Nutrition and Health for Older Persons in Rural America

Klein, Gloria L.; Kita, Kimberly; Fish, Judith; Sinkus, Barbara; Jensen, Gordon L.

doi:10.1016/s0002-8223(97)00216-2

Cited by 20 publications

(21 citation statements)

References 4 publications

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“…Only eleven (n=11) studies in this review went on to provide nutrition intervention for older adults who were identified to be either malnourished or at high nutritional risk. However, some of the studies reported that older adults refused to undergo nutrition intervention although it was offered to them (Herndon, 1995;Klein et al, 1997;Leggo et al, 2008). Further evaluation regarding reasons for refusing to see a dietitian and declining to avail themselves of the suggested interventions should be addressed accordingly.…”

Section: Discussionmentioning

confidence: 99%

“…Two studies have adopted this strategy. Referral to appropriate support services in the community such as assistance with shopping helped to improve nutritional status in a Canadian study ; whilst the other study did not mention the specific community services offered to study participants (Klein et al, 1997).…”

Section: Community Servicesmentioning

confidence: 96%

“…Three level III-2 cohort studies were identified Klein et al, 1997;Wunderlich et al, 2011). According to the NSI, up to 83% of community-dwelling older adults were at high risk of malnutrition (Ballard et al, 2013;Benedict et al, 1999;Coulston et al, 1996;Ledikwe et al, 2003;Lokken et al, 2002;Marshall et al, 1999;Marshall et al, 2001;Sharkey and Haines, 2001;Sharkey et al, 2000;Weatherspoon et al, 2004;Yap et al, 2007).…”

Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 99%

“…Four studies demonstrated that dietetic advice improved older adults' nutritional status Klein et al, 1997;Leggo et al, 2008); whilst another four studies did not evaluate outcomes related to dietetic intervention (Burge and Gazibarich, 1999;Herndon, 1995;Watson et al, 2010;Weddle et al, 1997). A range of 7 to 64% of older adults refused to see a dietitian despite being identified as being at nutritional risk or malnourished Herndon, 1995;Klein et al, 1997;Leggo et al, 2008).…”

Section: Dietetic Referral and Advicementioning

confidence: 99%

“…A range of 7 to 64% of older adults refused to see a dietitian despite being identified as being at nutritional risk or malnourished Herndon, 1995;Klein et al, 1997;Leggo et al, 2008). More than half of older adults who attended dietetic consultations had no concerns about being at nutritional risk .…”

Section: Dietetic Referral and Advicementioning

confidence: 99%

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Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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Section: Discussionmentioning

confidence: 99%

Section: Community Servicesmentioning

confidence: 96%

Section: Nutrition Screening Initiative (Nsi)mentioning

confidence: 99%

Section: Dietetic Referral and Advicementioning

confidence: 99%

Section: Dietetic Referral and Advicementioning

confidence: 99%

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Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Nutritional screening for improving professional practice for patient outcomes in hospital and primary care settings

Omidvari

Vali

Murray

et al. 2013

Cochrane Database of Systematic Reviews

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Costs were com pared by m easuring tim e spent on training and extra tim e needed f or screening m onitoring and intervening in the intervention group; m aterials used, such as diagnostic tests f or inf ection and supplem ents, in control and intervention group; and num ber of in-hospital days f or both groups. No discounting has been perf orm ed, as the study duration is less than one year. No price year was m entioned. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 5 Nutritional screening for improving professional practice for patient outcomes in hospital and primary care settings (Review)

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Creating a Continuum of Nutrition Services for the Older Population

Millen¹,

Nason²

2004

Handbook of Clinical Nutrition and Aging

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Nutrition and Health for Older Persons in Rural America

Cited by 20 publications

References 4 publications

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Nutritional screening for improving professional practice for patient outcomes in hospital and primary care settings

Creating a Continuum of Nutrition Services for the Older Population

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