scholarly journals Nutrition risk among an ethnically diverse sample of community-dwelling older adults

2018 ◽  
Vol 22 (5) ◽  
pp. 894-902 ◽  
Author(s):  
Patricia Sheean ◽  
Isabel C Farrar ◽  
Suela Sulo ◽  
Jamie Partridge ◽  
Linda Schiffer ◽  
...  
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Urban Community ◽  
Ethnically Diverse ◽  
Community Dwelling ◽  
Risk Scores ◽  
Nutrition Risk ◽  
Targeted Interventions ◽  
Race Ethnicity ◽  
Community Dwelling Older Adults

AbstractObjectiveTo assess the prevalence of nutritional risk among an ethnically diverse group of urban community-dwelling older adults and to explore if risk varied by race/ethnicity.DesignDemographic characteristics, Katz’s activities of daily living and health-care resource utilization were ascertained cross-sectionally via telephone surveys with trained interviewers. Nutrition risk and nutrition symptomology were assessed via the abridged Patient Generated Subjective Global Assessment (abPG-SGA); scores of ≥6 points delineated ‘high’ nutrition risk. Descriptive statistics and logistic regression analyses were conducted.SettingUrban.ParticipantsWhite, Black or Hispanic community-dwelling adults, ≥55 years of age, fluent in English or Spanish, residing in the city limits of Chicago, IL, USA.ResultsA total of 1001 participants (37 % white, 37 % Black, 26 % Hispanic) were surveyed. On average, participants were 66·9 years old, predominantly female and overweight/obese. Twenty-six per cent (n 263) of participants were classified as ‘high’ nutrition risk with 24, 14 and 31 % endorsing decreased oral intake, weight loss and compromised functioning, respectively. Black respondents constituted the greatest proportion of those with high risk scores, yet Hispanic participants displayed the most concerning nutrition risk profiles. Younger age, female sex, Black or Hispanic race/ethnicity, emergency room visits, eating alone and taking three or more different prescribed or over-the-counter drugs daily were significantly associated with high risk scores (P<0·05).ConclusionsOne in four older adults living in an urban community prone to health disparities was classified as ‘high’ nutrition risk. Targeted interventions to promote healthy ageing are needed, especially for overweight/obese and minority community members.

Measuring fear of falling among high-risk, urban, community-dwelling older adults

2016 ◽  
Vol 37 (6) ◽  
pp. 489-495 ◽  
Author(s):  
Sherry A. Greenberg ◽  
Eileen Sullivan-Marx ◽  
Marilyn (Lynn) S. Sommers ◽  
Jesse Chittams ◽  
Pamela Z. Cacchione
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Fear Of Falling ◽  
Urban Community ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Characteristics of Nutritionally Vulnerable Community-Dwelling Older Adults Consuming Oral Nutritional Supplements (OR16-08-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Suela Sulo ◽  
Linda Schiffer ◽  
Patricia Sheean ◽  
Isabel Farrar ◽  
Jamie Partridge ◽  
...  
Keyword(s):  
Older Adults ◽  
Nutritional Supplements ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Nutrition Risk ◽  
Targeted Interventions ◽  
Oral Nutritional Supplements ◽  
Community Dwelling Older Adults

Abstract Objectives There are limited data on nutrition risk profiles of community-dwelling older adults and their consumption patterns of oral nutritional supplements (ONS). This study assessed the characteristics of nutritionally vulnerable ONS users versus non-ONS users. Methods A cross-sectional study of White, Black and Hispanic community-dwelling adults, ≥55 years of age, residing in Chicago metropolitan area (MSA), USA was conducted over a 4-month period. Demographic characteristics, Katz's activities of daily living (ADL), healthcare resource utilization, and ONS consumption in the last six months were collected via a telephone survey. Nutrition risk was assessed via the abridged Patient Generated Subjective Global Assessment (abPG-SGA) and the DETERMINE checklist. Characteristics of ONS and non-ONS users were compared using t-tests and chi-square tests. A multivariable logistic regression assessed which characteristics were independently associated with ONS use. Results Of 1001 participants surveyed, 996 provided data on ONS use; 26% (n = 261) were classified as ‘high’ nutrition risk, and 11% (n = 114) reported consuming ONS. ONS users reported consuming on average 4.7 bottles/week, with recommendation primarily received from their physician (37%). ONS users were more likely to be at high nutritional risk than non-users per both abPG-SGA (43% vs 24%, P < .001) and DETERMINE (68% vs 48%, P < .001) results. They were less likely to be independent on all ADLs (86% vs 92%, P = .03), reported higher healthcare utilization, and were more likely to take ≥3 drugs/day (77% vs 53%, P < .001). Higher nutritional risk (per abPG-SGA), lower body mass index, hospitalization in past 6 months, and taking ≥3 drugs/day were significantly (P < .05) associated with ONS use. Conclusions Although one in four older community-dwellers living in the Chicago MSA were at high nutrition risk, only 11% of them reported consuming ONS. Older adults are more likely to consume ONS and experience poor health outcomes and polypharmacy. These results suggest that identification of nutrition risk among community-dwelling older adults remains unaddressed and may not result in nutrition interventions. Improved identification of nutrition risk and implementation of targeted interventions with ONS is warranted for older community-dwelling adults. Funding Sources Abbott, Columbus, OH, USA.

