Katarina M. Doma, Emily L. Farrell, Erin R. Leith-Bailey, Victoria D. Soucier, A. Duncan
{"title":"Motivators, Barriers and Other Factors Related to Bean Consumption in Older Adults","authors":"Katarina M. Doma, Emily L. Farrell, Erin R. Leith-Bailey, Victoria D. Soucier, A. Duncan","doi":"10.1080/21551197.2019.1646690","DOIUrl":"https://doi.org/10.1080/21551197.2019.1646690","url":null,"abstract":"Abstract Beans are nutrient-dense and can reduce risk of chronic diseases. This is relevant to older adults who can benefit from consuming beans to reduce their elevated chronic disease risk. This study explored bean consumption in older adults (≥65 years) using mixed-methods including a researcher-administered questionnaire (n = 250) and focus groups (n = 49). Prevalence of bean consumption (daily or weekly) was 51.2%. Motivators to bean consumption were significantly more likely among bean consumers with the top three including nutritional value, taste/texture and versatility, which were also predictors of consuming beans (OR = 3.54, 2.72, and 4.24, respectively). Conversely, barriers to bean consumption were significantly more likely among bean non-consumers with the top three including not part of traditional diet/do not think to include beans in meals, flatulence/abdominal discomfort and lack of knowledge about preparation/cooking, which were also predictors of not consuming beans (OR = 3.85, 2.26, and 5.08, respectively). This research will inform dietary strategies to increase bean consumption.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"16 1","pages":"397 - 413"},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87472662","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}
T. Sadarangani, L. Missaelides, Gary Yu, Chau Trinh-Shevrin, A. Brody
{"title":"Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care","authors":"T. Sadarangani, L. Missaelides, Gary Yu, Chau Trinh-Shevrin, A. Brody","doi":"10.1080/21551197.2019.1647327","DOIUrl":"https://doi.org/10.1080/21551197.2019.1647327","url":null,"abstract":"Abstract Information regarding nutritional risk among users of American adult day health centers (ADHCs), 60% of whom are racial minorities, is scant. This study examined nutritional risk and associated factors in a diverse sample ADHC users aged 50+ using secondary cross-sectional analysis of data collected between 2013 and 2017. Risk was assessed using the DETERMINE checklist, and results were stratified by race. The majority of the sample (N = 188) was at moderate (45.2%) or high (38.5%) nutritional risk, with statistically significant racial differences. Blacks were at greater risk than any other group: 65% had high nutritional risk; 76.5% ate <5 servings of fruits, vegetables, or milk daily; 21% ate <2 meals daily, 48.5% reported involuntary weight loss/gain, and 41.2% had tooth loss/mouth pain. Older adults in ADHCs are at elevated risk of malnutrition, disproportionately so amongst blacks. Both routine nutrition screening and population-specific approaches are needed to attenuate risk.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"1 1","pages":"345 - 360"},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81701744","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}
H. Keller, V. Vucea, S. Slaughter, H. Jager-Wittenaar, C. Lengyel, F. Ottery, N. Carrier
{"title":"Prevalence of Malnutrition or Risk in Residents in Long Term Care: Comparison of Four Tools","authors":"H. Keller, V. Vucea, S. Slaughter, H. Jager-Wittenaar, C. Lengyel, F. Ottery, N. Carrier","doi":"10.1080/21551197.2019.1640165","DOIUrl":"https://doi.org/10.1080/21551197.2019.1640165","url":null,"abstract":"Abstract The ideal tool for determination of malnutrition risk or malnutrition in long term care (LTC) is elusive. This study compares prevalence, association with resident risk factors and sensitivity (SE) and specificity (SP) of malnutrition or risk categorization in 638 residents from 32 LTC homes in Canada using four tools: the Mini-Nutritional Assessment Short Form (MNA-SF); Patient-Generated Subjective Global Assessment (PG-SGA) Global Category Rating and the Pt-Global webtool; and the interRAI Long Term Care Facility undernutrition trigger. Prevalence was most common with MNA-SF (53.7%) and lowest with InterRAI (28.9%), while the PG-SGA Global Category Rating (44%) was higher than the Pt-Global webtool (33.4%). Tools were consistently associated with resident covariates with few exceptions. The PG-SGA Global Category Rating demonstrated the best sensitivity and specificity when compared to all other tools. Further work to determine the predictive validity of this tool in LTC residents is required.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"83 1","pages":"329 - 344"},"PeriodicalIF":0.0,"publicationDate":"2019-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80904950","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}
