Center for Population Health and Aging, Texas A&M University, College Station, Texas, TX 77843, USA.
School of Public Health, Texas A&M University, College Station, Texas, TX 77843, USA.
Int J Environ Res Public Health. 2020 May 20;17(10):3590. doi: 10.3390/ijerph17103590.
Despite a multitude of nutritional risk factors among older adults, there is a lack of community-based programs and activities that screen for malnutrition and address modifiable risk among this vulnerable population. Given the known association of protein and fluid consumption with fall-related risk among older adults and the high prevalence of falls among Americans age 65 years and older each year, a brief intervention was created. Stepping Up Your Nutrition (SUYN) is a 2.5 h workshop developed through a public/private partnership to motivate older adults to reduce their malnutrition risk. The purposes of this naturalistic workshop dissemination were to: (1) describe the SUYN brief intervention; (2) identify participant characteristics associated with malnutrition risk; and (3) identify participant characteristics associated with subsequent participation in Stepping On (SO), an evidence-based fall prevention program. Data were analyzed from 429 SUYN participants, of which 38% ( = 163) subsequently attended SO. As measured by the SCREEN II, high and moderate malnutrition risk scores were reported among approximately 71% and 20% of SUYN participants, respectively. Of the SUYN participants with high malnutrition risk, a significantly larger proportion attended a subsequent SO workshop (79.1%) compared to SUYN participants who did not proceed to SO (65.8%) (χ = 8.73, = 0.013). Findings suggest SUYN may help to identify malnutrition risk among community-dwelling older adults and link them to needed services like evidence-based programs. Efforts are needed to expand the delivery infrastructure of SUYN to reach more at-risk older adults.
尽管老年人存在许多营养风险因素，但缺乏针对这一弱势群体的基于社区的营养筛查和可改变风险因素的项目和活动。鉴于蛋白质和液体摄入与老年人跌倒风险之间的已知关联，以及每年 65 岁及以上的美国人跌倒发生率较高，我们创建了一个简短的干预措施。“提高营养（Stepping Up Your Nutrition，SUYN）”是一个 2.5 小时的工作坊，通过公共/私营部门合作开发，旨在激励老年人降低营养不良风险。本次自然主义工作坊传播的目的是：（1）描述 SUYN 简短干预；（2）确定与营养不良风险相关的参与者特征；（3）确定与后续参与基于证据的跌倒预防计划“Stepping On（SO）”相关的参与者特征。从 429 名 SUYN 参与者中分析数据，其中 38%（=163）随后参加了 SO。根据 SCREEN II 测量，约 71%和 20%的 SUYN 参与者分别报告有高和中度营养不良风险评分。在有高营养不良风险的 SUYN 参与者中，有明显更大比例的人参加了随后的 SO 研讨会（79.1%），而没有参加 SO 的 SUYN 参与者比例为 65.8%（χ=8.73，=0.013）。研究结果表明，SUYN 可能有助于识别社区居住的老年人中的营养不良风险，并将他们与需要的服务（如基于证据的计划）联系起来。需要努力扩大 SUYN 的交付基础设施，以覆盖更多处于高风险的老年人。
