Application of a screening method to detect early nutritional risk in community-dwelling older adults

2020 ◽  
Author(s):  
Ilse Bloom
Keyword(s):  
Older Adults ◽  
Screening Method ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Community Dwelling Older Adults

scholarly journals Polish Translation and Validation of the Mini Sarcopenia Risk Assessment (MSRA) Questionnaire to Assess Nutritional and Non-Nutritional Risk Factors of Sarcopenia in Older Adults

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1061
Author(s):  
Roma Krzymińska-Siemaszko ◽  
Ewa Deskur-Śmielecka ◽  
Arkadiusz Styszyński ◽  
Katarzyna Wieczorowska-Tobis
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Risk Assessment ◽  
Predictive Value ◽  
High Sensitivity ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Polish Language ◽  
Community Dwelling Older Adults ◽  
Translation And Validation

A simple, short, cheap, and reasonably sensitive and specific screening tool assessing both nutritional and non-nutritional risk factors for sarcopenia is needed. Potentially, such a tool may be the Mini Sarcopenia Risk Assessment (MSRA) Questionnaire, which is available in a seven-item (MSRA-7) and five-item (MSRA-5) version. The study’s aim was Polish translation and validation of both MSRA versions in 160 volunteers aged ≥60 years. MSRA was validated against the six sets of international diagnostic criteria for sarcopenia used as the reference standards. PL-MSRA-7 and PL-MSRA-5 both had high sensitivity (≥84.9%), regardless of the reference standard. The PL-MSRA-5 had better specificity (44.7–47.2%) than the PL-MSRA-7 (33.1–34.7%). Both questionnaires had similarly low positive predictive value (PL-MSRA-5: 17.9–29.5%; PL-MSRA-7: 14.4–25.2%). The negative predictive value was generally high for both questionnaires (PL-MSRA-7: 89.8–95.9%; PL-MSRA-5: 92.3–98.5%). PL-MSRA-5 had higher accuracy than the PL-MSRA-7 (50.0–55% vs. 39.4–45%, respectively). Based on the results, the Mini Sarcopenia Risk Assessment questionnaire was successfully adopted to the Polish language and validated in community-dwelling older adults from Poland. When compared with PL-MSRA-7, PL-MSRA-5 is a better tool for sarcopenia risk assessment.

IMPACT OF NUTRITIONAL RISK ON SELF-CARE CAPACITY: SOCIAL SUPPORT AS A SOURCE OF PROTECTION FOR COMMUNITY-DWELLING OLDER ADULTS LIVING IN A RURAL AREA

2013 ◽  
pp. 1-5
Author(s):  
S.E. JUNG ◽  
J.R. HERMANN ◽  
A. BISHOP
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Self Care ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Functional Impairments ◽  
Care Capacity ◽  
Community Dwelling Older Adults ◽  
Social Provisions ◽  
Rural Older Adults

Background:Loss of independence is a major concern for rural older adults. Older adults living inrural areas are at an increased nutritional risk, which can lead to functional impairments in self-care capacity.Identifying factors, which have a role in sustaining rural older adults’ self-care capacity, could help withmaintaining independence as long as possible. Objective:The objective of this study was to examine the effect ofsocial support as a moderator between nutritional risk and self-care capacity. Design:Cross sectional designusing convenient sampling. Setting:Rural Oklahoma counties designated as “non-metro” and having populationsunder 5,000. Participants:Participants included 171 community-dwelling older adults, 65 years of age and older.Measurements:Data were collected using self-report surveys on self-care capacity (using the Duke OlderAmericans Resources and Services Procedures), social support (using the Social Provisions Scale), andnutritional risk (using the Mini-Nutritional Assessment short form). Using hierarchical linear regressiontechniques, data were analyzed to explore the moderating influence of social support in the association betweennutritional risk and self-care capacity. Results:A significant interaction emerged between nutritional risk, socialsupport, and self-care capacity (β = 0.20 p < 0.05). Thus, the deleterious impact of nutritional risk on self-carecapacity was reduced by social support. Conclusions:Results provide further support of the “buffering-hypothesis” and have implications relative to the importance of accessible social provisions to enhance self-carecapacity and quality of life among older adults residing in rural settings.

LIVING WITH FAMILY YET EATING ALONE IS ASSOCIATED WITH FRAILTY IN COMMUNITY-DWELLING OLDER ADULTS: THE KASHIWA STUDY

2019 ◽  
pp. 1-7
Author(s):  
U. Suthutvoravut ◽  
T. Tanaka ◽  
K. Takahashi ◽  
M. Akishita ◽  
K. Iijima
Keyword(s):  
Older Adults ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Physical Strength ◽  
Community Dwelling Older Adults ◽  
The Relationship

Objectives: Eating alone is related to depression, nutritional risk, and mortality. These effects are also influenced by living status. However, little is known about the relationship between eating alone despite living with family and frailty. This study explores the relationship of eating alone and living status with frailty in community-dwelling older adults. Design: Cross-sectional study. Setting and Participants: Kashiwa city, Chiba prefecture, Japan; randomly selected community-dwelling older adults (aged 65 years and over). Measurements: Eating status was assessed by the question, “Do you eat meals with anyone, at least once a day: yes or no?” Frailty was defined by Kihon Checklist (KCL) score 8 or over. Domains of frailty were divided into instrumental activities of daily living (IADL), physical strength, nutrition, eating, socialization, memory, and mood, based on KCL categories. Binary logistic regression analysis was used, adjusting for age, years of education, chronic diseases, number of teeth and cognitive function. Results: Among the total of 1,914 participants, 49.8% were male, and the overall mean age was 72.9 ± 5.5 years. Of all participants, 56 (5.9%) of men and 112 (11.7%) of women were frail. Older adults who ate alone despite living with others were more likely to be frail (OR 2.49, 95%CI 1.1–5.5 for men and OR 2.16, 95%CI 1.0–4.5 for women). Of particular note, eating and living status were associated with lower physical strength and mood in men, whereas in women these statuses were associated with lower scores for IADL, socialization, memory, and mood. Conclusions: Eating alone despite living with others was associated with high frailty in both genders; however, the pathways were different between genders. These results might help yield a simple, fundamental intervention approach to multifaceted frailty, reflecting gender and associated high-risk domains.

Community Nutrition Policy For Older Adults in Canada

2008 ◽  
Vol 69 (4) ◽  
pp. 198-200 ◽  
Author(s):  
Caitlin More ◽  
Heather Keller
Keyword(s):  
Older Adults ◽  
Nutrition Policy ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Community Nutrition ◽  
Key Informants ◽  
Specific Policy ◽  
Nutrition Programs ◽  
Government Websites ◽  
Community Dwelling Older Adults

Purpose: Current prevention-focused nutrition policy for community-dwelling older adults in Canada is discussed. Methods: Government websites were searched and key informants asked to identify relevant documents and policies specific to older adults. These were reviewed to find specific legislation on community nutrition programs for older adults. Results: Despite this population’s known nutritional risk, policies guiding community nutrition programs are extremely limited. Current policies and significant documents and organizations that could influence legislation are acknowledged. Conclusions: Dietitians in diverse settings need to advocate for specific policy concerning preventive nutrition programs for older adults in Canada.

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