{"title":"Working Memory and Inadequate Micronutrient Consumption in Healthy Seniors","authors":"E. Goldberg, S. Kindilien, M. Roberts, D. Cohen","doi":"10.1080/21551197.2019.1627269","DOIUrl":"https://doi.org/10.1080/21551197.2019.1627269","url":null,"abstract":"Abstract Objective: To investigate whether inadequate intake of micronutrients, as defined by the Institute of Medicine’s (IOM) Recommended Dietary Allowance (RDA) according to gender, is associated with lower working memory performance in healthy seniors. Method: 601 female and 530 male seniors (≥60 years) in the National Health and Nutrition Examination Survey (NHANES) were included. Analyses of the association between RDA micronutrient reference levels and having a memory performance score in the lowest quartile were stratified by gender. Logistic regression was used to estimate unadjusted and adjusted odds ratios for having a memory performance score in the lowest quartile for individuals with inadequate RDA levels compared to adequate RDA levels. Results: Over half of participants had inadequate intake of vitamin C, choline, and zinc. Men who had less than the RDA of choline from their food were more likely to be in the lowest memory performance quartile, while women who with inadequate B2 were more likely to be in the lowest quartile. Discussion: Inadequate intake of micronutrients was significantly associated with lower working memory performance.","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"27 6 1","pages":"247 - 261"},"PeriodicalIF":0.0,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79999137","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}
Curtis L Petersen, Jessica M Brooks, Alexander J Titus, Elizabeth Vasquez, John A Batsis
{"title":"Relationship Between Food Insecurity and Functional Limitations in Older Adults from 2005-2014 NHANES.","authors":"Curtis L Petersen, Jessica M Brooks, Alexander J Titus, Elizabeth Vasquez, John A Batsis","doi":"10.1080/21551197.2019.1617219","DOIUrl":"https://doi.org/10.1080/21551197.2019.1617219","url":null,"abstract":"<p><p><b>Background:</b> Food insecurity refers to the physical, social, and economic inability to access and secure sufficient, safe and nutritious food. Food insecurity has been found to be associated with poor health status, obesity, and chronic disease. To date, a relationship between food insecurity and functional limitations has not been described in of older adults. <b>Methods:</b> We examined 9309 adults ≥60 years old from the 2005-2014 National Health and Nutrition Examination Surveys (NHANES). Food security was categorized as full, marginal, low, and very low. Functional limitations were assessed as having difficulty in physical, basic or instrumental activities of daily living. <b>Results:</b> Of adults ≥60 years old (mean age: 70.5 ± 0.08, 51% female), the prevalence of full, marginal, low, or very low food insecurity was 7572 (81%), 717 (7%), 667 (8%), and 353 (4%), respectively. The prevalence of any functional limitations was 5895 (66.3%). The adjusted odds (OR [95%CI]) of having any functional limitation in marginal, low, and very low food security levels compared to full food security are: 1.08 [1.02-1.13], 1.16 [1.10-1.22], 1.14 [1.07-1.21], respectively. The association between levels of food insecurity and functional limitation is modified by race/ethnicity. <b>Conclusions:</b> Functional limitation is significantly associated with increasing food insecurity in older adults.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"231-246"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1617219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37025596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica M Brooks, Curtis L Petersen, Alexander J Titus, Emre Umucu, Chungyi Chiu, Stephen J Bartels, John A Batsis
