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Journal of Nutrition in Gerontology and Geriatrics

Jessica M Brooks, Curtis L Petersen, Alexander J Titus, Emre Umucu, Chungyi Chiu, Stephen J Bartels, John A Batsis
Food insecurity refers to restricted or uncertain access to and ineffective utilization of nutritious and safe foods. Although food insecurity is linked to poorer physical health consequences among older adults, national estimates are not well known on food insecurity and depression. Using the 2005-2014 National Health and Nutrition Examination Survey, this study examines the associations between varying food insecurity levels and clinically relevant depressive symptoms (defined by PHQ-9 ≥ 10) among adults ≥60 years old (n = 7969)...
May 10, 2019: Journal of Nutrition in Gerontology and Geriatrics
Yi-Hsuan Liu, Xiang Gao, Diane C Mitchell, G Craig Wood, Regan K Bailey, Christopher D Still, Gordon L Jensen
The oldest old (aged ≥80 years) are often the population subgroup at high nutritional risk due to age-related metabolic changes. We performed a validation analysis of a dietary screening tool (DST) which was developed for older adults among the oldest old. We examined dietary intakes using three 24-hour dietary recalls and the DST among 122 participants (aged 82-97) of the Geisinger Rural Aging Study. DST scores were compared with the Health Eating Index (HEI)-2015 scores, which were calculated based on three-day dietary recalls...
May 3, 2019: Journal of Nutrition in Gerontology and Geriatrics
Lauren C Mays, Jennifer W Drummonds, Summer Powers, David R Buys, Penni I Watts
Malnourishment leads to poor outcomes in the geriatric surgical population and national guidelines recommend preoperative nutrition screening. However, care practices do not reflect current recommendations. As a quality-improvement project, a validated nutritional screening tool, the Mini Nutritional Assessment-Short Form (MNA-SF), was implemented in the preoperative clinic of a large academic health center to identify patients at-risk for malnutrition prior to elective surgery. Patients were screened during the nursing intake process and categorized as no nutritional risk; at-risk for malnourishment; or severely malnourished...
April 24, 2019: Journal of Nutrition in Gerontology and Geriatrics
John A Batsis, John A Naslund, Alexandra B Zagaria, David Kotz, Rachel Dokko, Stephen J Bartels, Elizabeth Carpenter-Song
BACKGROUND: Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population. METHODS: We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting...
April 11, 2019: Journal of Nutrition in Gerontology and Geriatrics
Nathan M D'Cunha, Ekavi N Georgousopoulou, Lyndell Boyd, Martin Veysey, Jonathan Sturm, Bill O'Brien, Mark Lucock, Andrew J McKune, Duane D Mellor, Paul D Roach, Nenad Naumovski
The potential for B-vitamins to reduce plasma homocysteine (Hcy) and reduce the risk of Alzheimer's disease (AD) has been described previously. However, the role of Apolipoprotein E є4 (APOE4) in this relationship has not been adequately addressed. This case-control study explored APOE4 genotype in an Australian sample of 63 healthy individuals (female = 38; age = 76.9 ± 4.7 y) and 63 individuals with AD (female = 35, age = 77.1 ± 5.3 y). Findings revealed 55 of 126 participants expressed the APOE4 genotype with 37 of 126 having both AD and the APOE4 genotype...
March 29, 2019: Journal of Nutrition in Gerontology and Geriatrics
Denise K Houston, Michael E Miller, Dalane W Kitzman, W Jack Rejeski, Stephen P Messier, Mary F Lyles, Stephen B Kritchevsky, Barbara J Nicklas
Randomized, controlled trials (RCTs) show intentional weight loss improves body composition and physical function in older adults; however, the long-term benefits (and risks) are unknown. We conducted a pilot study to assess the feasibility of recalling prior RCT participants to examine the long-term effects of intentional weight loss on body composition and physical function. A weighted, random sample of 60 older adults who were randomized to caloric restriction plus exercise (CR + EX) or exercise (EX) only in 5 prior RCTs (mean age at randomization, 67...
