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Journal of Nutrition in Gerontology and Geriatrics

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https://www.readbyqxmd.com/read/28207373/food-label-knowledge-usage-and-attitudes-of-older-adults
#1
Beverly A Jackey, Nancy Cotugna, Elizabeth Orsega-Smith
Few recent studies have investigated food label practices in older adults. This cross-sectional study surveyed adults, 60 years and older in Delaware (n = 100, 82% female, 74% between 60 and 79 years, 49% Caucasian, 45% African Americans) to examine associations between food label knowledge, attitudes, and usage patterns. A 28-item questionnaire assessed knowledge, attitudes, usage, and demographic information. Bivariate analysis results showed food label knowledge was associated with education and monthly income...
January 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28207372/methods-employed-to-assess-weight-loss-in-older-adults-by-means-of-electronic-medical-records-a-systematic-review
#2
Sunny Chen, William A Banks, Julie Silverman, Meera Sheffrin, Stephen M Thielke
Electronic medical records (EMRs) can be used to identify and categorize weight loss in older adults, but research has not scrutinized methods for doing so. Through a modified PRISMA protocol, we systematically reviewed published methods for quantifying weight change from EMRs. Articles (all available through July 2016) were identified through PubMed and SCOPUS searches, screened, and evaluated. We abstracted relevant data and tabulated the methods to assess weight change. The 13 selected articles showed little consistency in the approach to key methodological issues: 1) time ranges assessed; 2) removal of spurious values; 3) metrics to quantify weight change; 4) number of measures needed to estimate change; 5) threshold for significant weight change; and 6) relation to ideal weight...
January 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28207371/does-depressive-affect-mediate-the-relationship-between-self-care-capacity-and-nutritional-status-among-rural-older-adults-a-structural-equation-modeling-approach
#3
Seung Eun Jung, Alex J Bishop, Minjung Kim, Janice Hermann, Giyeon Kim, Jeannine Lawrence
This study examined the relationships of self-care capacity and depressive affect on nutritional status and whether depressive affect mediated the relationship of self-care capacity on nutritional status. A convenience sample of 171 rural community-dwelling older adults, 65 years and above, participated. Structural equation modeling (SEM) was conducted to test a mediation model. The hypothesized SEM model was supported with adequate fit (χ(2) (1) = 1.87, p = 0.17; CFI = 0.94; RMSEA = 0.07; SRMR = 0...
January 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28140779/social-ecological-perspectives-of-tube-feeding-older-adults-with-advanced-dementia-a-systematic-literature-review
#4
Joy W Douglas, Jeannine C Lawrence, Lori W Turner
Dementia is a progressive, debilitating disease that often results in weight loss, malnutrition, and dehydration. Feeding tubes are often prescribed; however, this practice can lead to complications. The purpose of this systematic review was to examine the use of feeding tubes in elderly demented patients from a social ecological perspective. Results indicated that family members often receive inadequate decision-making education. Many health care professionals lack knowledge of evidence-based guidelines pertaining to feeding tube use...
January 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28107108/testing-a-model-of-sodium-reduction-in-hypertensive-older-thai-adults
#5
Pratsani Srikan, Bonnie Callen, Kenneth Phillips, Abbas Tavakoli, Ralph Brockett, Somchit Hanucharurnkul, Lora Beebe
Hypertensive older adults will benefit if there is a clear understanding of the factors related to sodium reduction. That would raise awareness of the causes, consequently reducing many health risks, lowering health care costs, and diminishing economic and social burden from high blood pressure. This study explored predictors of urinary sodium excretion. A cross-sectional, correlational study was conducted in 312 hypertensive older Thai adults. Questionnaires related to knowledge, self-care agency, self-care behavior of sodium reduction, and 24-hour urinary sodium analyses were used, followed by the application of structural equation modeling and the Analysis of Moment Structures program...