{"title":"Varying Levels of Food Insecurity Associated with Clinically Relevant Depressive Symptoms in U.S. Adults Aged 60 Years and Over: Results from the 2005-2014 National Health and Nutrition Survey.","authors":"Jessica M Brooks, Curtis L Petersen, Alexander J Titus, Emre Umucu, Chungyi Chiu, Stephen J Bartels, John A Batsis","doi":"10.1080/21551197.2019.1611520","DOIUrl":"https://doi.org/10.1080/21551197.2019.1611520","url":null,"abstract":"<p><p>Food insecurity refers to restricted or uncertain access to and ineffective utilization of nutritious and safe foods. Although food insecurity is linked to poorer physical health consequences among older adults, national estimates are not well known on food insecurity and depression. Using the 2005-2014 National Health and Nutrition Examination Survey, this study examines the associations between varying food insecurity levels and clinically relevant depressive symptoms (defined by PHQ-9 ≥ 10) among adults ≥60 years old (<i>n</i> = 7969). Rates of clinically relevant depressive symptoms in marginal, low, and very low food security were 12.3, 16.3, and 25.2%, respectively. Marginal, low, and very low food security were significantly associated with clinically relevant depressive symptoms: odds ratio (OR) = 1.12 (95% confidence intervals [CI] 1.07-1.18), OR = 1.07 (95% CI 1.03-1.12), and OR = 1.24 (95% CI 1.16-1.32), respectively. Given the intersection of food insecurity and depression, geriatric health professionals should work to improve health and nutrition programs for older adults at risk for or experiencing both public health concerns.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"218-230"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1611520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37227892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sareen S Gropper, Ruth M Tappen, Edgar Ramos Vieira
{"title":"Differences In Nutritional And Physical Health Indicators Among Older African Americans, European Americans, And Hispanic Americans.","authors":"Sareen S Gropper, Ruth M Tappen, Edgar Ramos Vieira","doi":"10.1080/21551197.2019.1628159","DOIUrl":"https://doi.org/10.1080/21551197.2019.1628159","url":null,"abstract":"<p><p>Inadequate protein intake contributes to poor nutritional status, reduced muscle mass, strength and function, and increased mortality. Evaluating differences in protein intake and related health indicators among racial/ethnic groups enables the development of targeted interventions. This study's purpose was to determine differences in protein intake, nutritional status, and muscle strength/function among 273 older African, European, and Hispanic Americans. Protein intake, nutritional status, grip strength, timed-up-and-go (TUG), and chair stand assessments were conducted. Protein intake was significantly greater among Hispanic Americans (0.96 g/kg body weight) followed by European Americans (0.83 g/kg body weight), and African Americans (0.64 g/kg body weight). Intakes by all groups were below recommendations. Low nutritional status, grip strength, chair rise, and TUG scores were observed in African Americans and European American females and were consistent with lower protein intakes. Results show significant differences among the groups and the need for interventions to improve diet and physical health.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"205-217"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1628159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37356087","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}
{"title":"Dairy Product Intake in Older Adults across Europe Based On the SHARE Database.","authors":"Inês Ribeiro, Marcos Gomes, Daniela Figueiredo, Joana Lourenço, Constança Paúl, Elísio Costa","doi":"10.1080/21551197.2019.1627972","DOIUrl":"https://doi.org/10.1080/21551197.2019.1627972","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate dairy intake patterns in older adults across Europe. <b>Methods:</b> We conducted cross-sectional analysis using data from the fourth wave (2011/2012) of the Survey of Health, Aging and Retirement in Europe (SHARE) database. Prevalence rates regarding the number of weekly servings of dairy in individuals ≥50 years old were calculated for 16 European countries. <b>Results:</b> The overall prevalence rate of daily dairy product intake in Europe was 66.95% (CI95%: 66.28-67.63%). Global prevalence in men was 63.35% (CI95%:62.37-64.35%) and in women 69.80% (CI95%:68.86-70.71%). Among men, this type of intake was highest in Denmark (84.89% [CI95%: 79.11-90.66%]) and lowest in Poland (26.15% [CI95%: 22.71-29.58%]). Among women, the highest prevalence was found in Spain (89.51% [CI95%: 85.16-93.86%]) and the lowest in Poland (31.33% [CI95%: 27.05-35.61%]). The overall prevalence rate of dairy product intake less than once a week was 3.99% (CI95%: 3.83-4.16%). In terms of gender, men in Hungary (11.02% [CI95%: 9.16-12.89%]) and women in Slovenia (8.76% [CI95%: 7.26-10.25%]) had the lowest such intake. <b>Conclusions:</b> Dairy intake is very heterogeneous across Europe, with overall intake levels lower than recommended. Differences were also observed between genders, with a lower intake in men, and with age, with the intake lower in older individuals.