• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of amjphAmerican Journal of Public Health Web SiteAmerican Public Health Association Web SiteSubmissionsSubscriptionsAbout Us
Am J Public Health. 1995 May; 85(5): 677–683.
PMCID: PMC1615411

Predictors of dietary intake in a functionally dependent elderly population in the community.

Abstract

OBJECTIVES. The aim of this study was to describe dietary intake and identify predictors of energy and protein intake in a group of high-risk elderly people. METHODS. All elderly persons receiving publicly financed home care services in the area of Sherbrooke, Quebec, Canada, were eligible. Subjects (n = 145) 60 to 94 years of age from three home care programs were interviewed to measure sociodemographic, health, and food-related behavior variables. Three nonconsecutive 24-hour recalls were used to describe usual dietary intake. Independent predictors of energy and protein intake were derived from multiple regression analyses. RESULTS. Very low mean energy intakes were observed in this functionally dependent population. More than 50% of the study subjects did not meet the recommended levels of daily protein intake (0.8 g/kg body weight). Significant independent determinants of intake were burden of disease, stress, poor appetite, and vision. CONCLUSIONS. Results suggest that community-living elderly people with loss of autonomy may have more nutritional problems than healthy elderly individuals. Surveillance of predictors of dietary intake may enable early detection and prevention of nutritional deficits.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.7M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Sahyoun NR, Otradovec CL, Hartz SC, Jacob RA, Peters H, Russell RM, McGandy RB. Dietary intakes and biochemical indicators of nutritional status in an elderly, institutionalized population. Am J Clin Nutr. 1988 Mar;47(3):524–533. [PubMed]
  • Rudman D, Feller AG. Protein-calorie undernutrition in the nursing home. J Am Geriatr Soc. 1989 Feb;37(2):173–183. [PubMed]
  • Drinka PJ, Goodwin JS. Prevalence and consequences of vitamin deficiency in the nursing home: a critical review. J Am Geriatr Soc. 1991 Oct;39(10):1008–1017. [PubMed]
  • Löwik MR, Schneijder P, Hulshof KF, Kistemaker C, Sleutel L, van Houten P. Institutionalized elderly women have lower food intake than do those living more independently (Dutch Nutrition Surveillance System). J Am Coll Nutr. 1992 Aug;11(4):432–440. [PubMed]
  • Bastow MD, Rawlings J, Allison SP. Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial. Br Med J (Clin Res Ed) 1983 Nov 26;287(6405):1589–1592. [PMC free article] [PubMed]
  • Dwyer JT, Coleman KA, Krall E, Yang GA, Scanlan M, Galper L, Winthrop E, Sullivan P. Changes in relative weight among institutionalized elderly adults. J Gerontol. 1987 May;42(3):246–251. [PubMed]
  • Rudman D, Mattson DE, Nagraj HS, Caindec N, Rudman IW, Jackson DL. Antecedents of death in the men of a Veterans Administration nursing home. J Am Geriatr Soc. 1987 Jun;35(6):496–502. [PubMed]
  • Bellantone R, Doglietto GB, Bossola M, Pacelli F, Negro F, Sofo L, Crucitti F. Preoperative parenteral nutrition in the high risk surgical patient. JPEN J Parenter Enteral Nutr. 1988 Mar-Apr;12(2):195–197. [PubMed]
  • Efthimiou J, Fleming J, Gomes C, Spiro SG. The effect of supplementary oral nutrition in poorly nourished patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1988 May;137(5):1075–1082. [PubMed]
  • Sullivan DH, Patch GA, Walls RC, Lipschitz DA. Impact of nutrition status on morbidity and mortality in a select population of geriatric rehabilitation patients. Am J Clin Nutr. 1990 May;51(5):749–758. [PubMed]
  • Manton KG, Soldo BJ. Dynamics of health changes in the oldest old: new perspectives and evidence. Milbank Mem Fund Q Health Soc. 1985 Spring;63(2):206–285. [PubMed]
  • Anttila S. Functional capacity in two elderly populations aged 75 or over: comparisons at 10 years' interval. J Clin Epidemiol. 1991;44(11):1181–1186. [PubMed]
  • Jackson ME, Burwell B, Clark RF, Harahan M. Eligibility for publicly financed home care. Am J Public Health. 1992 Jun;82(6):853–856. [PMC free article] [PubMed]
  • Sem SW, Nes M, Engedal K, Pedersen JI, Trygg K. An attempt to identify and describe a group of non-institutionalised elderly with the lowest nutrient score. Compr Gerontol A. 1988 Jun;2(2):60–66. [PubMed]
  • Bianchetti A, Rozzini R, Carabellese C, Zanetti O, Trabucchi M. Nutritional intake, socioeconomic conditions, and health status in a large elderly population. J Am Geriatr Soc. 1990 May;38(5):521–526. [PubMed]
  • Lipschitz DA, Mitchell CO, Steele RW, Milton KY. Nutritional evaluation and supplementation of elderly subjects participating in a "meals on wheels" program. JPEN J Parenter Enteral Nutr. 1985 May-Jun;9(3):343–347. [PubMed]
  • Posner BE, Smigelski CG, Krachenfels MM. Dietary characteristics and nutrient intake in an urban homebound population. J Am Diet Assoc. 1987 Apr;87(4):452–456. [PubMed]