January 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27897612/physical-activity-diet-quality-and-mortality-among-community-dwelling-prefrail-and-frail-older-adults
#6
Justin C Brown, Michael O Harhay, Meera N Harhay
It is unknown if physical activity and diet quality are associated with the risk of poor outcomes, such as mortality, among prefrail and frail older adults. This was a population-based cohort study among 1487 prefrail and frail older-adults from the Third National Health and Nutrition Survey. Compared to participants who were sedentary (0 bouts of physical activity per week), those who were physically inactive (1-4 bouts of physical activity per week) were 24% less likely to die [HR: 0.76 (95% CI: 0.58-0.98)], and those who were physically active (≥5 bouts of physical activity per week) were 34% less likely to die [HR: 0...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27897610/effect-of-calcitriol-supplementation-on-blood-pressure-in-older-adults
#7
Jaime Alberto Bricio-Barrios, Alín Jael Palacios-Fonseca, Mario Del Toro-Equihua, Carmen Alicia Sanchez-Ramirez
Recent studies suggest that vitamin D plays an important role in the control of blood pressure. Unfortunately, because older adults are more likely to have low 25-hydroxyvitamin-D [25(OH)D] levels, this study investigated whether calcitriol supplementation reduces blood pressure in older adults with hypertension. The design was a double-blind placebo-controlled randomized clinical trial with 36 randomly assigned subjects (71.7 ± 10 years). Blood pressure and serum levels of 25(OH)D before and after calcitriol intervention (1,000 IU daily for 6 weeks; n = 22) or placebo (n = 23) for 6 weeks were analyzed...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27897609/a-video-based-intervention-on-and-evaluation-of-nursing-aides-therapeutic-communication-and-residents-agitation-during-mealtime-in-a-dementia-care-unit
#8
Lené Levy-Storms, Lesley M Harris, Xiao Chen
The researchers conducted a communication training intervention for certified nursing assistants (CNAs). The intervention aimed at improving CNAs' therapeutic techniques for relating to agitated residents during care. This study focused on an in-depth evaluation of mealtime interactions using videos. Sixteen CNAs and 16 residents living with dementia from one long-term care facility were videotaped during mealtime interactions before and after a therapeutic communication training program. Mixed-effect Poisson regression revealed no effect of the intervention as a whole on residents' refusals, but the intervention did improve CNAs' communication...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27897608/modulating-oxidative-stress-and-inflammation-in-elders-the-moxie-study
#9
Amy Cameron Ellis, Tanja Dudenbostel, Julie L Locher, Kristi Crowe-White
Cardiovascular disease (CVD) is the leading cause of death among women in the United States. Endothelial dysfunction and arterial stiffness increase with advancing age and are early predictors of future CVD outcomes. We designed the Modulating Oxidative Stress and Inflammation in Elders (MOXIE) study to examine the effects of 100% watermelon juice as a "food-first" intervention to reduce CVD risk among African American (AA) and European American (EA) women aged 55-69 years. Vascular dysfunction is more pronounced in AA compared to EA women due in part to lower nitric oxide bioavailability caused by higher oxidative stress...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27559855/effect-of-ginger-supplementation-on-proinflammatory-cytokines-in-older-patients-with-osteoarthritis-outcomes-of-a-randomized-controlled-clinical-trial
#10
Hassan Mozaffari-Khosravi, Zahra Naderi, Ali Dehghan, Azadeh Nadjarzadeh, Hassan Fallah Huseini
There is limited evidence that ginger powder consumption can relieve pain and inflammation due to specific anti-inflammatory phytochemical constitutents. This study investigates the effect of ginger supplementation on proinflammatory factors in participants (n = 120) of a randomized double-blind placebo-controlled 3-month clinical trial investigating knee osteoarthritis. Patients were randomly assigned to one of two groups: the ginger group (GG) or the placebo group (PG). Administered daily for 3 months, participants in the GG intervention received capsules containing 500 mg of ginger powder, while PG participants received capsules filled with 500 mg starch...
July 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27559854/evaluation-of-handgrip-strength-and-nutritional-risk-of-congregate-nutrition-program-participants-in-florida
#11
Kelly A Springstroh, Nancy J Gal, Amanda L Ford, Susan J Whiting, Wendy J Dahl
The aim of this study was to determine if handgrip strength (HGS) is a predictor of nutritional risk in community-dwelling older adults. A cross-sectional study was carried out to determine the relationship between HGS and nutritional risk using SCREEN 1. The setting was Congregate Nutrition program meal sites (n = 10) in North Central Florida and included community-dwelling older adults participating in the Congregate Nutrition program. Older adults (n = 136; 77.1 ± 8.9 y; 45 M, 91 F) participated in the study...
July 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27559853/food-insecurity-and-health-care-utilization-among-older-adults-in-the-united-states
#12
Vibha Bhargava, Jung Sun Lee
This study examined the relationships between food insecurity and utilization of four health services among older Americans: office visits, inpatient hospital nights, emergency department visits, and home health care. Nationally representative data from the 2011 and 2012 National Health Interview Survey were used (N = 13,589). Nearly 83.0% of the sample had two or more office visits, 17.0% reported at least one hospital night, 23.0% had at least one emergency room visit, and 8.1% used home health care during the past 12 months...
July 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27559852/metabolic-health-status-and-the-obesity-paradox-in-older-adults
#13
Feon W Cheng, Xiang Gao, Diane C Mitchell, Craig Wood, David D K Rolston, Christopher D Still, Gordon L Jensen
The explanation for reduced mortality among older persons with overweight or class I obesity compared to those of desirable weight remains unclear. Our objective was to investigate the joint effects of body mass index (BMI) and metabolic health status on all-cause mortality in a cohort of advanced age. Adults aged 74 ± 4.7 (mean ± SD) years at baseline (n = 4551) were categorized according to BMI (18.5-24.9, 25.0-29.9, 30.0-34.9, and ≥35.0 kg/m(2)) and the presence or absence of a metabolically healthy phenotype (i...
