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Journal of Nutrition in Gerontology and Geriatrics

Emmy van den Heuvel, Jane L Murphy, Katherine M Appleton
Compared to other protein-rich foods, eggs are of soft texture, easy to cook, and low cost, and may be useful in increasing protein intakes in older adults. Focus groups and interviews were used to explore all reasons for consuming and not consuming eggs in older adults. Forty-two individuals (20 males, 22 females, aged 56-96 years) took part in one of eight focus groups or two individual interviews. Thematic analyses revealed 69 different reasons for eating or not eating eggs in this population. Reasons were related to: hedonics, properties of the food, preparation style, convenience, physical environment, variety, physical health/abilities, nutrition and health knowledge, food safety, social environment, morality, emotion, and habit...
September 14, 2018: Journal of Nutrition in Gerontology and Geriatrics
Dana L Craven, Fiona E Pelly, Geoff P Lovell, Elisabeth Isenring
Many community-living older adults experience the condition of malnutrition and the causes are complex and multi-factorial. This study examined nutrition risk in a sample of community-living older Australians (n = 77, age ≥65 years) using an online, self-administered survey consisting of two validated questionnaires (SCREEN II and SF-12). We found a significant relationship between health status and nutrition risk; those with higher self-rated health status had lower nutrition risk. Forty percent of the participants were categorized at high nutritional risk, 26% at moderate nutritional risk and 34% not at nutritional risk...
September 12, 2018: Journal of Nutrition in Gerontology and Geriatrics
Oleg Zaslavsky, Shira Zelber-Sagi, James M Shikany, Tonya Orchard, Robert Wallace, Linda Snetselaar, Lesley Tinker
We examined individual components of the Mediterranean Diet (Med) and evaluated their relative contribution to mortality rates in older women with frailty. A sample (N = 10,431) included Women's Health Initiative Observational Study participants aged 65-84 y with complete frailty diagnostic criteria and dietary data. Frailty was assessed with modified Fried's criteria, and dietary data were collected through food frequency questionnaire. Over a mean follow-up of 12.4 y (range 3-21.0), 3,259 (31.2%) deaths occurred...
August 17, 2018: Journal of Nutrition in Gerontology and Geriatrics
Adrienne M Young, Susan J de Jersey, Jennifer Ellick, Carrie-Anne Lewis, Merrilyn Banks
This pilot study evaluated the introduction of a bistro evening meal service in a geriatric inpatient unit by comparing patient intake, satisfaction and meal quality of this new service to the usual central preplated service. Ten meals were observed under each condition (n = 30; mean age 79 years, 47% male). Data were collected on intake of each meal component (none, ¼, ½, ¾, all; converted to energy and protein using known food composition data), patient satisfaction with meals (meal flavor/taste, appearance, quality, staff demeanor; seven-point scale) and meal quality (sensory properties, temperature; five-point scale)...
July 2, 2018: Journal of Nutrition in Gerontology and Geriatrics
Shanthi Johnson, Roseann Nasser, Kayla Rustad, Jennifer Chan, Christina Wist, Aisha Siddique, Heather Tulloch
The older adult population in Canada is growing, creating a greater demand for long-term care (LTC) facilities. Seniors living in LTC are more vulnerable to malnutrition, making it important to implement nutrition screening tools on a routine basis. The purpose of this study was to explore the practices of Registered Dietitians (RDs) related to nutritional screening, nutritional assessment, and follow-ups conducted within LTC facilities. This study also explored possible barriers hindering the application of these practices...
June 28, 2018: Journal of Nutrition in Gerontology and Geriatrics
Elizabeth Rosted, Tatiana Prokofieva, Suzanne Sanders, Martin Schultz
Malnutrition is highly prevalent in geriatric patients and is associated with an increased risk of death. In addition, delirium is a common condition of the older hospitalized patients. As brain has a high nutritional requirement, malnutrition may play an important role in cognitive dysfunction including the development of delirium. This study investigated the association between delirium and malnutrition in frail older patients and the effects on adverse outcomes. It was found that 75% of the patients with delirium suffered from malnutrition indicating that malnutrition contributes to the development of delirium in older hospitalized patients...
