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Assessment of Malnutrition among Albanian Elderly Participating in Home Meal Delivery Using the Mini Nutritional Assessment
TUESDAY, OCTOBER 9
Poster Session: Wellness and Public Health Relationships between Mothers' Weight Concerns and Eating Characteristics with Child Feeding Practices Author(s): M. Kim, B. W. Henry, A. D. Ozier, L. Derscheid; Family, Consumer & Nutrition Sciences, Northern Illinois Univ., DeKalb, IL Learning Outcome: Participants are able to identify relationships between mothers’ eating characteristics and child feeding practices.
Poor Diet Quality Is Associated with Being Underweight among Older Adults Author(s): D. Wheeler,1 G. Jensen,1 D. Mitchell,1 P. Y. Hsiao,1 R. Bailey,2 H. Smiciklas-Wright,1 D. Coffman,3 C. Still,4 T. Hartman1; 1Nutritional Science, Pennsylvania State Univ., University Park, PA, 2Office of Dietary Supplements, NIH, Bethesda, MD, 3The Methodology Center, Pennsylvania State Univ., University Park, PA, 4Geisinger’s Obesity Institute, Geisinger Hlth. System, Geisinger, PA
Background: Parental feeding strategies can be driven by their own health perspectives and knowledge of healthy practices.
Learning Outcome: Participant will recognize that underweight is associated with poor diet quality in older adults and act to improve dietary habits such as promoting breakfast, providing strategies to improve food security, and assist with managing loss of appetite.
Objective: This study measured mothers’ eating characteristics (Restrained, Uncontrolled, or Emotional Eating) and weight concerns to determine relationships with child feeding practices.
Background: The Diet Screening Tool (DST) is a 25 item questionnaire scored from 0 (poor) to 100 used to assess overall diet quality in older adults.
Design: In this cross-sectional survey, mothers of preschoolers were recruited from ten local childcare centers (N⫽75) to complete the MOM-FED questionnaire which included the Weight Concern Scale, Three-Factor Eating Questionnaire, and Child Feeding Questionnaire using either the online survey management system (Surveymonkey.com) or paperand-pencil copies over a three-month period. Statistical Analyses Performed: The Independent samples t-test was used to compare two groups of mothers: 1) Weight Concern (n⫽25) and 2) Non-Weight Concern (n⫽48). Pearson’s Correlation analyses were conducted to confirm the relationships between mother’s weight concerns and feeding practices.
Objective: To determine the ability of the DST to identify poor dietary habits and potential for nutritional risk. Methods: 5,993 Geisinger Rural Aging Study (GRAS) participants were mailed demographic and health questionnaires and the DST. After follow-up 4009 (1722 male, 2287 female; mean age 81.5, range 74-102) provided complete information. Analyses tested the effects of all eating practices on total score. Multivariate linear regression models were used to analyze associations between DST score with body mass index (BMI) and health characteristics after controlling for gender, age, smoking, and eating practices.
Results: Mothers with a high level of weight concern showed a significant tendency for all three eating characteristics (restrained eating, uncontrolled eating, or emotional eating)(t-test results of p⫽.000). Also, mothers with a high level of concern about their weight were concerned with their child’s risk of being overweight (t (36.535) ⫽ ⫺2.049, p⫽.048). Mothers with the “Restraint Eating” characteristic were positively correlated with “Monitoring” (r⫽ ⫹.309, n ⫽ 73, p⬍.01) and “Pressure to Eat” (r⫽⫹.227, n ⫽72, p⬍ .055) feeding practices.
Results: The mean BMIs were 27.1⫾4.1 and 27.2⫾5.4, and the mean DST scores were 58.2⫾12.5 and 61.9⫾12.7 for males and females, respectively. Individuals with lower DST scores were significantly more likely to report concerns about food security (P⫽0.0252), skip breakfast (P⬍0.0001) and report an acute decrease in food intake due to loss of appetite, digestive problems or chewing and swallowing difficulties (P⬍0.0001). Underweight individuals (BMI⬍18.5) had a significantly lower DST score compared to normal weight (BMI 18.5-24.9) (44.5⫾2.27, 49.06 ⫾ 1.75 p⫽0.0042). DST scores for overweight and obese individuals were not significantly different from those of normal weight.
