, the Mediterranean Eating Pattern for Americans-III in Older Patients with Parkinson’s Disease","authors":"Katherine E Weaver, J. Goldman, Neltje Ribbens, H. Rasmussen, K. Gustashaw, C. Tangney","doi":"10.1080/21551197.2019.1683116","DOIUrl":"https://doi.org/10.1080/21551197.2019.1683116","url":null,"abstract":"Abstract Mediterranean diet accordance has been associated with slower rates of cognitive decline, a common feature in more advanced Parkinson’s disease (PD). Thus, a brief tool was needed to monitor Mediterranean diet accordance of older adults with PD. Relative validity, acceptability, and feasibility of the 21-item online screener, Mediterranean Eating Pattern for Americans (MEPA-III) was assessed. Maximum diet accordance is reflected by a MEPA III score of 21 points. Forty-four adults completed the online reference tool, the VioScreen™ Food Frequency Questionnaire (FFQ), and then the MEPA-III screener three to seven days later. MEPA-III scores averaged 10.7 ± 2.7. When FFQ responses were coded to match those of MEPA-III screener components, agreement for individual components averaged 71.5%, with 8 of 21 component scores with kappas ≥ 0.31 (p < 0.05). Total MEPA-III scores were concordant with those from the FFQ (r = 0.50, p < 0.001). Participants reported that the MEPA-III screener was acceptable (median score 8 out of a possible 10). The screener was feasible because the median completion time was 4.1 min (range 1.6–14.9). The online MEPA-III screener demonstrates good validity, acceptability and feasibility and can be used to characterize a Mediterranean-style diet pattern among participants with PD.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"53 1","pages":"30 - 43"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81675905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Does a High-Energy High-Protein Diet Reduce Unintentional Weight Loss in Residential Aged Care Residents? 高能量高蛋白饮食是否能减少老年居民的意外体重下降?

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-11-26 DOI: 10.1080/21551197.2019.1691108

L. Sossen, M. Bonham, J. Porter

{"title":"Does a High-Energy High-Protein Diet Reduce Unintentional Weight Loss in Residential Aged Care Residents?","authors":"L. Sossen, M. Bonham, J. Porter","doi":"10.1080/21551197.2019.1691108","DOIUrl":"https://doi.org/10.1080/21551197.2019.1691108","url":null,"abstract":"Abstract Malnutrition and unintentional weight loss are known to occur in residential aged care facilities (RACFs). The use of oral nutritional supplements (ONS) and high-energy high-protein (HEHP) diets are two foodservice strategies that may be implemented in efforts to reduce unintentional weight loss in RACFs. This observational study aimed to determine whether incorporation of a structured high-energy high-protein diet (sHEHP) into the standard menu could reduce unintentional weight loss in RACF residents. RACFs in this study were facilities that provide long-term care to older adult residents. Weight change, body mass index and subjective global assessment scores of participants were measured at baseline and at six months across five RACFs receiving usual care with ONS or a sHEHP diet. Groups were different at baseline, with a high prevalence of severe malnutrition observed in the ONS group. Over the six-month period, there was a small but statistically significant difference in weight change within the groups: −1.64 ± 3.62 kg, ONS group; 0.56 ± 2.76 kg, sHEHP group, P = 0.0004. Both approaches investigated are feasible, however, future research using high-quality methods is needed to determine the most effective approach to deliver best practice nutrition care for residents into the future.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"18 1","pages":"56 - 68"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80728037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

“I Try to Keep That Sugar Down.” Experiences of Homebound Older Adults With Type 2 Diabetes: Barriers to Self-Management “我尽量不吃糖。”老年2型糖尿病患者居家生活经历:自我管理障碍

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-11-23 DOI: 10.1080/21551197.2019.1695037

B. Bustillos, J. Sharkey

{"title":"“I Try to Keep That Sugar Down.” Experiences of Homebound Older Adults With Type 2 Diabetes: Barriers to Self-Management","authors":"B. Bustillos, J. Sharkey","doi":"10.1080/21551197.2019.1695037","DOIUrl":"https://doi.org/10.1080/21551197.2019.1695037","url":null,"abstract":"Abstract Objectives: To study the experiences and challenges of type 2 diabetes (T2D) self-management among homebound older adults who regularly receive home-delivered meals and services. Methods: Participants (n = 31) were recruited by telephone screening and were selected by purposive sampling. Semi-structured interviews were subsequently conducted within participants’ homes. The interpretive methodology utilized in this study was developed to systematically assess T2D self-management. Results: Thematic analysis shows that participants felt mostly responsible for their health status, but attributed any noncompliance to lack of social and economic assistance. Most of the seniors in this study felt competent, but often did not have the opportunity to engage in protective measures due to a number of economic, physical, and social barriers. Conclusions: These results contribute to a better understanding of how to approach, support, and motivate homebound older adults with T2D while addressing challenges. Findings offer insight into the development of diabetes self-management education (DSME) and interventions for this population.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"15 1","pages":"69 - 87"},"PeriodicalIF":0.0,"publicationDate":"2019-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74844670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Nutritional Status According to the Mini Nutritional Assessment Predicts Speed and Degree of Functional Improvement and Discharge Outcomes in Rehabilitation Patients 根据迷你营养评估的营养状况预测康复患者功能改善的速度、程度和出院结局