March 8, 2019: Journal of Nutrition in Gerontology and Geriatrics
Matthew C Lohman, Nicholas V Resciniti, Michael D Wirth, Nitin Shivappa, James R Hébert
Knowledge related to the relationship between obesity and frailty is limited. This study aimed to investigate associations between obesity, dietary inflammation, and frailty among older adults. Study data came from National Health and Nutrition Examination Survey (2007-2014) examinations of adults age ≥60 years (n = 7182). Dietary inflammatory potential was determined using the Dietary Inflammatory Index (DII® ) derived from 24-h dietary recall. We analyzed independent and joint associations of obesity and DII with frailty to evaluate interaction...
March 8, 2019: Journal of Nutrition in Gerontology and Geriatrics
Elizabeth Vásquez, Tomoko Udo, Leonor Corsino, Benjamín A Shaw
The current study evaluated whether there were racial/ethnic differences in the association between childhood adverse experience (ACEs), perceived racial discrimination (PRD), and body mass index (BMI) in a sample of middle age and older adults. We used data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (N = 11,404; ≥55 years) that included ACE and past year experiences with PRD. Generalized linear models were stratified by race/ethnicity (non-Hispanic White (NHW; n = 7337), non-Hispanic Black (NHB; n = 1960), and Hispanic (n = 1249))...
February 27, 2019: Journal of Nutrition in Gerontology and Geriatrics
Rima Itani Al-Nimr
Obesity rates in people 60 years and older are increasing. While obesity is linked with detrimental health risks, weight loss in this population has previously been considered controversial due to potential worsening of age-related sarcopenia. Protein intake during energy restriction has been linked to lean body mass preservation. No formal guidelines for optimal protein intake during structured weight loss interventions exist for this population, but it appears that the current Recommended Dietary Allowance of 0...
February 26, 2019: Journal of Nutrition in Gerontology and Geriatrics
Bryan C Jiang, Dennis T Villareal
Obesity in older adults is a growing public health problem, yet the appropriate treatment remains controversial partly due to evidence that weight loss reduces bone mass and may increase fracture risk. The purpose of this review is to summarize the research to date on the effects of diet-induced weight loss on bone health in obese (body mass index 30 kg/m2 and above) older (aged 65 years or older) adults. Observational studies have shown that weight loss in this population decreases total hip bone mineral density and increases the risk of frailty fractures (composite of proximal femur, pelvis, and proximal humerus fractures)...
February 22, 2019: Journal of Nutrition in Gerontology and Geriatrics
Diana P Brostow, Elise Gunzburger, Lauren M Abbate, Lisa A Brenner, Kali S Thomas
OBJECTIVES: Food insecurity, limited or uncertain access to adequate nutrition, is an increasingly recognized determinant of health outcomes and is often associated with having obesity. It is unclear, however, if this association persists in elderly populations. METHODS: We conducted a cross-sectional study of 2868 participants' aged 65+ years from the Health and Retirement Study. Multivariate logistic regression was used to assess associations between food insecurity and body mass index, demographic characteristics, psychiatric history, and medical history...
February 22, 2019: Journal of Nutrition in Gerontology and Geriatrics
Robert M Roth, Sivan Rotenberg, Jeremy Carmasin, Sarah Billmeier, John A Batsis
Bariatric surgery is the most effective approach to treating morbid obesity, resulting in decreased morbidity, mortality, and improved quality of life. Research on outcomes has generally been restricted to young and middle-aged adults, despite a growing epidemic of obesity in older adults. The use of bariatric surgery has been limited in older individuals, in part due to concerns that preexisting cognitive dysfunction increases the risk of poor post-surgical outcomes, including cognitive decline. The literature on the relationship between obesity and cognition in older adults is emerging, but fraught by several methodological limitations...
February 22, 2019: Journal of Nutrition in Gerontology and Geriatrics
Kathryn N Porter Starr, Melissa Orenduff, Shelley R McDonald, Hillary Mulder, Richard Sloane, Carl F Pieper, Connie W Bales
Both aging and obesity are associated with increased levels of pro-inflammatory metabolites, while weight reduction is associated with improvements in inflammatory status. However, few studies have explored the response of key inflammatory markers to the combined settings of weight reduction in an aging population. There are also few studies that have investigated the potential impact of diet composition on inflammatory marker responses. In the MEASUR-UP trial, we evaluated changes in baseline levels of inflammatory markers with post-study levels for a traditional weight loss control group versus a group with generous, balanced protein intake...
January 2019: Journal of Nutrition in Gerontology and Geriatrics
John A Batsis
No abstract text is available yet for this article.