July 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27153253/package-information-used-by-older-adults-to-identify-whole-grain-foods
#14
Catherine Violette, Mark A Kantor, Katharine Ferguson, Marla Reicks, Len Marquart, Mary Jane Laus, Nancy Cohen
A structured interview protocol was used to investigate the ability of older adults (n = 89, age ≥ 65 years) to accurately determine whether three common food items were whole grain, and to assess the package information used in their decision process. Cereal and crackers, which were both whole grain products, were correctly identified by 63% and 66% of participants, respectively. Bread (a refined product), was correctly identified by only 19% of participants, while 46% of participants misidentified the bread as being whole grain...
April 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27153252/pork-and-chicken-meals-similarly-impact-on-cognitive-function-and-strength-in-community-living-older-adults-a-pilot-study
#15
Karen Charlton, Karen Walton, Marijka Batterham, Erin Brock, Kelly Langford, Anne McMahon, Steven Roodenrys, Freda Koh, Alison Host, Ruth Crowe, Kayla Thornhill
A pilot quasi-experimental study investigated whether provision of pork, a rich source of thiamin, as the main protein source in meals four times/week for 12 weeks resulted in improved muscle mass, body strength, and cognitive function in community-living older adults compared to similar meals containing chicken. Retirement villages were randomized to receive pre-prepared frozen meals containing either pork or chicken. Dietary intake was assessed by three-day food records and cognitive domains assessed using validated tests...
April 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27153251/promoting-the-congregate-meal-program-to-the-next-generation-of-rural-residing-older-adults
#16
Kara A Hoerr, Sarah L Francis, Jennifer A Margrett, Marc Peterson, Warren D Franke
Despite a growing older adult population, Iowa Congregate Meal Program (CMP) participation has declined. Motivators and barriers to congregate mealsite participation and wellness programming preferences of baby boomers and older adults were examined to provide insight to how to revise and better promote the CMP for the next generation of older adults. Four focus group sessions were conducted with 27 primarily White, rural-residing adults, ages 48-88 years. Participation motivators included educational programs, food, and socialization while barriers included negative perceptions and stereotypes associated with congregate mealsites...
April 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27153250/environmental-strategies-to-promote-food-intake-in-older-adults-a-narrative-review
#17
Nanette Stroebele-Benschop, Julia Depa, John M de Castro
Aging is often accompanied by lower intakes of food energy and consequent negative effects on health. To some extent this is due to declines in physiological ability, including the sensory responsiveness to regulate food intake. Fortunately, environmental factors may still influence food intake in older adults. Factors such as social facilitation, modeling, and nutrition knowledge and skills have been shown to stimulate their food intake. While environmental factors such as the eating location, portion size, food presentation, and labeling are known to influence eating behavior, their effectiveness in stimulating food intake in older persons is not well delineated...
April 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27153249/factors-influencing-food-choice-for-independently-living-older-people-a-systematic-literature-review
#18
Alison Host, Anne-Therese McMahon, Karen Walton, Karen Charlton
Unyielding, disproportionate growth in the 65 years and older age group has precipitated serious concern about the propensity of health and aged-care services to cope in the very near future. Preservation of health and independence for as long as possible into later life will be necessary to attenuate demand for such services. Maintenance of nutritional status is acknowledged as fundamental for achievement of this aim. Determinants of food choice within this age group need to be identified and better understood to facilitate the development of pertinent strategies for encouraging nutritional intakes supportive of optimal health...
April 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/26885946/managing-malnutrition-in-older-persons-residing-in-care-homes-nutritional-and-clinical-outcomes-following-a-screening-and-intervention-program
#19
Christopher G Mountford, Arthur C O Okonkwo, Kathryn Hart, Nick P Thompson
This study aimed to establish prevalence of malnutrition in older adult care home residents and investigate whether a nutritional screening and intervention program could improve nutritional and clinical outcomes. A community-based cohort study was conducted in five Newcastle care homes. 205 participants entered; 175 were followed up. Residents already taking oral nutritional supplements (ONS) were excluded from interventions. Those with Malnutrition Universal Screening Tool (MUST) score of 1 received dietetic advice and ≥2 received dietetic advice and were prescribed ONS (220 ml, 1...
2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/26885945/nutritional-risk-is-associated-with-chronic-musculoskeletal-pain-in-community-dwelling-older-persons-the-painel-study
#20
Aline Bárbara Pereira Costa, Luciana Andrade Carneiro Machado, João Marcos Domingues Dias, Adriana Keller Coelho de Oliveira, Joana Ude Viana, Sílvia Lanziotti Azevedo da Silva, Flávia Gonçalves Pereira Couto, Juliana Lustosa Torres, Liliane P Mendes, Rosangela Correa Dias
Malnutrition is a risk factor for noncommunicable diseases related to ageing, and it can also contribute to musculoskeletal health. This study investigated whether nutritional risk is associated with chronic musculoskeletal pain in community-dwelling older persons. Nutritional risk was assessed by the DETERMINE Checklist. Chronic musculoskeletal pain was defined as the presence of pain in the past six months that did not disappear for at least 30 consecutive days. Multivariate logistic regression including confounding variables was used for the analysis...
2016: Journal of Nutrition in Gerontology and Geriatrics
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