{"title":"SCREEN-8测量的基线营养风险可预测3年后老年人自我报告的12个月医疗保健服务使用情况。","authors":"Heather H Keller, Vanessa Trinca","doi":"10.1139/apnm-2024-0288","DOIUrl":null,"url":null,"abstract":"<p><p>This study investigated whether nutrition risk, as measured by SCREEN-8 at baseline, was associated with self-reported healthcare service use in the past 12 months among community-dwelling older adults who were interviewed 3 years later. Data from the Canadian Longitudinal Study on Aging were used. SCREEN-8 assessed nutrition risk among community-dwelling persons ages 55+. Multivariable logistic regression determined if baseline SCREEN-8 score was associated with the following healthcare services reported to occur in the 12 months preceding the 3-year follow-up period: (i) overnight hospital admission (<i>n</i> = 13 623), (ii) emergency room visit (<i>n</i> = 13 614), (iii) contacting a family doctor (<i>n</i> = 13 616), (iv) visiting dental professional (<i>n</i> = 13 288), and (v) visiting a doctor due to an infection (<i>n</i> = 13 171) after adjusting for demographic and health variables. Those with higher SCREEN-8 scores (lower nutrition risk) had significantly lower odds of reporting: (i) an overnight hospital admission (χ<sup>2</sup> (27, 13 587) = 10.59, <i>p</i> < 0.001); (ii) visiting a hospital emergency room (χ<sup>2</sup> (27, 13 578) = 9.64, <i>p</i> < 0.001); and (iii) visiting a doctor due to an infection (χ<sup>2</sup> (27, 13 135) = 10.32, <i>p</i> < 0.001) at 3-year follow-up. Less nutrition risk was significantly associated with higher odds of reporting visiting a dental professional (χ<sup>2</sup> (27, 13 252) = 17.88, <i>p</i> < 0.001). Baseline nutrition risk was not significantly associated with visiting a family doctor at the 3-year follow-up. SCREEN-8 predicted future self-reported 12-month healthcare service use among older adults in expected directions.</p>","PeriodicalId":93878,"journal":{"name":"Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme","volume":" ","pages":"1-11"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Baseline nutrition risk as measured by SCREEN-8 predicts self-reported 12-month healthcare service use of older adults 3 years later.\",\"authors\":\"Heather H Keller, Vanessa Trinca\",\"doi\":\"10.1139/apnm-2024-0288\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study investigated whether nutrition risk, as measured by SCREEN-8 at baseline, was associated with self-reported healthcare service use in the past 12 months among community-dwelling older adults who were interviewed 3 years later. Data from the Canadian Longitudinal Study on Aging were used. SCREEN-8 assessed nutrition risk among community-dwelling persons ages 55+. Multivariable logistic regression determined if baseline SCREEN-8 score was associated with the following healthcare services reported to occur in the 12 months preceding the 3-year follow-up period: (i) overnight hospital admission (<i>n</i> = 13 623), (ii) emergency room visit (<i>n</i> = 13 614), (iii) contacting a family doctor (<i>n</i> = 13 616), (iv) visiting dental professional (<i>n</i> = 13 288), and (v) visiting a doctor due to an infection (<i>n</i> = 13 171) after adjusting for demographic and health variables. Those with higher SCREEN-8 scores (lower nutrition risk) had significantly lower odds of reporting: (i) an overnight hospital admission (χ<sup>2</sup> (27, 13 587) = 10.59, <i>p</i> < 0.001); (ii) visiting a hospital emergency room (χ<sup>2</sup> (27, 13 578) = 9.64, <i>p</i> < 0.001); and (iii) visiting a doctor due to an infection (χ<sup>2</sup> (27, 13 135) = 10.32, <i>p</i> < 0.001) at 3-year follow-up. Less nutrition risk was significantly associated with higher odds of reporting visiting a dental professional (χ<sup>2</sup> (27, 13 252) = 17.88, <i>p</i> < 0.001). Baseline nutrition risk was not significantly associated with visiting a family doctor at the 3-year follow-up. SCREEN-8 predicted future self-reported 12-month healthcare service use among older adults in expected directions.</p>\",\"PeriodicalId\":93878,\"journal\":{\"name\":\"Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme\",\"volume\":\" \",\"pages\":\"1-11\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1139/apnm-2024-0288\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1139/apnm-2024-0288","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/2 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Baseline nutrition risk as measured by SCREEN-8 predicts self-reported 12-month healthcare service use of older adults 3 years later.
This study investigated whether nutrition risk, as measured by SCREEN-8 at baseline, was associated with self-reported healthcare service use in the past 12 months among community-dwelling older adults who were interviewed 3 years later. Data from the Canadian Longitudinal Study on Aging were used. SCREEN-8 assessed nutrition risk among community-dwelling persons ages 55+. Multivariable logistic regression determined if baseline SCREEN-8 score was associated with the following healthcare services reported to occur in the 12 months preceding the 3-year follow-up period: (i) overnight hospital admission (n = 13 623), (ii) emergency room visit (n = 13 614), (iii) contacting a family doctor (n = 13 616), (iv) visiting dental professional (n = 13 288), and (v) visiting a doctor due to an infection (n = 13 171) after adjusting for demographic and health variables. Those with higher SCREEN-8 scores (lower nutrition risk) had significantly lower odds of reporting: (i) an overnight hospital admission (χ2 (27, 13 587) = 10.59, p < 0.001); (ii) visiting a hospital emergency room (χ2 (27, 13 578) = 9.64, p < 0.001); and (iii) visiting a doctor due to an infection (χ2 (27, 13 135) = 10.32, p < 0.001) at 3-year follow-up. Less nutrition risk was significantly associated with higher odds of reporting visiting a dental professional (χ2 (27, 13 252) = 17.88, p < 0.001). Baseline nutrition risk was not significantly associated with visiting a family doctor at the 3-year follow-up. SCREEN-8 predicted future self-reported 12-month healthcare service use among older adults in expected directions.