Conclusion: These findings highlight the potential influence preschool mothers’ concerns about weight status may have on eating and feeding practices with implications for nutrition interventions.
Conclusion: The DST identifies older adults likely to be at nutritional risk. Potential targets for dietitians include promoting breakfast intake, strategies to improve food security, and managing loss of appetite or digestive issues.
Funding Disclosure: None
Funding Disclosure: USDA #1950-51530-010-02G
Emotional Eating Screening as Potential Steppingstone for Treatment in Individuals with Polycystic Ovary Syndrome
Assessment of Malnutrition among Albanian Elderly Participating in Home Meal Delivery Using the Mini Nutritional Assessment
Author(s): J. Grocki,1 J. Christaldi2; 1Clinical Nutrition, Geisinger Med. Ctr., Danville, PA, 2Nutrition & Dietetics, Marywood Univ., Scranton, PA
Author(s): A. Gray, A. B. Porto, M. A. Mihok; Messiah Coll., Grantham, PA
Learning Outcome: The participant will be able to identify emotional eating as a potential barrier to weight management and describe the value of emotional eating screening in the Polycystic Ovary Syndrome population. Polycystic Ovary Syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Established treatments include proper diet and exercise. However, this population may be high risk for disordered eating, making it impractical to recommend specific diet modifications. The present study examined emotional eating tendencies in correlation with body mass index (BMI). A convenience sample (N⫽103) was recruited on PCOS support group Facebook pages (Cysters Unite! and PCOSupport). Respondents answered a 2-part survey, which included questions regarding the signs and symptoms of PCOS and the Eating and Appraisal Due to Emotions and Stress Questionnaire (EADES). The EADES was used to assess emotion- and stressrelated eating (Factor 1) and the ability to cope with negative emotions (Factor 2). A multiple linear regression (n⫽85) was used to examine the relationship of factor 1, 2 and PCOS scores on participants’ BMI. A significant relationship was found (F(3,82)⫽ 8.889, p ⬍ 0.0001), with an R2 of 0.245. Factor 1 (B ⫽ ⫺0.120, p⫽ 0.011) and PCOS Score (B⫽ 0.815, p⫽ 0.001) were both significant predictors of BMI, indicating individuals with higher emotional eating tendencies and higher number of PCOS symptoms may be more likely to be obese. Factor 2 was not a significant predictor of BMI (B⫽ ⫺0.023, p⫽ 0.750). These findings imply that focusing on behavior modification prior to making specific dietary recommendations may be more beneficial for weight management. Thus, emotional eating screening can be an important steppingstone to establish the optimal direction of therapy for individuals with PCOS.
Learning Outcome: Participants will be able to describe the association between Mini Nutritional Assessment items and the malnourished/at risk overall indicator score categories of Albanian elderly. Malnutrition is of increasing concern among the elderly. Home meal delivery programs target individuals with decreased access to food and increased risk of malnutrition. The purpose of this study was to assess the nutritional status of elderly Albanian meal recipients using the Mini Nutritional Assessment (MNA). Elderly meal recipients (n⫽31) were assessed using the MNA during July and August, 2011. Fisher’s exact test was used to compare the frequency of the malnutrition indicator score (MIS) categories to the frequency of individual responses to the MNA. The MIS revealed 65% of the elderly were at risk for malnutrition, 6% malnourished, and 29% with normal nutritional status. The malnourished and at risk MIS categories were significantly associated with MNA responses for food intake decrease, meat/fish/poultry consumption, and negative self-views of nutritional status and health status (p⬍0.05). A trend was observed in association of MIS categories with responses to number of meals per day and overall protein intake (pⱕ0.1). Malnutrition was not prevalent among meal recipients although nearly two-thirds of the subjects were at risk of malnutrition. Future meal recipients who report a decrease in food intake or negative self-views of nutritional status or health status should be monitored for nutritional risk. The meal delivery program should work to provide meals containing adequate protein sources. Funding Disclosure: Service Learning Grant - Messiah College
Funding Disclosure: None
September 2012 Suppl 3—Abstracts Volume 112 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-95
Poster Session: Wellness and Public Health Relationships between Mothers' Weight Concerns and Eating Characteristics with Child Feeding Practices Author(s): M. Kim, B. W. Henry, A. D. Ozier, L. Derscheid; Family, Consumer & Nutrition Sciences, Northern Illinois Univ., DeKalb, IL Learning Outcome: Participants are able to identify relationships between mothers’ eating characteristics and child feeding practices.