  • Asp EH, Darling ME. Home-delivered meals: food quality, nutrient content, and characteristics of recipients. J Am Diet Assoc. 1988 Jan;88(1):55–59. [PubMed]
  • Stevens DA, Grivetti LE, McDonald RB. Nutrient intake of urban and rural elderly receiving home-delivered meals. J Am Diet Assoc. 1992 Jun;92(6):714–718. [PubMed]
  • Morgan DB, Newton HM, Schorah CJ, Jewitt MA, Hancock MR, Hullin RP. Abnormal indices of nutrition in the elderly: a study of different clinical groups. Age Ageing. 1986 Mar;15(2):65–76. [PubMed]
  • Bunker VW, Hinks LJ, Stansfield MF, Lawson MS, Clayton BE. Metabolic balance studies for zinc and copper in housebound elderly people and the relationship between zinc balance and leukocyte zinc concentrations. Am J Clin Nutr. 1987 Aug;46(2):353–359. [PubMed]
  • Shizgal HM, Martin MF, Gimmon Z. The effect of age on the caloric requirement of malnourished individuals. Am J Clin Nutr. 1992 Apr;55(4):783–789. [PubMed]
  • Davis MA, Murphy SP, Neuhaus JM, Lein D. Living arrangements and dietary quality of older U.S. adults. J Am Diet Assoc. 1990 Dec;90(12):1667–1672. [PubMed]
  • McIntosh WA, Shifflett PA, Picou JS. Social support, stressful events, strain, dietary intake, and the elderly. Med Care. 1989 Feb;27(2):140–153. [PubMed]
  • Walker D, Beauchene RE. The relationship of loneliness, social isolation, and physical health to dietary adequacy of independently living elderly. J Am Diet Assoc. 1991 Mar;91(3):300–304. [PubMed]
  • Grotkowski ML, Sims LS. Nutritional knowledge, attitudes, and dietary practices of the elderly. J Am Diet Assoc. 1978 May;72(5):499–506. [PubMed]
  • McIntosh WA, Kubena KS, Walker J, Smith D, Landmann WA. The relationship between beliefs about nutrition and dietary practices of the elderly. J Am Diet Assoc. 1990 May;90(5):671–676. [PubMed]
  • Fillenbaum GG, Smyer MA. The development, validity, and reliability of the OARS multidimensional functional assessment questionnaire. J Gerontol. 1981 Jul;36(4):428–434. [PubMed]
  • Gray-Donald K, Payette H, Boutier V, Page S. Evaluation of the dietary intake of homebound elderly and the feasibility of dietary supplementation. J Am Coll Nutr. 1994 Jun;13(3):277–284. [PubMed]
  • Dubois S, Boivin JF. Accuracy of telephone dietary recalls in elderly subjects. J Am Diet Assoc. 1990 Dec;90(12):1680–1687. [PubMed]
  • Payette H, Gray-Donald K. Dietary intake and biochemical indices of nutritional status in an elderly population, with estimates of the precision of the 7-d food record. Am J Clin Nutr. 1991 Sep;54(3):478–488. [PubMed]
  • Harris T, Cook EF, Garrison R, Higgins M, Kannel W, Goldman L. Body mass index and mortality among nonsmoking older persons. The Framingham Heart Study. JAMA. 1988 Mar 11;259(10):1520–1524. [PubMed]
  • Cornoni-Huntley JC, Harris TB, Everett DF, Albanes D, Micozzi MS, Miles TP, Feldman JJ. An overview of body weight of older persons, including the impact on mortality. The National Health and Nutrition Examination Survey I--Epidemiologic Follow-up Study. J Clin Epidemiol. 1991;44(8):743–753. [PubMed]
  • Stuckey SJ, Darnton-Hill I, Ash S, Brand JC, Hain DL. Dietary patterns of elderly people living in inner Sydney. Hum Nutr Appl Nutr. 1984 Aug;38(4):255–264. [PubMed]
  • Bunker VW, Lawson MS, Stansfield MF, Clayton BE. Nitrogen balance studies in apparently healthy elderly people and those who are housebound. Br J Nutr. 1987 Mar;57(2):211–221. [PubMed]
  • Garry PJ, Goodwin JS, Hunt WC, Hooper EM, Leonard AG. Nutritional status in a healthy elderly population: dietary and supplemental intakes. Am J Clin Nutr. 1982 Aug;36(2):319–331. [PubMed]
  • Uauy R, Winterer JC, Bilmazes C, Haverberg LN, Scrimshaw NS, Munro HN, Young VR. The changing pattern of whole body protein metabolism in aging humans. J Gerontol. 1978 Sep;33(5):663–671. [PubMed]
  • Gersovitz M, Motil K, Munro HN, Scrimshaw NS, Young VR. Human protein requirements: assessment of the adequacy of the current Recommended Dietary Allowance for dietary protein in elderly men and women. Am J Clin Nutr. 1982 Jan;35(1):6–14. [PubMed]
  • Exton-Smith AN. Epidemiological studies in the elderly: methodological considerations. Am J Clin Nutr. 1982 May;35(5 Suppl):1273–1279. [PubMed]
  • Nelson M, Black AE, Morris JA, Cole TJ. Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision. Am J Clin Nutr. 1989 Jul;50(1):155–167. [PubMed]
  • Hyman L. Epidemiology of eye disease in the elderly. Eye (Lond) 1987;1(Pt 2):330–341. [PubMed]
  • Wormald RP, Wright LA, Courtney P, Beaumont B, Haines AP. Visual problems in the elderly population and implications for services. BMJ. 1992 May 9;304(6836):1226–1229. [PMC free article] [PubMed]
  • Marx MS, Werner P, Cohen-Mansfield J, Feldman R. The relationship between low vision and performance of activities of daily living in nursing home residents. J Am Geriatr Soc. 1992 Oct;40(10):1018–1020. [PubMed]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...