The relationship between the DETERMINE checklist, social factors, and nutritional risk in rural, community-dwelling, elderly women

dc.contributor.advisor Elisabeth Schafer
dc.contributor.author Brunt, Ardith
dc.contributor.department Department of Food Science and Human Nutrition (CALS)
dc.date 2018-08-23T01:32:02.000
dc.date.accessioned 2020-06-30T07:21:51Z
dc.date.available 2020-06-30T07:21:51Z
dc.date.copyright Fri Jan 01 00:00:00 UTC 1999
dc.date.issued 1999
dc.description.abstract <p>Using a stratified sample of 249 older, rural, community-dwelling women grouped into three age cohorts (65--74 years, 75--84, and 85+ years), this research evaluated the ability of the DETERMINE checklist and social factors to identify those with at-risk nutritional status. A modified DETERMINE checklist found 7% and 42% of the sample to be at high and moderate risk, respectively. Anthropometric measures identified approximately 10% of the sample to be at-risk; however, at-risk measures were more prevalent among the oldest-old (aged 85+). At-risk energy intake was identified in half the women, with a larger percentage of young-old (aged 65--74) compared to the old-old (aged 75--84) and oldest-old found with at-risk energy intake. At-risk protein intake was present in 9% of the women. Assessing inadequate nutrient intake as <75% of recommended levels for nine nutrients, cumulative risk totals showed that 33% of the women consumed ≥ 4 nutrients at inadequate levels, but this percentage dropped to 13% for ≥ 5 nutrients. Overall, at-risk energy and protein intakes were predictive of anthropometric measures;Overall, the DETERMINE checklist was a poor predictor of at-risk nutritional status. A score of ≥ 6 on the DETERMINE checklist only identified those with an at-risk mid-arm circumference and was not predictive of cumulative at-risk nutrient intake. Four questions predicted at-risk anthropometric measures: having an illness; eating few fruits, vegetables, or dairy products; involuntary weight change; and inability to shop, cook, and feed oneself. Three questions predicted cumulative at-risk nutrient intake: eating few fruits, vegetables, or dairy products; eating alone; and involuntary weight change;Cohort differences were evident. For the oldest-old, having an illness, a ten pound weight change, or a score of ≥ 6 on the DETERMINE checklist identified those who were more likely to have at-risk anthropometric measures. In the young-old group, eating alone predicted at-risk triceps skinfold measures;Social factors did little to help predict nutritional risk overall. For the young-old, attendance at a senior center, having contact with others besides family, and living with someone reduced the likelihood of at-risk protein and energy intake.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/rtd/12551/
dc.identifier.articleid 13550
dc.identifier.contextkey 6805770
dc.identifier.doi https://doi.org/10.31274/rtd-180813-13819
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath rtd/12551
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/65932
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/rtd/12551/r_9924702.pdf|||Fri Jan 14 19:24:15 UTC 2022
dc.subject.disciplines Family, Life Course, and Society
dc.subject.disciplines Feminist, Gender, and Sexuality Studies
dc.subject.disciplines Gerontology
dc.subject.disciplines Nutrition
dc.subject.disciplines Public Health
dc.subject.disciplines Women's History
dc.subject.disciplines Women's Studies
dc.subject.keywords Food science and human nutrition
dc.subject.keywords Nutrition
dc.title The relationship between the DETERMINE checklist, social factors, and nutritional risk in rural, community-dwelling, elderly women
dc.type dissertation
dc.type.genre dissertation
dspace.entity.type Publication
relation.isOrgUnitOfPublication 4b6428c6-1fda-4a40-b375-456d49d2fb80
thesis.degree.level dissertation
thesis.degree.name Doctor of Philosophy
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