Abstract
Objectives
Although homebound older adults are at increased risk for poor nutritional health and adverse nutrition-related outcomes, little attention has focused on the tasks involved in meal preparation and consumption and the influence of those tasks on dietary intake.
Methods
We examined the self-reported dietary intake from 3, 24-h dietary recalls and physical limitations in meal preparation and consumption (LMPC) activities from a randomly recruited sample of 345 homebound older men and women. ordered logistic regression was used to examine the correlation of demographic characteristics and 6 activities with relative intakes of key musculoskeletal nutrients (calcium, vitamin D, magnesium, and phosphorus).
Results
At least 70% reported not meeting ? recommended intakes for calcium and vitamin D; 12.5% failed to achieve ? recommended intakes in at least three of the four nutrients. More than 12% of the sample reported it was very difficult or they were unable to perform at least 3 LMPC tasks. Regression results indicated that reporting the greatest LMPC increased the odds for lower intake of musculoskeletal nutrients.
Conclusion
Independent of sociodemographic characteristics, self-reported difficulty in meal preparation and consumption was associated with lower dietary intakes of musculoskeletal nutrients. These results suggest the need to assess difficulty in meal preparation and consumption for the growing population of homebound older adults who participate in supplemental nutrition programs. This brief, 6-item measure may help identify older adults at risk of poor nutritional health and declining function.
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References
Sharkey, J.R., Risk and Presence of Food Insufficiency Are Associated with Low Nutrient Intakes and Multimorbidity among Homebound Older Women Who receive Home-Delivered Meals. J Nutr, 2003. 133: p. 3485–3491.
Sharkey, J.R., et al., Nutrient Intake and BMI as Predictors of Severity of ADL Disability Over 1 Year in Homebound Elders. Journ of Nutr Health & Aging, 2004. 8(3): p. 131–139.
Sharkey, J.R., et al., Inadequate nutrient intake among homebound older persons in the community and its correlation with individual characteristics and health-related factors. Am J Clin Nutr, 2002. 76: p. 1435–45.
Sharkey, J.R., et al., A Summary Measure of Dietary Intake of Musculoskeletal Nutrients (Calcium, Vitamin D, Magnesium, and Phosphorus) is Associated with Lower-Extremity Physical Performance in Homebound Older Men and Women. Am J Clin Nutr, 2003. 77: p. 847–856.
Lee, J.S. and E.A. Frongillo, Factors Associated with Food Insecurity Among U.S. Elderly Persons: Importance of Functional Impairments. J Gerontol B Psychol Sci Soc Sci, 2001. 56B(2): p. S94–S99.
Lee, J.S. and E.A. Frongillo, Nutritional and Health Consequences Are Associated with Food Insecurity among U.S. Elderly Persons. J Nutr, 2001. 131: p. 1503–1509.
Millen, B.E., et al., Nutritional Risk in an Urban Homebound Older Population: The Nutrition and Healthy Aging Project. Journ of Nutr Health & Aging, 2001. 5(4): p. 269–277.
Tomey, K.M., et al., Dietary Intake Related to Prevalent Functional Limitations in Midlife Women. Am J Epidemiol, 2008. 167: p. 935–943.
Association, A.D., A.S.f. Nutrition, and S.f.N. Education, Food and Nutrition Programs for Community-Residing Older Adults. J Am Diet Assoc, 2010. 110: p. 463–472.
Roy, M.-A. and H. Payette, Meals-On Wheels Improves Energy and Nutrient Intake in a Frail Free-Living Elderly Population. The Journal of Nutrition, Health & Aging. 2006. 10(6): p. 554–560.
Anyanwu, U.O., et al., Home Food Environment of Older Adults Trnasitioning From Hospital to Home. Journal of Nutrition in Gerontology and Geriatrics, 2011. 30: p. 105–121.
Sharkey, J.R., Responding to the Challenges of Recruiting and Retaining Homebound Older Men and Women in a Study of Nutrition and Function: A University-Community Collaborative Strategy. J Nutr Elder, 2002. 22(2): p. 15–36.
Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Flouride, ed. I.o. Medicine. 1997, National Academy Press: Washington, DC.
Norman, K., et al., Hand grip strength: Outcome predictor and marker of nutritional status. Clinical Nutrition, 2011. 30: p. 135–142.
Visser, M., et al., Skeletal Muscle Mass and Muscle Strength in Relation to Lower-Extremity Performance in Older Men and Women. J Am Geriatr Soc, 2000. 48: p. 381–386.
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Sharkey, J., johnson, C.M. & Dean, W.R. Physical limitations in meal preparation and consumption are associated with lower musculoskeletal nutrient (calcium, vitamin D, magnesium, and phosphorus) intakes in homebound older adults. J Nutr Health Aging 16, 675–677 (2012). https://doi.org/10.1007/s12603-012-0035-y
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DOI: https://doi.org/10.1007/s12603-012-0035-y