The Validity of Nutrition Screening Initiative DETERMINE Checklist Responses in Older Georgians

Sinnett, Stephanie; Bengle, Rebecca; Brown, Arvine; Glass, Anne P.; Johnson, Mary Ann; Lee, Jung Sun

doi:10.1080/01639366.2010.521031

Cited by 21 publications

(18 citation statements)

References 16 publications

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“…Thus far, this project documented a critical unmet need in home-delivered meals program applicants (57.4% of all applicants in Georgia between July and November, 2008, were waitlisted and did not receive the requested meals) (48,49). Moreover, the project detected an alarming level of food insecurity, especially among home-delivered meals waitlisted people (59.2%) in Georgia OAANP (48,49), and examined if currently widely used measures of nutrition and health risk in older adults could be used as outcome measures of the meals programs (38,92).…”

Section: How Can Food Insecurity Be Used As An Outcome Measure For Fomentioning

confidence: 97%

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Lee

Fischer

Johnson

2010

Journal of Nutrition For the Elderly

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Food insecurity and hunger are real and growing problems in the United States. Among older adults, the prevalence of food insecurity is at a 14-year high and occurred in more than 8% of households with older adults in 2008 according to USDA. However, the rate is at least 10% higher when less severe degrees of food insecurity are considered. Emerging research suggests that several segments of the older adult population are particularly vulnerable to food insecurity, including those receiving or requesting congregate meals, home-delivered meals, and other community-based services. Thus, national and state estimates of food insecurity may obscure problems in specific subgroups of older adults. Older adults are at high risk of chronic health problems that can be exacerbated by food insecurity, poor nutritional status, and low physical activity. To help improve targeting of food and nutrition programs to those most in need because of food insecurity and/or nutrition-related chronic health problems, the purposes of this review are (1) to define the prevalence and consequences of food insecurity; (2) to discuss the outcomes of some food, nutrition, disease prevention, and health promotion programs targeted to older adults in Georgia, the state with the 3rd highest prevalence of food insecurity; and (3) to make recommendations for research, service, and advocacy related to monitoring and alleviating food insecurity and related health problems in older adults.

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Section: How Can Food Insecurity Be Used As An Outcome Measure For Fomentioning

confidence: 97%

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Lee

Fischer

Johnson

2010

Journal of Nutrition For the Elderly

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“…This may mean that no action is taken when needed or inappropriate self-referral is made to health services. Concerns have also been raised about the validity of one of the self-administered screening tools in the community (18)(19)(20)(21). Furthermore, tools for healthy eating and health promotion based on questionnaires may not be appropriate for disease-related malnutrition.…”

Section: Introductionmentioning

confidence: 97%

Malnutrition self-screening by using MUST in hospital outpatients: validity, reliability, and ease of use

Cawood¹,

Elia²,

Sharp³

et al. 2012

The American Journal of Clinical Nutrition

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Background: Although nutritional screening with a tool such as the Malnutrition Universal Screening Tool (MUST) is recommended for outpatients, staff are under pressure to undertake a variety of other tasks. Little attention has been paid to the validity of patient self-screening with MUST.Objective: This study in 205 outpatients with a mean (6SD) age of 55 6 17 y (56% male) assessed the practicalities of self-screening, its agreement with screening undertaken by a trained health care professional (HCP), and its test-retest reliability. Design: After the participants provided consent, screening was undertaken by the patients themselves and then by a trained HCP who was unaware of the self-screening results. All patients completed an ease-of-use questionnaire. Test-retest reliability of self-screening was established in a subset of 60 patients. Results: A total of 19.6% of patients categorized themselves as "at risk" of malnutrition (9.8% medium, 9.8% high). For the 3-category classification of MUST (low, medium, high), agreement between self-screening and HCP screening was 90% (k = 0.70; SE = 0.058, P , 0.001). For the 2-category classification (low risk, medium + high risk), agreement was 93% (k = 0.78, SE = 0.057, P , 0.001). Disagreements were not systematically under-or overcategorized. Test-retest reliability was almost perfect (k = 0.94, P , 0.001). Most patients (71%) completed self-screening in ,5 min. Patients found the tool easy or very easy to understand (96%) and complete (98%), with 94% reporting that they were happy to screen themselves. Conclusion: Self-screening involving MUST in outpatients is acceptable to patients, user-friendly, reliable, and associated with good agreement with HCP screening. This trial was registered at clinicaltrials.gov as NCT00714324.Am J Clin Nutr 2012;96:

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“…It is intended to prevent impairment by identifying and treating nutritional problems before they become a detriment to the lives of older adults [6]. Nutrition and physical activity impact functional changes through changes in body composition [7].…”

Section: Introductionmentioning

confidence: 99%

Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

Esmayel

Eldarawy

Hassan

et al. 2013

Journal of Aging Research

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Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.

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The Validity of Nutrition Screening Initiative DETERMINE Checklist Responses in Older Georgians

Cited by 21 publications

References 16 publications

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Food Insecurity, Food and Nutrition Programs, and Aging: Experiences from Georgia

Malnutrition self-screening by using MUST in hospital outpatients: validity, reliability, and ease of use

Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

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