May 24, 2018: Journal of Nutrition in Gerontology and Geriatrics
Kathryn N Porter Starr, Shelley R McDonald, Aubrey Jarman, Melissa Orenduff, Richard Sloane, Carl F Pieper, Connie W Bales
Increases in rates of obesity in the older population are hastening the development of chronic illnesses, including chronic kidney disease (CKD). However, obesity reduction in older adults is besought with concerns about the long-term benefit/risk, especially regarding loss of muscle mass and its impact on function. Higher protein intakes have been advocated to help offset the tendency for loss of muscle during weight reduction but this raises concerns about possible negative effects on older kidneys. We assessed markers of renal function in venous blood samples collected during a six-month randomized controlled weight loss trial of higher protein intake in obese (n = 67; BMI ≥ 30 kg/m2 ) older (≥60 years) adults with physical frailty and age-normal renal status (glomerular filtration rate [GFR] ≥ 45); the Control diet (0...
April 2018: Journal of Nutrition in Gerontology and Geriatrics
Christine L Sheppard, Lise Dubé, Kate Ducak, Anita M Myers
A mixed-methods needs assessment was conducted in an urban senior center serving lower-income seniors in Toronto, Ontario, to determine whether they should offer a congregate meal program. Methods included three focus groups with participants (n = 31), a focus group with staff (n = 8), a center-wide survey (n = 36), and a community scan of programs in the area. Interviews with five coordinators at other seniors' centers who offered meal programs were also used to gauge interest and assist with program development...
April 2018: Journal of Nutrition in Gerontology and Geriatrics
Vanessa Vucea, Heather H Keller, Jill M Morrison, Alison M Duncan, Lisa M Duizer, Christina O Lengyel, Susan E Slaughter
Residents living in long term care (LTC) who consume a pureed diet tend to have inadequate intake; understanding factors associated with poor intake in this group of residents is not well established. This study examined the adequacy of nutrient intake among LTC residents consuming a pureed diet and the factors associated with this intake (n = 67). Data was collected as part of a cross-sectional study conducted in 32 LTC homes. Weighed food intake was measured on three non-consecutive days and analyzed using Food Processor software...
April 2018: Journal of Nutrition in Gerontology and Geriatrics
Seung Eun Jung, Amy C Ellis, Kristi Crowe-White
To strengthen randomized controlled trials (RCT) evaluating the efficacy of 100% watermelon juice on vascular function of older women, theory-driven behavioral analysis as well as comparative sensory analysis of the intervention and placebo were conducted. The Theory of Planned Behavior was adopted to assess psychosocial determinants of intention to consume watermelon juice. Sensory attributes were assessed utilizing hedonic scales. Analysis included Structural Equation Modeling with maximum likelihood. The measurement model provided a good fit (x2  = 70...
April 2018: Journal of Nutrition in Gerontology and Geriatrics
Sabrina Iuglio, Heather Keller, Habib Chaudhury, Susan E Slaughter, Christina Lengyel, Jill Morrison, Veronique Boscart, Natalie Carrier
Long-term care (LTC) physical and psychosocial mealtime environments have been inconsistently assessed due to the lack of a standardized measure. The purpose of this study was to examine the construct validity of a new standardized observational measure, the Mealtime Scan (MTS), using the Making Most of Mealtimes data collected on 639 residents in 82 dining rooms in 32 LTC homes. The MTS includes physical, social, and person-centered care summary scales scored from 1 to 8. Mean ratings on these summary scales were moderate for physical (5...
April 2018: Journal of Nutrition in Gerontology and Geriatrics
Anna Vaudin, Hee-Jung Song, Mira Mehta, Nadine Sahyoun
Functional limitations in homebound older adults may cause difficulties with obtaining and preparing adequate healthy food. Services exist to help with these difficulties, however, not all individuals who could benefit receive them. This secondary analysis of observational data, obtained via questionnaires from homebound, recently hospital discharged older adults (n = 566), aimed to identify the prevalence and correlates of unmet need for such services, and to examine the disagreement between self-reported need for a service and functional limitation that could be addressed by that service...
January 2018: Journal of Nutrition in Gerontology and Geriatrics
Laurel Kilpatrick, Denise K Houston, Valerie K Wilson, James Lovato, Hilsa N Ayonayon, Jane A Cauley, Tamara Harris, Eleanor M Simonsick, Kristine Yaffe, Stephen B Kritchevsky, Kaycee M Sink
Using data from the Health, Aging, and Body Composition study, we examined whether low 25-hydroxyvitamin D (25[OH]D) concentrations were associated with prevalent or incident cognitive impairment. Serum 25(OH)D concentrations were measured in 2,786 older adults and categorized as <20 ng/mL, 20 to <30 ng/mL, or ≥30 ng/mL. Cognitive impairment was defined as a score >1.5 standard deviations below race and education specific means on either digit symbol substitution test or modified mini-mental state test...