Poor Diet Quality Is Associated with Being Underweight among Older Adults Author(s): D. Wheeler,1 G. Jensen,1 D. Mitchell,1 P. Y. Hsiao,1 R. Bailey,2 H. Smiciklas-Wright,1 D. Coffman,3 C. Still,4 T. Hartman1; 1Nutritional Science, Pennsylvania State Univ., University Park, PA, 2Office of Dietary Supplements, NIH, Bethesda, MD, 3The Methodology Center, Pennsylvania State Univ., University Park, PA, 4Geisinger’s Obesity Institute, Geisinger Hlth. System, Geisinger, PA
Background: Parental feeding strategies can be driven by their own health perspectives and knowledge of healthy practices.
Learning Outcome: Participant will recognize that underweight is associated with poor diet quality in older adults and act to improve dietary habits such as promoting breakfast, providing strategies to improve food security, and assist with managing loss of appetite.
Objective: This study measured mothers’ eating characteristics (Restrained, Uncontrolled, or Emotional Eating) and weight concerns to determine relationships with child feeding practices.
Background: The Diet Screening Tool (DST) is a 25 item questionnaire scored from 0 (poor) to 100 used to assess overall diet quality in older adults.
Design: In this cross-sectional survey, mothers of preschoolers were recruited from ten local childcare centers (N⫽75) to complete the MOM-FED questionnaire which included the Weight Concern Scale, Three-Factor Eating Questionnaire, and Child Feeding Questionnaire using either the online survey management system (Surveymonkey.com) or paperand-pencil copies over a three-month period. Statistical Analyses Performed: The Independent samples t-test was used to compare two groups of mothers: 1) Weight Concern (n⫽25) and 2) Non-Weight Concern (n⫽48). Pearson’s Correlation analyses were conducted to confirm the relationships between mother’s weight concerns and feeding practices.
Objective: To determine the ability of the DST to identify poor dietary habits and potential for nutritional risk. Methods: 5,993 Geisinger Rural Aging Study (GRAS) participants were mailed demographic and health questionnaires and the DST. After follow-up 4009 (1722 male, 2287 female; mean age 81.5, range 74-102) provided complete information. Analyses tested the effects of all eating practices on total score. Multivariate linear regression models were used to analyze associations between DST score with body mass index (BMI) and health characteristics after controlling for gender, age, smoking, and eating practices.
Results: Mothers with a high level of weight concern showed a significant tendency for all three eating characteristics (restrained eating, uncontrolled eating, or emotional eating)(t-test results of p⫽.000). Also, mothers with a high level of concern about their weight were concerned with their child’s risk of being overweight (t (36.535) ⫽ ⫺2.049, p⫽.048). Mothers with the “Restraint Eating” characteristic were positively correlated with “Monitoring” (r⫽ ⫹.309, n ⫽ 73, p⬍.01) and “Pressure to Eat” (r⫽⫹.227, n ⫽72, p⬍ .055) feeding practices.
Results: The mean BMIs were 27.1⫾4.1 and 27.2⫾5.4, and the mean DST scores were 58.2⫾12.5 and 61.9⫾12.7 for males and females, respectively. Individuals with lower DST scores were significantly more likely to report concerns about food security (P⫽0.0252), skip breakfast (P⬍0.0001) and report an acute decrease in food intake due to loss of appetite, digestive problems or chewing and swallowing difficulties (P⬍0.0001). Underweight individuals (BMI⬍18.5) had a significantly lower DST score compared to normal weight (BMI 18.5-24.9) (44.5⫾2.27, 49.06 ⫾ 1.75 p⫽0.0042). DST scores for overweight and obese individuals were not significantly different from those of normal weight.
