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Centre for Policy on Ageing | |
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Longitudinal examination of homebound older adults who experience heightened food insufficiency
— effect of diabetes status and implications for service provision | | Author(s) | Joseph R Sharkey |
| Journal title | The Gerontologist, vol 45, no 6, December 2005 |
| Pages | pp 773-782 |
| Source | http://www.geron.org |
| Keywords | Housebound ; Meals on wheels ; Malnutrition ; Diabetes ; Domiciliary services ; Longitudinal surveys ; United States of America. |
| Annotation | Healthful eating is important for optimal diabetes self-care. However, the level of food sufficiency may influence the degree of adherence to dietary self-care behaviours through the affordability of nutritionally appropriate food. This was a longitudinal study of a randomly recruited sample of 268 housebound older people in the US Nutrition and Function Study (NAES), who regularly received home-delivered meals and completed baseline and 1-year in-home assessments. The study examined whether housebound older people with diabetes were at greater risk for heightened food insufficiency over one year, despite regular receipt of home-delivered meals. Based on an economic context model, self-reported data were collected on fundamental and proximate factors, food sufficiency, and intervening events. Determinants of heightened food insufficiency were examined with multivariate logistic regression models. Not only did food sufficiency diminish over time in this sample, but it became or remained worse for older people with diabetes, and was associated with perceived inadequacy of economic resources, too. Those who have diabetes or are at risk of food insufficiency should be identified, in order to develop strategies that integrate nutrition with diabetes care plans, and supporting a multidisciplinary, chronic care model to improve diabetes management and outcomes. (RH). |
| Accession Number | CPA-070109223 A |
| Classmark | C6: NS: CSM: CPD: N: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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