Nutritional risk in an urban homebound older population the nutrition and healthy aging project

B. E. Millen, R. A. Silliman, J. Cantey-Kiser, D. L. Copenhafer, C. V. Ewart, C. S. Ritchie, P. A. Quatromoni, J. L. Kirkland, S. R. Chipkin, N. A. Fearon, M. E. Lund, R. I. Garcia, P. P. Barry

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

PURPOSE: To establish the prevalence of nutritional problems and their related sociodemographic and health-related risk factor's in the homebound elderly population. METHODS: Subjects included 239 men and women, ages 65 to 105 years. Trained, two-person field teams conducted comprehensive in-home assessments. Medical record reviews assessed co-morbidity and medication use. RESULTS: The majority of these urban study subjects are of very advanced age (mean age 81 years), female (72%), non-white (73%), living alone (51%), of low income (76%). and somewhat socially isolated (26% had no weekly social contact). More older women than men were widowed (60 vs. 33%, respectively) and poor (80 vs. 67%). The disease burden and functional dependency were both high in men and women; 77% had three or more chronic medical conditions; 76% were functionally dependent in one or more ADL's and 95% in one or more IADL's. Poor dietary quality was universal in these older men and women; half or more consumed diets that deviated from recommended standards for at least 13 of the 24 nutritional guidelines studied. Five percent of subjects were underweight (Body Mass Index (BMI) <18.5); 22% were overweight (BMI 25.0-29.9); and 33% were obese (BMI >30.0). Fasting albumin, hemoglobin, and absolute lymphocyte concentrations were borderline to very low in 18-32%. Dyslipidemia was more common in women; however, men and women had similar Total:HDL cholesterol ratios. CONCLUSIONS: Nutritional status is poor in homebound persons of very advanced age with substantial co-morbidity and functional dependency. The complexities of nutritional risk necessitate multi-disciplinary and individualized nutritional intervention strategies.

Original languageEnglish (US)
Pages (from-to)269-277
Number of pages9
JournalJournal of Nutrition, Health and Aging
Volume5
Issue number4
StatePublished - 2001

Keywords

  • Aging
  • Elderly
  • Homebound
  • Malnutrition
  • Obesity
  • Preventive home health services

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Geriatrics and Gerontology

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