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-11-13 DOI: 10.1080/21551197.2019.1689882

K. Lambert, E. Taylor, S. Bowden, K. Charlton

{"title":"Nutritional Status According to the Mini Nutritional Assessment Predicts Speed and Degree of Functional Improvement and Discharge Outcomes in Rehabilitation Patients","authors":"K. Lambert, E. Taylor, S. Bowden, K. Charlton","doi":"10.1080/21551197.2019.1689882","DOIUrl":"https://doi.org/10.1080/21551197.2019.1689882","url":null,"abstract":"Abstract This retrospective observational study evaluated the association between nutritional status, functional ability and discharge outcomes. Data from 1430 older rehabilitation patients (43% male, median age 79 years, interquartile range: 74–84) were analyzed. One fifth (20.6%, n = 294) of patients were malnourished on admission to rehabilitation. Three important findings were evident. Firstly, nutritional status on admission to rehabilitation was associated with reduced functional, motor, cognitive and feeding scores on admission and discharge (all P < 0.05). Secondly, malnutrition at admission was associated with significantly slower gains in rehabilitation. Finally, malnutrition at admission was associated with significantly higher odds of a decline in functional ability during admission (OR 3.95; 95% CI: 2.14–7.27), and almost three times greater odds of additional care requirements on discharge (OR: 2.9 ((95% CI: 1.02–8.3). The nutritional status of patients on admission to inpatient rehabilitation is a predictor of both the speed and degree of rehabilitation gains and discharge outcomes.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"10 1","pages":"16 - 29"},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74286174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evaluating the Effect of a Home-Delivered Meals Service on the Physical and Psychological Wellbeing of a UK Population of Older Adults – A Pilot and Feasibility Study 评估上门送餐服务对英国老年人身心健康的影响-一项试点和可行性研究

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-11-04 DOI: 10.1080/21551197.2019.1684417

M. O'Leary, M. Barreto, J. Bowtell

引用次数: 5

Effects of a Texture-Modified, Enriched, and Reshaped Diet on Dietary Intake and Body Weight of Nursing Home Residents with Chewing and/or Swallowing Problems: An Enable Study. 质地改良、强化和重塑饮食对有咀嚼和/或吞咽问题的养老院居民的饮食摄入和体重的影响:一项Enable研究。

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-10-01 Epub Date: 2019-06-21 DOI: 10.1080/21551197.2019.1628158

Angela Ott, Melanie Senger, Thomas Lötzbeyer, Olaf Gefeller, Cornel C Sieber, Dorothee Volkert

{"title":"Effects of a Texture-Modified, Enriched, and Reshaped Diet on Dietary Intake and Body Weight of Nursing Home Residents with Chewing and/or Swallowing Problems: An Enable Study.","authors":"Angela Ott, Melanie Senger, Thomas Lötzbeyer, Olaf Gefeller, Cornel C Sieber, Dorothee Volkert","doi":"10.1080/21551197.2019.1628158","DOIUrl":"https://doi.org/10.1080/21551197.2019.1628158","url":null,"abstract":"This proof-of-concept study investigated the effects of an innovative nutrition concept, comprising texture modification, enrichment, and reshaping, on dietary intake and nutritional status of 16 nursing home residents with chewing and/or swallowing problems (mean age 86.5 ± 7.4 years) in a pre-test post-test design. During 6 weeks with usual texture-modified diet (P1) energy and protein intake were constant. After the implementation of the innovative diet, daily energy intake increased by 204.2 (median) [interquartile range 95.8-444.4] kcal (P = 0.011), and protein intake by 18.3 [9.9-26.3] g (P < 0.001) and remained constant during the following 6 weeks (P2). Body weight decreased during P1 (-0.5 [-1.4 to 0.2] kg), and increased during P2 (+1.1 [0.0 to 1.7] kg, P = 0.004). The present nutrition concept turned out to be a promising strategy for nutritional management of chewing and/or swallowing problems, however, the effects need to be confirmed in larger studies.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 4","pages":"361-376"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1628158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37352131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Which Aspects of Dining Style are Associated with Depressive Mood? A Study at an Assisted Living Facility in Japan 饮食风格的哪些方面与抑郁情绪有关?一项在日本辅助生活设施的研究

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-09-12 DOI: 10.1080/21551197.2019.1662356

Mai Takase, H. Murayama, Sayaka Hirukawa, M. Sugimoto, S. Ono, Tomoki Tanaka, M. Kimata