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"297-306"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1627972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37082704","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}
Chelsea N Goldstein, Katherine M Abbott, Lauren R Bangerter, Amy Kotterman, Kimberly Van Haitsma
{"title":"\"A Bone of Contention…\": Perceived Barriers and Situational Dependencies to Food Preferences of Nursing Home Residents.","authors":"Chelsea N Goldstein, Katherine M Abbott, Lauren R Bangerter, Amy Kotterman, Kimberly Van Haitsma","doi":"10.1080/21551197.2019.1617220","DOIUrl":"https://doi.org/10.1080/21551197.2019.1617220","url":null,"abstract":"<p><p>This study investigated barriers to fulfilling food preferences from nursing home (NH) residents' perspectives, and the reasons preferences changed (situational dependencies). Interviews were completed with 255 residents in 28 NHs across greater Philadelphia, PA using six food items from the <i>Preferences for Everyday Living Inventory-NH</i> (PELI-NH). Participants were predominantly white (77%), female (67.8%), and widowed (44%) with high school educations (48%). Content analysis was used to identify <i>n</i> = 386 barriers and <i>n</i> = 57 situational dependencies. Participants reported provider policies and staff proficiency as environmental barriers to preference fulfillment regarding what, when, and where to eat. Perceived health and personal resources were barriers to obtaining snacks, take-out, and dining out. Situational dependencies resulted from residents' perceived health and quality of family relationships. Results have implications for providers to centralize food preference fulfillment in care planning, and to use food preferences to address dining quality concerns.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"277-296"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21551197.2019.1617220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37000492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Batchelor-Murphy, Susan M Kennerly, Susan D Horn, Ryan Barrett, Nancy Bergstrom, Lisa Boss, Tracey L Yap
{"title":"Impact of Cognition and Handfeeding Assistance on Nutritional Intake for Nursing Home Residents.","authors":"Melissa Batchelor-Murphy, Susan M Kennerly, Susan D Horn, Ryan Barrett, Nancy Bergstrom, Lisa Boss, Tracey L Yap","doi":"10.1080/21551197.2019.1617221","DOIUrl":"10.1080/21551197.2019.1617221","url":null,"abstract":"<p><p>In nursing homes (NHs), residents are at risk for malnutrition and weight loss. The purpose of this secondary data analysis was to examine the impact of resident cognitive status and level of feeding assistance provided by NH staff on resident's daily nutritional intake and body weight. As part of a large, multisite clinical trial (<i>N</i> = 786), residents with and without dementia were examined according to level of feeding assistance required during mealtimes (independent, set-up only, needs help eating) over a 21-day period. Outcomes analyzed were percent of meal intake by meal type (breakfast, lunch, dinner) and overall daily intake (meals + snacks/supplements). Residents with dementia who required meal set-up assistance had significantly lower meal intake for all three meals. Residents without dementia requiring meal set-up assistance experienced significantly lower intake for breakfast and dinner, but not lunch. When snacks and supplements were offered between meals, residents with dementia consumed approximately 163 additional calories/day, and residents without dementia consumed approximately 156 additional calories/day. This study adds new evidence that residents at greatest risk for low intake are those who are only provided set-up assistance for meals and/or have cognitive impairment.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":"38 3","pages":"262-276"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187960/pdf/nihms-1581539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37274222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}