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A Brief Intervention for Malnutrition among Older Adults: Stepping Up Your Nutrition

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  • Matthew Lee Smith

    (Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA
    School of Public Health, Texas A&M University, College Station, TX 77843, USA
    College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Caroline D. Bergeron

    (Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA
    Institut National de Santé Publique du Québec, Quebec City, QC G1V 5B3, Canada)

  • Sue Lachenmayr

    (Maryland Living Well Center of Excellence, Salisbury, MD 21804, USA)

  • Leigh Ann Eagle

    (Maryland Living Well Center of Excellence, Salisbury, MD 21804, USA)

  • Judy R. Simon

    (Maryland Department of Aging, Baltimore, MD 21201, USA)

Abstract

Despite a multitude of nutritional risk factors among older adults, there is a lack of community-based programs and activities that screen for malnutrition and address modifiable risk among this vulnerable population. Given the known association of protein and fluid consumption with fall-related risk among older adults and the high prevalence of falls among Americans age 65 years and older each year, a brief intervention was created. Stepping Up Your Nutrition (SUYN) is a 2.5 h workshop developed through a public/private partnership to motivate older adults to reduce their malnutrition risk. The purposes of this naturalistic workshop dissemination were to: (1) describe the SUYN brief intervention; (2) identify participant characteristics associated with malnutrition risk; and (3) identify participant characteristics associated with subsequent participation in Stepping On (SO), an evidence-based fall prevention program. Data were analyzed from 429 SUYN participants, of which 38% ( n = 163) subsequently attended SO. As measured by the SCREEN II ® , high and moderate malnutrition risk scores were reported among approximately 71% and 20% of SUYN participants, respectively. Of the SUYN participants with high malnutrition risk, a significantly larger proportion attended a subsequent SO workshop (79.1%) compared to SUYN participants who did not proceed to SO (65.8%) (χ 2 = 8.73, p = 0.013). Findings suggest SUYN may help to identify malnutrition risk among community-dwelling older adults and link them to needed services like evidence-based programs. Efforts are needed to expand the delivery infrastructure of SUYN to reach more at-risk older adults.

Suggested Citation

  • Matthew Lee Smith & Caroline D. Bergeron & Sue Lachenmayr & Leigh Ann Eagle & Judy R. Simon, 2020. "A Brief Intervention for Malnutrition among Older Adults: Stepping Up Your Nutrition," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3590-:d:360617
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    References listed on IDEAS

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    1. Matthew Lee Smith & Samuel D. Towne & Angelica Herrera-Venson & Kathleen Cameron & Scott A. Horel & Marcia G. Ory & Chelsea L. Gilchrist & Ellen C. Schneider & Casey DiCocco & Shannon Skowronski, 2018. "Delivery of Fall Prevention Interventions for At-Risk Older Adults in Rural Areas: Findings from a National Dissemination," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    2. Melissa B Aselage, 2010. "Measuring mealtime difficulties: eating, feeding and meal behaviours in older adults with dementia," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 621-631, March.
    3. Matthew Lee Smith & Samuel D. Towne & Angelica Herrera-Venson & Kathleen Cameron & Kristie P. Kulinski & Kate Lorig & Scott A. Horel & Marcia G. Ory, 2017. "Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality," IJERPH, MDPI, vol. 14(6), pages 1-14, June.
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    Cited by:

    1. Kerime Kübra Koç & Gülbahar Korkmaz Aslan, 2023. "Older People’s Perception and Experience Regarding Health Promotion in Turkey: A Qualitative Study," Clinical Nursing Research, , vol. 32(4), pages 850-860, May.

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