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Öztürk ME, Poínhos R, Afonso C, Ayhan NY, de Almeida MDV, Oliveira BMPM. Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics. Nutrients 2023; 15:nu15061333. [PMID: 36986063 PMCID: PMC10058781 DOI: 10.3390/nu15061333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/04/2023] [Accepted: 03/07/2023] [Indexed: 03/11/2023] Open
Abstract
Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.
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Affiliation(s)
- Meryem Elif Öztürk
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, İbrahim Öktem Cd., 70100 Karaman, Turkey
| | - Rui Poínhos
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- Correspondence:
| | - Cláudia Afonso
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
| | - Nurcan Yabancı Ayhan
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Fatih Caddesi 197/7, 06290 Ankara, Turkey
| | - Maria Daniel Vaz de Almeida
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- GreenUPorto—Sustainable Agrifood Production Research Center, Rua da Agrária 747, 4485-646 Vairão, Portugal
| | - Bruno M. P. M. Oliveira
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
- Artificial Intelligence and Decision Support, Institute for Systems and Computer Engineering—Technology and Science, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
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Nutritional risk and dietary intake among newly enrolled meals on wheels participants. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01552-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Schultz S, Francis SL, Russell C, Getty T, Bauman A, Shelley M. Encore Café: An Innovative and Effective Congregate Nutrition Program. J Nutr Gerontol Geriatr 2021; 40:261-279. [PMID: 34629019 DOI: 10.1080/21551197.2021.1986455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Effective community food and nutrition programs are imperative for supporting older adults health and well-being. This three-part study examined to what extent the innovative congregate nutrition program (CNP), Encore Café, and targeted marketing campaign influenced CNP utilization, CNP program satisfaction, and overall CNP impact (e.g., nutritional risk, dietary practices, and loneliness). The Encore Café resulted in increases of 386% in meal distribution and 3,164% in CNP participants during a two-year period compared to a 20.8% reduction at traditional meal sites across the state. Total CNP satisfaction (food and dining) was high for both the Encore Café and Traditional CNP. Encore Café participants maintained their nutritional status and experienced significant reductions in emotional loneliness (p = 0.017) and dietary intake frequencies of processed meat (p = 0.027) compared to non-CNP participants. Utilizing a client-centered approach in marketing and programming for the Encore Café shows promising results for improving the utilization and effectiveness of the CNP.
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Affiliation(s)
| | - Sarah L Francis
- Department of Food Science and Human Nutrition (FSHN), Iowa State University, Ames, IA, USA
| | | | - Tim Getty
- Heritage Area Agency on Aging, Cedar Rapids, IA, USA
| | | | - Mack Shelley
- Department of Political Science, Department of Statistics, Iowa State University, Ames, IA, USA
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Fultz AK, Rex SM, Mazelin A, McGarry C, Brewer B, Patterson F, Robson S. Examining fruit and vegetable intake in low-income older adults using the Veggie Meter®. Nutr Health 2021; 28:13-17. [PMID: 34100662 DOI: 10.1177/02601060211022275] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Older adults report low fruit and vegetable (FV) intake. The lack of objective, field-based assessments of FV intake is a limitation when assessing the effectiveness of interventions. AIM To examine if self-reported FV intake was correlated with Veggie Meter® scores among low-income older adults. The Veggie Meter® is a portable tool that uses pressure-mediated reflection spectroscopy to estimate skin carotenoid measurements. METHODS A cross-sectional assessment of FV intake, food security, and Veggie Meter® score in low-income older adults was conducted. Bivariate analyses quantified the association between FV intake and Veggie Meter® score. RESULTS Participants (n = 154) were mostly female (69.3%), non-white (66.2%) and at risk for food insecurity (65.6%). Mean Veggie Meter® score was 172.3 ± 77.2 and had a small significant positive correlation with FV intake (r= 0.192, p = 0.018). CONCLUSION The Veggie Meter® may objectively indicate FV intake. Research to validate the Veggie Meter® in older, diverse populations is needed.
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Affiliation(s)
| | - Samantha M Rex
- University of Delaware, Department of Behavioral Health and Nutrition, USA.,Johns Hopkins University, Department of International Health, USA
| | - Audrey Mazelin
- University of Delaware, Department of Behavioral Health and Nutrition, USA
| | | | - Ben Brewer
- University of Delaware, College of Health Sciences, USA
| | - Freda Patterson
- University of Delaware, Department of Behavioral Health and Nutrition, USA
| | - Shannon Robson
- University of Delaware, Department of Behavioral Health and Nutrition, USA
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