January 2018: Journal of Nutrition in Gerontology and Geriatrics
Alison C Berg, Kristen B Johnson, Chad R Straight, Rachelle A Reed, Patrick J O'Connor, Ellen M Evans, Mary Ann Johnson
Eating behaviors (cognitive restraint, flexible and rigid restraint, disinhibition, hunger) have been associated with obesity and weight loss success in middle-aged individuals, but little is known about these relationships in older adults. This study examined relationships between eating behaviors and weight loss in overweight/obese older women (n = 61; 69 ± 3.6 years; body mass index = 31.1 ± 5.0 kg/m2 ) completed a 6-month behavioral weight loss intervention. Baseline, postintervention, and change measures of eating behaviors (51-items Three-Factor Eating Questionnaire) were assessed for relationships with weight loss...
January 2018: Journal of Nutrition in Gerontology and Geriatrics
Sarah Niccoli, Anton Kolobov, Trevor Bon, Seda Rafilovich, Heather Munro, Kim Tanner, Trina Pearson, Simon J Lees
Whey protein supplementation (WPS) has been shown to improve functional outcomes in populations that are able to participate in high-intensity resistance training. The purpose of the study was to evaluate the efficacy of WPS on rehabilitation outcomes in a frail, hospitalized elderly population. Men and women (n = 47) were randomly assigned to either a control group or WPS group for the length of their hospital stay. Several functional and serum measures were determined pre- and post-intervention. WPS significantly increased average daily protein intake and was well tolerated...
October 2017: Journal of Nutrition in Gerontology and Geriatrics
Maimouna Bagna, Guillaume Léonard, Alan Cohen, Jean-Daniel Carrier, Hélène Payette
We read Costa and colleagues' report1 in 2016 in the Journal of Nutrition in Gerontology and Geriatrics with great interest. In this article, the authors reported a statistically significant association between chronic musculoskeletal pain and nutritional risk after controlling for age, gender, body mass index (BMI), depression (GDS, geriatric depression scale), and diabetes in a Brazilian community-dwelling older adult's population (the PAINEL study, see Table 2 in Costa et al. 1 . However, in their study, Costa and colleagues used the DETERMINE 2 Questionnaire, a questionnaire in which 3 out of the 10 questions are directly or indirectly related to pain (i...
October 2017: Journal of Nutrition in Gerontology and Geriatrics
Tomoe Sakai, Keisuke Maeda, Hidetaka Wakabayashi, Shinta Nishioka, Hirobumi Seki
The effect of nutrition support on activities of daily living (ADL) in individuals aged ≥75 years requiring rehabilitation is unknown. This study aimed to investigate the effect of nutrition support on ADL improvement in older patients undergoing in-patient rehabilitation in Japan. This retrospective cohort study was performed in 175 patients aged ≥75 years. The nutrition support team (NST) intervened in 85 cases. ADL was evaluated by the functional independence measure (FIM). We analyzed the effects of NST intervention on FIM efficiency...
October 2017: Journal of Nutrition in Gerontology and Geriatrics
A B P Costa, A K deOliveira, L A Machado
No abstract text is available yet for this article.
October 2017: Journal of Nutrition in Gerontology and Geriatrics
Melodie A Coffman, Mary Ellen Camire
Many older adults fail to consume adequate amounts of dietary fiber from food sources, including whole grains. Little information is available about consumption of dietary fiber and whole grains by residents of long-term care facilities. Surveys were mailed to 3,000 randomly selected US members of the Academy of Nutrition and Dietetics who worked in practice groups related to elder care. Net response rate was 22.7% (n = 681). Cost was a barrier to whole grain use for 27.1% of respondents, followed by dietary needs (22...
October 2017: Journal of Nutrition in Gerontology and Geriatrics
Lindsay R MacNab, Kristin Davis, Sarah L Francis, Catherine Violette
U.S. older adults are not meeting the recommendation for whole grain (WG) intake. This pilot study determined the influence that a WG nutrition education program for community-residing adults aged 60 + years has on WG knowledge and behaviors. The program included WG education and discussion, participation in hands-on activities and taste testing. Participants were mostly white, females. Total grain and WG dietary intake frequencies (WG frequency; p ≤ 0.001), and "knowledge score" increased from PRE to POST (p ≤ 0...
October 2017: Journal of Nutrition in Gerontology and Geriatrics
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