{"title":"Which Aspects of Dining Style are Associated with Depressive Mood? A Study at an Assisted Living Facility in Japan","authors":"Mai Takase, H. Murayama, Sayaka Hirukawa, M. Sugimoto, S. Ono, Tomoki Tanaka, M. Kimata","doi":"10.1080/21551197.2019.1662356","DOIUrl":"https://doi.org/10.1080/21551197.2019.1662356","url":null,"abstract":"Abstract Previous research indicated that dining style is associated with depressive mood in community-dwelling older adults; however, the nature of this relationship in care facilities is unclear. The association between dining style and depressive mood was examined in Japanese assisted living facility. A questionnaire survey was conducted among residents older than 65 years. Dining style was assessed by objective (the number of people with whom one eats) and subjective (feelings of enjoyment during mealtimes) factors. The odds ratio of participants who ate alone but enjoyed meals having depressive mood were not statistically different from the reference group (eating with others and enjoying). In contrast, participants who ate with others and did not enjoy meals, and participants who ate alone and did not enjoy meals were more likely to have depressive mood compared to the reference group. Although a cross-sectional study, findings suggested that caregivers should consider residents’ subjective dining styles to provide optimal support at mealtimes.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"37 1","pages":"377 - 386"},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86901860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Multivitamin/Multimineral Supplement Use is Associated with Increased Micronutrient Intakes and Biomarkers and Decreased Prevalence of Inadequacies and Deficiencies in Middle-Aged and Older Adults in the United States 在美国，多种维生素/多种矿物质补充剂的使用与微量营养素摄入量和生物标志物的增加以及缺乏症和缺乏症的发生率降低有关

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-09-10 DOI: 10.1080/21551197.2019.1656135

T. Wallace, C. Frankenfeld, B. Frei, Alpa Shah, Ching-Ray Yu, J. Klinken, Maryann Adeleke

{"title":"Multivitamin/Multimineral Supplement Use is Associated with Increased Micronutrient Intakes and Biomarkers and Decreased Prevalence of Inadequacies and Deficiencies in Middle-Aged and Older Adults in the United States","authors":"T. Wallace, C. Frankenfeld, B. Frei, Alpa Shah, Ching-Ray Yu, J. Klinken, Maryann Adeleke","doi":"10.1080/21551197.2019.1656135","DOIUrl":"https://doi.org/10.1080/21551197.2019.1656135","url":null,"abstract":"Abstract Micronutrient inadequacies are common in older adults and using a multivitamin/multimineral supplement (MVM) may improve their nutritional status. National Health and Nutrition Examination Survey data were analyzed to determine micronutrient intakes based on diet and MVM use in adults aged ≥51 years. Deficiencies were evaluated using nutrient biomarkers. The National Cancer Institute Method was used to estimate usual intakes of 18 micronutrients stratified by age and frequency of MVM use. Compared with food alone, MVM use was associated with higher nutrient intake and lower prevalence of inadequacies of almost all micronutrients examined and improved nutrient biomarker status of folate, iodine, selenium, and vitamins B6, B12, and D. Regular MVM use (≥16 days/month) decreased the odds of clinical deficiency (defined by biomarker status) of vitamins B6 and D but increased the proportion exceeding the tolerable upper intake level of folic acid. Vitamin B6 deficiency in MVM non-users was common and increased with age.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"1 1","pages":"307 - 328"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90729850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Single Portion Packaging and the Use of User Test Protocols to Determine Patient Accessibility 单部分包装和使用用户测试协议来确定患者的可及性

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-08-19 DOI: 10.1080/21551197.2019.1651237

A. Yoxall, Alison F Bell, Kate Gee, Caroline Lecko

{"title":"Single Portion Packaging and the Use of User Test Protocols to Determine Patient Accessibility","authors":"A. Yoxall, Alison F Bell, Kate Gee, Caroline Lecko","doi":"10.1080/21551197.2019.1651237","DOIUrl":"https://doi.org/10.1080/21551197.2019.1651237","url":null,"abstract":"Abstract In 2015, the UK National Health Service (NHS) established a taskforce to review single portion food and beverage packaging, which has been identified as a potential challenge to users in hospitals. Hence, a study was undertaken to determine the suitability and accessibility of the current single portion packs. The packaging was assessed using ISO 17480 (Guidelines for Accessible Packaging), Annex D. The standard determines a pass or fail of packaging opening asking a panel 20 older adults to open a pack. A pack is recorded as a failure if within the 20 people cohort, there is an example of pack being unable to be opened within the time limit (defined as 1 minute) or the overall satisfaction score ranks below 3 on a 5-point Likert scale. Ten standard single portion packaging items were randomly selected for testing. The packs were chosen to reflect a broad range of food and beverage and packaging types. The results showed that the standard provided useful assessment data, identifying that 70% of the packs were so poorly designed that they failed to pass the standard, with 50% of the packs having examples that were unopenable by the participants, whilst a further 20% rated poorly for satisfaction.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"20 1","pages":"387 - 396"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82762746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1