Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care

Tina Sadarangani, Lydia Missaelides, Gary Yu, Chau Trinh, Ab Brody

Research output: Contribution to journalArticle

Abstract

Information regarding nutritional risk among users of American adult day health centers (ADHCs), 60% of whom are racial minorities, is scant. This study examined nutritional risk and associated factors in a diverse sample ADHC users aged 50+ using secondary cross-sectional analysis of data collected between 2013 and 2017. Risk was assessed using the DETERMINE checklist, and results were stratified by race. The majority of the sample (N = 188) was at moderate (45.2%) or high (38.5%) nutritional risk, with statistically significant racial differences. Blacks were at greater risk than any other group: 65% had high nutritional risk; 76.5% ate <5 servings of fruits, vegetables, or milk daily; 21% ate <2 meals daily, 48.5% reported involuntary weight loss/gain, and 41.2% had tooth loss/mouth pain. Older adults in ADHCs are at elevated risk of malnutrition, disproportionately so amongst blacks. Both routine nutrition screening and population-specific approaches are needed to attenuate risk.
Original languageEnglish (US)
JournalJournal of Nutrition in Gerontology and Geriatrics
StatePublished - Jul 30 2019

Fingerprint

Independent Living
Delivery of Health Care
Health
Senior Centers
Tooth Loss
Checklist
Malnutrition
Vegetables
Weight Gain
Meals
Mouth
Weight Loss
Fruit
Milk
Cross-Sectional Studies
Pain

Cite this

@article{b38a1636d16a4edab78b7e134aa62846,
title = "Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care",
abstract = "Information regarding nutritional risk among users of American adult day health centers (ADHCs), 60{\%} of whom are racial minorities, is scant. This study examined nutritional risk and associated factors in a diverse sample ADHC users aged 50+ using secondary cross-sectional analysis of data collected between 2013 and 2017. Risk was assessed using the DETERMINE checklist, and results were stratified by race. The majority of the sample (N = 188) was at moderate (45.2{\%}) or high (38.5{\%}) nutritional risk, with statistically significant racial differences. Blacks were at greater risk than any other group: 65{\%} had high nutritional risk; 76.5{\%} ate <5 servings of fruits, vegetables, or milk daily; 21{\%} ate <2 meals daily, 48.5{\%} reported involuntary weight loss/gain, and 41.2{\%} had tooth loss/mouth pain. Older adults in ADHCs are at elevated risk of malnutrition, disproportionately so amongst blacks. Both routine nutrition screening and population-specific approaches are needed to attenuate risk.",
author = "Tina Sadarangani and Lydia Missaelides and Gary Yu and Chau Trinh and Ab Brody",
year = "2019",
month = "7",
day = "30",
language = "English (US)",
journal = "Journal of Nutrition in Gerontology and Geriatrics",
issn = "2155-1197",
publisher = "Routledge",

}

TY - JOUR

T1 - Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care

AU - Sadarangani, Tina

AU - Missaelides, Lydia

AU - Yu, Gary

AU - Trinh, Chau

AU - Brody, Ab

PY - 2019/7/30

Y1 - 2019/7/30

N2 - Information regarding nutritional risk among users of American adult day health centers (ADHCs), 60% of whom are racial minorities, is scant. This study examined nutritional risk and associated factors in a diverse sample ADHC users aged 50+ using secondary cross-sectional analysis of data collected between 2013 and 2017. Risk was assessed using the DETERMINE checklist, and results were stratified by race. The majority of the sample (N = 188) was at moderate (45.2%) or high (38.5%) nutritional risk, with statistically significant racial differences. Blacks were at greater risk than any other group: 65% had high nutritional risk; 76.5% ate <5 servings of fruits, vegetables, or milk daily; 21% ate <2 meals daily, 48.5% reported involuntary weight loss/gain, and 41.2% had tooth loss/mouth pain. Older adults in ADHCs are at elevated risk of malnutrition, disproportionately so amongst blacks. Both routine nutrition screening and population-specific approaches are needed to attenuate risk.

AB - Information regarding nutritional risk among users of American adult day health centers (ADHCs), 60% of whom are racial minorities, is scant. This study examined nutritional risk and associated factors in a diverse sample ADHC users aged 50+ using secondary cross-sectional analysis of data collected between 2013 and 2017. Risk was assessed using the DETERMINE checklist, and results were stratified by race. The majority of the sample (N = 188) was at moderate (45.2%) or high (38.5%) nutritional risk, with statistically significant racial differences. Blacks were at greater risk than any other group: 65% had high nutritional risk; 76.5% ate <5 servings of fruits, vegetables, or milk daily; 21% ate <2 meals daily, 48.5% reported involuntary weight loss/gain, and 41.2% had tooth loss/mouth pain. Older adults in ADHCs are at elevated risk of malnutrition, disproportionately so amongst blacks. Both routine nutrition screening and population-specific approaches are needed to attenuate risk.

M3 - Article

C2 - 31361195

JO - Journal of Nutrition in Gerontology and Geriatrics

JF - Journal of Nutrition in Gerontology and Geriatrics

SN - 2155-1197

ER -