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Journal of Nutrition in Gerontology and Geriatrics

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https://www.readbyqxmd.com/read/29095131/nutritional-and-functional-status-in-newly-hospitalized-older-patients-who-are-not-underweight
#1
Anna Kańtoch, Jolanta Wielek, Barbara Gryglewska, Tomasz Grodzicki
Although malnutrition is commonly associated with being underweight, it occurs whenever nutrient intakes are inadequate, regardless of current body weight. The aim of the study was to determine nutritional status as a predictor of functional status among older patients without underweight according to body mass index (BMI) at hospital admission. This cross-sectional study enrolled 90 patients aged ≥65 years (mean age 78.1 ± 6.4). Assessments included basic and Instrumental Activities of Daily Living (bADL, IADL), Mini Nutritional Assessment (MNA), and BMI...
November 2, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29048239/community-priorities-for-healthy-eating-in-older-adults
#2
Qianzhi Jiang, Nancy L Cohen, Melissa Ventura Marra, Kathleen Woolf, Judith Gilbride, Sarah L Francis
Community planners such as policymakers and health care and nutrition service providers can create an "age-friendly" environment to support healthy eating in older residents by addressing the highest priorities that enable older adults to improve their dietary intake through different food-related community settings. To identify and prioritize these factors that facilitate behavioral change (enablers) and behavioral settings important for older adult nutrition based on the social ecological model, nutrition and aging professionals (n = 30) from two rural (West Virginia, Iowa) and two urban (Massachusetts, New York) city/county regions (communities) participated in an online or live focus group discussion and completed an analytic hierarchy process survey online...
October 19, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29252150/whey-protein-supplementation-improves-rehabilitation-outcomes-in-hospitalized-geriatric-patients-a-double-blinded-randomized-controlled-trial
#3
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
https://www.readbyqxmd.com/read/29252149/letter-to-the-editor-re-costa-et-al-nutritional-risk-is-associated-with-chronic-musculoskeletal-pain-in-community-dwelling-older-persons-the-painel-study
#4
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
https://www.readbyqxmd.com/read/29252148/nutrition-support-team-intervention-improves-activities-of-daily-living-in-older-patients-undergoing-in-patient-rehabilitation-in-japan-a-retrospective-cohort-study
#5
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
https://www.readbyqxmd.com/read/29252147/response-by-costa-et-al-to-letter-regarding-article-nutritional-risk-is-associated-with-chronic-musculoskeletal-pain-in-community-dwelling-older-persons-the-painel-study
#6
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
https://www.readbyqxmd.com/read/29252145/perceived-barriers-to-increased-whole-grain-consumption-by-older-adults-in-long-term-care
#7
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
https://www.readbyqxmd.com/read/29252144/whole-grain-nutrition-education-program-improves-whole-grain-knowledge-and-behaviors-among-community-residing-older-adults
#8
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
https://www.readbyqxmd.com/read/28557644/dietary-and-supplemental-vitamin-c-and-d-on-symptom-severity-and-physical-function-in-knee-osteoarthritis
#9
Man Hung, Jerry Bounsanga, Maren W Voss, Yushan Gu, Anthony B Crum, Philip Tang
Vitamins C and D have been associated with decreasing pain and increasing function but these associations are not definitive. This cross-sectional study explores what relationships supplemental and dietary intake of vitamins C and D have on pain severity and physical function in patients with knee osteoarthritis. Using data from the Osteoarthritis Initiative, we performed regression analyses to examine relationships between vitamins C and D, pain, and function. Dietary vitamin D and dietary vitamin C were divided into >90th, 50th-90th, and <50th percentile...
May 30, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28535111/relative-validity-and-reproducibility-of-an-interviewer-administered-14-item-ffq-to-estimate-flavonoid-intake-among-older-adults-with-mild-moderate-dementia
#10
Katherine Kent, Karen Charlton
There is a large burden on researchers and participants when attempting to accurately measure dietary flavonoid intake using dietary assessment. Minimizing participant and researcher burden when collecting dietary data may improve the validity of the results, especially in older adults with cognitive impairment. A short 14-item food frequency questionnaire (FFQ) to measure flavonoid intake, and flavonoid subclasses (anthocyanins, flavan-3-ols, flavones, flavonols, and flavanones) was developed and assessed for validity and reproducibility against a 24-hour recall...
May 23, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28339339/use-of-dietary-supplements-improved-diet-quality-but-not-cardiovascular-and-nutritional-biomarkers-in-socioeconomically-diverse-african-american-and-white-adults
#11
Marie Fanelli Kuczmarski, May A Beydoun, Emily Stave Shupe, Ryan T Pohlig, Alan B Zonderman, Michele K Evans
Knowledge of the contribution of supplements to overall nutritional health is limited. The research objectives were to describe motivations for use of dietary supplements by African Americans and Whites examined in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study and to determine if supplements provided beneficial effects to micronutrient diet quality and nutritional and cardiovascular biomarkers. The majority of the HANDLS study population were smokers, overweight or obese, and self-reported their health as poor to good...
March 24, 2017: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28207373/food-label-knowledge-usage-and-attitudes-of-older-adults
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
RANDOMIZED CONTROLLED TRIAL
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
#19
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
#20
RANDOMIZED CONTROLLED TRIAL
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
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