2.50
Hdl Handle:
http://hdl.handle.net/10755/157961
Type:
Presentation
Title:
Low Weight Among Community-Dwelling, Older Adults
Abstract:
Low Weight Among Community-Dwelling, Older Adults
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Martin, Carolyn, RN, MS, CFNP, PhDc
P.I. Institution Name:University of California - San Francisco
Title:PhD Candidate
Contact Address:, San Francisco, CA, USA
Co-Authors:Jeanie Kayser-Jones, Erika S. Froelicher
Purposes/Aims: The purpose of this study is to examine the low weight, community-dwelling, older adult's understanding and implementation of recommendations for weight stabilization given to them by their health care provider. The aims of the study are to: (1) Describe the characteristics of low weight community-dwelling older adults; (2) Describe the low weight older adult's understanding of nutritional advice given by health care providers; (3) Identify nutritional strategies that older adults have successfully implemented to manage weight. Background: Low weight both in men and women 65 years and older is defined as a body mass index greater than 18 (kg/height in meters squared) and less than or equal to 24 (kg/height in meters squared). Unintentional weight loss in the older adult leads to increased risk for additional health problems, loss of independence, functional decline, and often institutionalization. Maintaining a healthy weight decreases length and number of hospitalizations, early admission into nursing homes, and health care cost for older adults Low weight is preventable and therefore appropriate management strategies are needed to assist older adults in achieving and maintaining normal weight goals. Description: The design is a descriptive, cross sectional study. The study instruments, semi-interviews and observation are conducted in the home of older adults (n=128) who live independently in three counties in central California. Exclusion Criteria: Older adult clients with dementia (Folstein Mini-Mental Examination score of 23 or less), congestive heart failure or recent cancer diagnosis, bedridden or unable to stand for measurement of height, currently hospitalized, hospitalized in the past 30 days, or residing in a skilled nursing facility and non-English speaking. Inclusion Criteria: Low weight subjects, age 65 years and older, will be under the care of a health care provider. Instruments: Instruments will include a depression scale, Geriatric Depression Scale; cognitive status, Folstein Mini-Mental State Examination; and a nutritional assessment (DETERMINE Your Nutritional Health Checklist), Nutritional Screening Initiative (NSI Level I and II). Anthropometric measurement will include: weight, height, mid-arm circumference, triceps skinfold, and body mass index. Procedures: The study is approved by the UCSF CHR and Stanford IRB. A letter was sent to the health care providers informing them of the scope and purpose of the study. Health care providers and their staff will refer potential subjects to the investigator. Data will be collected for demographic, medical, and social-cultural information. This study is in progress. Outcomes/Conclusions: The incidence and widespread prevalence of low weight among community-dwelling older adults is a significant problem with estimates as high as 25%. Studies that describe and analyze current strategies for treatment of low weight are crucial. New insights into this area are expected to further explain the factors that contribute to the prevalence of low weight, while also identifying clinical solutions to the problem. Knowledge about low weight older adults, what they find helpful, and what they find difficult, can advance the health care providers' knowledge, and lead to cost-effective treatment for the older population who are major consumers of healthcare services.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLow Weight Among Community-Dwelling, Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157961-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Low Weight Among Community-Dwelling, Older Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Martin, Carolyn, RN, MS, CFNP, PhDc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California - San Francisco</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD Candidate</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, San Francisco, CA, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cmartin9@itsa.ucsf.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jeanie Kayser-Jones, Erika S. Froelicher</td></tr><tr><td colspan="2" class="item-abstract">Purposes/Aims: The purpose of this study is to examine the low weight, community-dwelling, older adult's understanding and implementation of recommendations for weight stabilization given to them by their health care provider. The aims of the study are to: (1) Describe the characteristics of low weight community-dwelling older adults; (2) Describe the low weight older adult's understanding of nutritional advice given by health care providers; (3) Identify nutritional strategies that older adults have successfully implemented to manage weight. Background: Low weight both in men and women 65 years and older is defined as a body mass index greater than 18 (kg/height in meters squared) and less than or equal to 24 (kg/height in meters squared). Unintentional weight loss in the older adult leads to increased risk for additional health problems, loss of independence, functional decline, and often institutionalization. Maintaining a healthy weight decreases length and number of hospitalizations, early admission into nursing homes, and health care cost for older adults Low weight is preventable and therefore appropriate management strategies are needed to assist older adults in achieving and maintaining normal weight goals. Description: The design is a descriptive, cross sectional study. The study instruments, semi-interviews and observation are conducted in the home of older adults (n=128) who live independently in three counties in central California. Exclusion Criteria: Older adult clients with dementia (Folstein Mini-Mental Examination score of 23 or less), congestive heart failure or recent cancer diagnosis, bedridden or unable to stand for measurement of height, currently hospitalized, hospitalized in the past 30 days, or residing in a skilled nursing facility and non-English speaking. Inclusion Criteria: Low weight subjects, age 65 years and older, will be under the care of a health care provider. Instruments: Instruments will include a depression scale, Geriatric Depression Scale; cognitive status, Folstein Mini-Mental State Examination; and a nutritional assessment (DETERMINE Your Nutritional Health Checklist), Nutritional Screening Initiative (NSI Level I and II). Anthropometric measurement will include: weight, height, mid-arm circumference, triceps skinfold, and body mass index. Procedures: The study is approved by the UCSF CHR and Stanford IRB. A letter was sent to the health care providers informing them of the scope and purpose of the study. Health care providers and their staff will refer potential subjects to the investigator. Data will be collected for demographic, medical, and social-cultural information. This study is in progress. Outcomes/Conclusions: The incidence and widespread prevalence of low weight among community-dwelling older adults is a significant problem with estimates as high as 25%. Studies that describe and analyze current strategies for treatment of low weight are crucial. New insights into this area are expected to further explain the factors that contribute to the prevalence of low weight, while also identifying clinical solutions to the problem. Knowledge about low weight older adults, what they find helpful, and what they find difficult, can advance the health care providers' knowledge, and lead to cost-effective treatment for the older population who are major consumers of healthcare services.</td></tr></table>en_GB
dc.date.available2011-10-26T20:22:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:22:23Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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