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. 1993 Jul;83(7):972–978. doi: 10.2105/ajph.83.7.972

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

B M Posner 1, A M Jette 1, K W Smith 1, D R Miller 1
PMCID: PMC1694757  PMID: 8328619

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.

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Selected References

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  1. Beaton G. H., Milner J., Corey P., McGuire V., Cousins M., Stewart E., de Ramos M., Hewitt D., Grambsch P. V., Kassim N. Sources of variance in 24-hour dietary recall data: implications for nutrition study design and interpretation. Am J Clin Nutr. 1979 Dec;32(12):2546–2559. doi: 10.1093/ajcn/32.12.2546. [DOI] [PubMed] [Google Scholar]
  2. Cornoni-Huntley J. C., Harris T. B., Everett D. F., Albanes D., Micozzi M. S., Miles T. P., Feldman J. J. 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. doi: 10.1016/0895-4356(91)90126-t. [DOI] [PubMed] [Google Scholar]
  3. Douglass C. W., Jette A. M., Fox C. H., Tennstedt S. L., Joshi A., Feldman H. A., McGuire S. M., McKinlay J. B. Oral health status of the elderly in New England. J Gerontol. 1993 Mar;48(2):M39–M46. doi: 10.1093/geronj/48.2.m39. [DOI] [PubMed] [Google Scholar]
  4. Fylkesnes K., Førde O. H. The Tromsø Study: predictors of self-evaluated health--has society adopted the expanded health concept? Soc Sci Med. 1991;32(2):141–146. doi: 10.1016/0277-9536(91)90053-f. [DOI] [PubMed] [Google Scholar]
  5. Goldstein M. S., Siegel J. M., Boyer R. Predicting changes in perceived health status. Am J Public Health. 1984 Jun;74(6):611–614. doi: 10.2105/ajph.74.6.611. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Morley J. E. Nutritional status of the elderly. Am J Med. 1986 Oct;81(4):679–695. doi: 10.1016/0002-9343(86)90557-7. [DOI] [PubMed] [Google Scholar]
  7. Mossey J. M., Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982 Aug;72(8):800–808. doi: 10.2105/ajph.72.8.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Posner B. M., Borman C. L., Morgan J. L., Borden W. S., Ohls J. C. The validity of a telephone-administered 24-hour dietary recall methodology. Am J Clin Nutr. 1982 Sep;36(3):546–553. doi: 10.1093/ajcn/36.3.546. [DOI] [PubMed] [Google Scholar]
  9. Shekelle R. B., Shryock A. M., Paul O., Lepper M., Stamler J., Liu S., Raynor W. J., Jr Diet, serum cholesterol, and death from coronary heart disease. The Western Electric study. N Engl J Med. 1981 Jan 8;304(2):65–70. doi: 10.1056/NEJM198101083040201. [DOI] [PubMed] [Google Scholar]
  10. Singer E., Garfinkel R., Cohen S. M., Srole L. Mortality and mental health: evidence from the Midtown Manhattan Restudy. Soc Sci Med. 1976 Nov-Dec;10(11-12):517–525. doi: 10.1016/0037-7856(76)90019-6. [DOI] [PubMed] [Google Scholar]
  11. Stewart A. L., Hays R. D., Ware J. E., Jr The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724–735. doi: 10.1097/00005650-198807000-00007. [DOI] [PubMed] [Google Scholar]
  12. White J. V., Dwyer J. T., Posner B. M., Ham R. J., Lipschitz D. A., Wellman N. S. Nutrition screening initiative: development and implementation of the public awareness checklist and screening tools. J Am Diet Assoc. 1992 Feb;92(2):163–167. [PubMed] [Google Scholar]
  13. Zheng J. J., Rosenberg I. H. What is the nutritional status of the elderly? Geriatrics. 1989 Jun;44(6):57-8, 60, 63-4. [PubMed] [Google Scholar]

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