Frailty and Nutrition Risk Screening in Home-Delivered Meal Clients.

Q3 Medicine Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2020-04-01 Epub Date: 2020-02-03 DOI:10.1080/21551197.2020.1719258

Heather L Hutchins-Wiese, Sarah E Walsh

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引用次数: 4

Abstract

Community service providers, such as Meals on Wheels (MOW) programs, help older adults remain in their homes despite advanced care needs. The purpose of this study was to determine if a frailty index (FI) could be calculated from self-reported health, function, and nutrition information already collected by MOW providers to provide additional information for care planning and risk stratification. Data from 258 MOW clients at one provider were used to calculate the FI from 40 possible health and age-related variables collected during routine health assessments. The average FI was 0.29 ± 0.13(SD), range 0.05-0.68. Frailty was categorized as non-frail, vulnerable, frail, and most frail; nutrition risk increased incrementally with these categories; however, they appear to assess risk from differing angles and etiologies. The addition of the FI can provide a more holistic picture of MOW client health than nutrition risk alone and the FI can be calculated from routinely-collected data.

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家庭送餐客户的虚弱和营养风险筛查。

社区服务提供者，如上门送餐(MOW)项目，帮助老年人在需要高级护理的情况下留在家中。本研究的目的是确定衰弱指数(FI)是否可以从MOW提供者已经收集的自我报告的健康、功能和营养信息中计算出来，为护理计划和风险分层提供额外的信息。在常规健康评估期间收集的40个可能的健康和年龄相关变量中，使用来自同一家医疗机构的258名MOW客户的数据来计算FI。平均FI为0.29±0.13(SD)，范围为0.05 ~ 0.68。虚弱分为非虚弱、易受伤害、虚弱和最虚弱;营养风险随着这些类别逐渐增加;然而，他们似乎从不同的角度和病因来评估风险。与单独的营养风险相比，增加FI可以更全面地了解MOW客户的健康状况，FI可以从常规收集的数据中计算出来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.