Abstract
The monitoring of nutritional risk and functional status indicators among participants in the Elderly Nutrition Program can provide unique information to help service providers assist these persons in remaining independent and at home. Using multinomial logit analyses of routinely collected data, this study examines the link between nutritional risk indicators and disability severity among 1,010 home-delivered meal program participants in Wake County, North Carolina. Five nutritional risk indicators were associated with disability severity: social and economic risk with being disabled only in Instrumental Activities of Daily Living (IADL); weight change and difficulty shopping/cooking with being moderately disabled in Activities of Daily Living (ADL); and medication use with both moderate and severe ADL disability. While women were more likely than men to be moderately ADL disabled, the probability for moderate and severe ADL disability increased with the co-occurrence of medication use and weight change. These findings suggest that nutrition policymakers and program planners for the Elderly Nutrition Program consider the link between nutritional risk indicators and disability severity in determining future service needs.
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