January 2019: Journal of Nutrition in Gerontology and Geriatrics
Joy W Douglas, Lori W Turner, Linda L Knol, Amy C Ellis, Ann C Godfrey, Jeannine C Lawrence
Registered Dietitians (RDs) should participate in interdisciplinary feeding discussions for patients with advanced dementia, but research on how RDs make such feeding recommendations is scarce. This study developed and validated a theory-based questionnaire to assess the knowledge, beliefs, and attitudes of RDs regarding feeding tube use among older adults with advanced dementia. The instrument was drafted based on the Social Ecological Model, and face and content validity were established through an expert panel review...
December 4, 2018: Journal of Nutrition in Gerontology and Geriatrics
Tracy V de Leon, Meizi He, Sarah L Ullevig
This study assessed possible dietary supplement-medication interactions of 62 older adults recruited from 8 senior congregate sites in Bexar County, Texas. Dietary supplement and medication use were collected by paper questionnaire and potential supplement-medication interactions were assessed using online databases. The majority of participants reported dietary supplements (77%), non-prescription medication (50%), and prescription medication (73%) use. Fifty percent of participants who reported dietary supplement and medication use were at-risk for a potential supplement-medication interaction, ranging from one to eight potential interactions...
November 6, 2018: Journal of Nutrition in Gerontology and Geriatrics
Lindsay MacNab, Sarah L Francis, Ingrid Lofgren, Catherine Violette, Mack C Shelley, Matthew Delmonico, Furong Xu
Older adult (OA) dietary practices may be placing them at nutritional risk. This cross-sectional study examined the dietary intake frequencies (DIF) and nutritional risk (NR) using the Dietary Screening Tool (DST) of OA attending community-based nutrition education and physical activity programs. Most were white females aged 60-80 years. The majority (80.1%) were classified as "at NR" or "at possible NR." Participants had "low" lean protein, dairy, and processed meat DIF and "moderate" whole fruit and juice, total and whole grains, vegetables and added fats, sugars, and sweets DIF...
October 30, 2018: Journal of Nutrition in Gerontology and Geriatrics
Gad Mendelson, Yael Katz, Danit R Shahar, Ofer Bar, Yehoshua Lehman, Devorah Spiegel, Yael Ochayon, Nomi Shavit, Debbie Mimran Nahon, Yulia Radinski, Carmit Arbiv
To determine the impact of nutritional status and risk factors for undernutrition based on the changes in functional outcomes and rehabilitation success, defined as the ability of older adults to return as close as possible to their original functional state. Retrospective cohort study among 107 rehabilitation patients, aged ≥65 y. Data included demographics, Functional Independence Measure (FIM), Short Nutritional Assessment Questionnaire (SNAQ), reported weight, Mini-Mental Status Examination (MMSE), and Cumulative Illness Rating-Scale for Geriatrics (CIRS-G)...
October 30, 2018: Journal of Nutrition in Gerontology and Geriatrics
Renata Blumberg, Charles Feldman, Douglas Murray, Nechama Burnes, Debra Murawski
Malnutrition in older adults residing in long-term care facilities continues to be a problem in the United States. Existing research has identified a list of possible contributing factors, including staffing problems. Few studies on food and nutrition care have attempted to gain the perspectives of nursing or dietary aides (henceforth, aides), the frontline staff who work most closely with the residents of long-term care facilities. The current study takes a qualitative approach grounded in a theoretical perspective based on Total Quality Management (TQM) to increase understanding of the interpersonal and management practices that affect resident wellbeing, health, and nutrition...
October 30, 2018: Journal of Nutrition in Gerontology and Geriatrics
Y Yamori, M Sagara, Y Arai, H Kobayashi, K Kishimoto, I Matsuno, H Mori, M Mori
Levels of isoflavones, biomarkers of soy intake, in 24-hour urine (24U) were inversely related to coronary heart disease (CHD) mortality in the World Health Organization's Cardiovascular Disease and Alimentary Comparison Study. Considering 24 U isoflavone levels were highest and CHD mortality was lowest in the Japanese, who maintained the world's longest life expectancy, the association of regular soy intake with cardiometabolic risk was investigated in Japanese adults (20-49 years old) and elderly (50-79 years old)...
October 15, 2018: Journal of Nutrition in Gerontology and Geriatrics
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