Conclusion: These findings highlight the potential influence preschool mothers’ concerns about weight status may have on eating and feeding practices with implications for nutrition interventions.
Conclusion: The DST identifies older adults likely to be at nutritional risk. Potential targets for dietitians include promoting breakfast intake, strategies to improve food security, and managing loss of appetite or digestive issues.
Funding Disclosure: None
Funding Disclosure: USDA #1950-51530-010-02G
Emotional Eating Screening as Potential Steppingstone for Treatment in Individuals with Polycystic Ovary Syndrome
Assessment of Malnutrition among Albanian Elderly Participating in Home Meal Delivery Using the Mini Nutritional Assessment
Author(s): J. Grocki,1 J. Christaldi2; 1Clinical Nutrition, Geisinger Med. Ctr., Danville, PA, 2Nutrition & Dietetics, Marywood Univ., Scranton, PA
Author(s): A. Gray, A. B. Porto, M. A. Mihok; Messiah Coll., Grantham, PA
Learning Outcome: The participant will be able to identify emotional eating as a potential barrier to weight management and describe the value of emotional eating screening in the Polycystic Ovary Syndrome population. Polycystic Ovary Syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Established treatments include proper diet and exercise. However, this population may be high risk for disordered eating, making it impractical to recommend specific diet modifications. The present study examined emotional eating tendencies in correlation with body mass index (BMI). A convenience sample (N⫽103) was recruited on PCOS support group Facebook pages (Cysters Unite! and PCOSupport). Respondents answered a 2-part survey, which included questions regarding the signs and symptoms of PCOS and the Eating and Appraisal Due to Emotions and Stress Questionnaire (EADES). The EADES was used to assess emotion- and stressrelated eating (Factor 1) and the ability to cope with negative emotions (Factor 2). A multiple linear regression (n⫽85) was used to examine the relationship of factor 1, 2 and PCOS scores on participants’ BMI. A significant relationship was found (F(3,82)⫽ 8.889, p ⬍ 0.0001), with an R2 of 0.245. Factor 1 (B ⫽ ⫺0.120, p⫽ 0.011) and PCOS Score (B⫽ 0.815, p⫽ 0.001) were both significant predictors of BMI, indicating individuals with higher emotional eating tendencies and higher number of PCOS symptoms may be more likely to be obese. Factor 2 was not a significant predictor of BMI (B⫽ ⫺0.023, p⫽ 0.750). These findings imply that focusing on behavior modification prior to making specific dietary recommendations may be more beneficial for weight management. Thus, emotional eating screening can be an important steppingstone to establish the optimal direction of therapy for individuals with PCOS.
Learning Outcome: Participants will be able to describe the association between Mini Nutritional Assessment items and the malnourished/at risk overall indicator score categories of Albanian elderly. Malnutrition is of increasing concern among the elderly. Home meal delivery programs target individuals with decreased access to food and increased risk of malnutrition. The purpose of this study was to assess the nutritional status of elderly Albanian meal recipients using the Mini Nutritional Assessment (MNA). Elderly meal recipients (n⫽31) were assessed using the MNA during July and August, 2011. Fisher’s exact test was used to compare the frequency of the malnutrition indicator score (MIS) categories to the frequency of individual responses to the MNA. The MIS revealed 65% of the elderly were at risk for malnutrition, 6% malnourished, and 29% with normal nutritional status. The malnourished and at risk MIS categories were significantly associated with MNA responses for food intake decrease, meat/fish/poultry consumption, and negative self-views of nutritional status and health status (p⬍0.05). A trend was observed in association of MIS categories with responses to number of meals per day and overall protein intake (pⱕ0.1). Malnutrition was not prevalent among meal recipients although nearly two-thirds of the subjects were at risk of malnutrition. Future meal recipients who report a decrease in food intake or negative self-views of nutritional status or health status should be monitored for nutritional risk. The meal delivery program should work to provide meals containing adequate protein sources. Funding Disclosure: Service Learning Grant - Messiah College
Funding Disclosure: None
September 2012 Suppl 3—Abstracts Volume 112 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-95