scholarly journals Harnessing Stakeholder Perspectives and Experience to Address Nutrition Risk in Community-Dwelling Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 477
Author(s):  
Catherine B. Chan ◽  
Naomi Popeski ◽  
Leah Gramlich ◽  
Marlis Atkins ◽  
Carlota Basualdo-Hammond ◽  
...  
Keyword(s):  
Older Adults ◽  
Design Thinking ◽  
Healthcare Providers ◽  
Community Organizations ◽  
Community Dwelling ◽  
Nutrition Risk ◽  
Intersectoral Cooperation ◽  
Stakeholder Perspectives ◽  
Patient Representatives ◽  
Community Dwelling Older Adults

Community-dwelling, older adults have a high prevalence of nutrition risk but strategies to mitigate this risk are not routinely implemented. Our objective was to identify opportunities for the healthcare system and community organizations to combat nutrition risk in this population in the jurisdiction of Alberta, Canada. An intersectoral stakeholder group that included patient representatives was convened to share perspectives and experiences and to identify problems in need of solutions using a design thinking approach. Results: Two main themes emerged from the workshop: (1) lack of awareness and poor communication of the importance of nutrition risk between healthcare providers and from healthcare providers to patients and (2) the necessity to work in partnerships comprised of patients, community organizations, healthcare providers and the health system. Conclusion: Improving awareness, prevention and treatment of malnutrition in community-dwelling older adults requires intersectoral cooperation between patients, healthcare providers and community-based organizations.

Identifying Barriers in the Home Environment among Urban Community-Dwelling Older Adults with Functional Difficulty: A Multi-Method Pilot Study

2018 ◽  
Vol 43 (4) ◽  
pp. 315-333 ◽  
Author(s):  
David Russell ◽  
Mia R. Oberlink ◽  
Nicole Onorato ◽  
Jodi L. Feinberg ◽  
Kathryn H. Bowles ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Home Environment ◽  
Urban Community ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Building Trust in Ethnically Diverse Older Adults Using Technology-Based Physio-Feedback

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 562-562
Author(s):  
Ladda Thiamwong
Keyword(s):  
Older Adults ◽  
Ethnically Diverse ◽  
Community Dwelling ◽  
Test Results ◽  
Balance Performance ◽  
Specific Objective ◽  
Objective Feedback ◽  
And Migration ◽  
Changes Over Time ◽  
Community Dwelling Older Adults

Abstract There is no research exploring how to build trust in the context of falls risk assessment and prevention. This study describes strategies to build trust in ethnically diverse older adults using technology-based physio-feedback from two studies. The technology includes a portable BTrackS balance plate and BTrackS Balance Software running on a computer device. Participants were provided instant playback showing their static balance performance with a scale from 0 to 100. Sixty-seven community-dwelling older adults participated in the first study, and 41 of them (61.2%) participated again in the second study using the same procedures. 70% were women, 43% were immigrants, 34% Hispanics, 15% African Americans, and 9% Asians. Three reasons for participation were reported: 1) specific objective feedback on the test results that supported by technology, 2) ability to record changes over time; and 3) ability to access the fall risk technology-based test at a place of their convenience. Part of a symposium sponsored by the International Aging and Migration Interest Group.

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