Objective validation of a nutrition screening instrument in two rural communities

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dc.degree.department Food Science and Technology en_US
dc.degree.discipline Food Science and Technology en_US
dc.degree.grantor Texas Tech University en_US
dc.degree.level Doctoral en_US
dc.degree.name Ph .D . en_US
dc.rights.availability unrestricted en_US
dc.creator Bonilla , Joseph C . en_US
dc.date.accessioned 2014 -06 -06T20 :51 :38Z
dc.date.available 2011 -02 -18T22 :13 :58Z en_US
dc.date.available 2014 -06 -06T20 :51 :38Z
dc.date.issued 1995 -05 en_US
dc.identifier.uri http : / /hdl .handle .net /2346 /17812 en_US
dc.description.abstract The Nutrition Screening Initiative (NSI ) developed an instrument , the "Determine Your Nutritional Health" checklist , to identify the presence of risk factors for malnutrition among the elderly while promoting education about these risk factors . The purpose of this study was to validate the instrument's determination of nutritional risk against recognized anthropometric , biochemical , and physical indicators of malnutrition . Data were collected in two rural communities , one with a physician -ttaffed clinic and one with a small acutecare hospital /clinic . Free -living participants responded to a 43 -item expansion of the Determine checklist and a nutrient specific food frequency measuring adherence to the Food Guide Pyramid and the Dietary Guidelines for Americans . A total of 119 subjects were interviewed , of which 89 (74 .8 % ) agreed to have anthropometric measurements , a fasting blood draw , and a physical examination for clinical indicators of malnutrition . The mean age of the seniors who completed the study (61 females , 28 males ) was 73 .6 years , ranging from 58 to 89 years . Mean nutritional risk score by the Determine checklist was 4 .58 , which is within the moderate nutritional risk range (3 to 5 ) . Mean scores for the clinic (4 .22 ) and the hospital /clinic (4 .98 ) communities did not significantly differ . The Determine checklist identified 78 .6 % (70 of 89 ) at nutritional risk . Correlation analysis showed that Determine score had limited association only with hemo^obin status (R= .2377 , p= .0249 ) and glucose status (R= .2259 , £= .0333 ) . Internal reliability of the food frequency was acceptable (a=0 .7375 ) . Analysis of eating habits showed subjects ate foodshigh in sugar , sodium , fat , and fiber 1 to 2 times weekly , but reported low compliance with eating the recommended daily number of servings of foods from the bread and dairy groups . The "Determine Your Nutritional Health" checklist and the food frequency used in this study may be useful in identifying individual risk factors of nutritional health and eating habits associated with the Food Guide Pyramid and Dietary Guidelines for Americans , educating senior citizens , and directing them to appropriate social , medical , and nutritional services . However , the Determine checklist was found to have limited association with accepted objective measures of nutritional status among senior participants . en_US
dc.language.iso en _US en_US
dc.publisher Texas Tech University en_US
dc.subject Rural elderly en_US
dc.subject Nutrition en_US
dc.subject Older people en_US
dc.title Objective validation of a nutrition screening instrument in two rural communities en_US
dc.type Electronic Dissertation en_US


Objective validation of a nutrition screening instrument in two rural communities. Doctoral dissertation, Texas Tech University. Available electronically from http : / /hdl .handle .net /2346 /17812 .

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