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Nutrition and health risks in the elderly: The nutrition screening initiative

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  • Posner, B.M.
  • Jette, A.M.
  • Smith, K.W.
  • Miller, D.R.

Abstract

Objectives. The Nutrition Screening Initiative is a national collaborative effort committed to the identification and treatment of nutritional problems in older persons. Methods. A 14-item checklist of characteristics associated with nutritional status was administered to a random sample of Medicare beneficiaries, aged 70 years and older, in New England. Regression analysis was used to derive item weights that would predict poor nutrient intakes and low perceived health status. Sensitivity and specificity values were reviewed to define low, moderate, and high nutritional risk scores. Results. A revised checklist containing 10 yes/no items was adopted. Scores of 6 or more points defined persons at high nutritional risk. Twenty-four percent of the Medicare population was estimated to be at high nutritional risk according to the checklist. Among those in the high-risk group, 56% perceived their health to be 'fair' or 'poor' and 38% had dietary intakes below 75% of the recommended dietary allowances for three or more nutrients. Conclusions. The Nutrition Screening Initiative Checklist is a brief, easily scored instrument that can accurately identify noninstitutionalized older persons at risk for low nutrient intake and health problems.

Suggested Citation

  • Posner, B.M. & Jette, A.M. & Smith, K.W. & Miller, D.R., 1993. "Nutrition and health risks in the elderly: The nutrition screening initiative," American Journal of Public Health, American Public Health Association, vol. 83(7), pages 972-978.
    • Handle: RePEc:aph:ajpbhl:1993:83:7:972-978_8
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    Cited by:

    1. Kyunghwan Jung & Younglae Choi, 2023. "Factors Influencing Physical Activity and Exercise in Older Adults during COVID-19 in South Korea," Sustainability, MDPI, vol. 15(9), pages 1-20, May.
    2. Seunghye Choi & Hana Ko, 2022. "Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-10, September.
    3. Moongu Song & Inhwan Lee & Hyunsik Kang, 2019. "Cardiorespiratory Fitness without Exercise Testing Can Predict All-Cause Mortality Risk in a Representative Sample of Korean Older Adults," IJERPH, MDPI, vol. 16(9), pages 1-11, May.
    4. Hana Ko & SuJung Jung, 2021. "Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    5. Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220, April.
    6. Amanda Björnwall & Ylva Mattsson Sydner & Afsaneh Koochek & Nicklas Neuman, 2021. "Eating Alone or Together among Community-Living Older People—A Scoping Review," IJERPH, MDPI, vol. 18(7), pages 1-42, March.

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