 |
The 130th Annual Meeting of APHA |
|
The 130th Annual Meeting of APHA |
Joseph R. Sharkey, PhD, MPH, RD, School of Rural Public Health, Department of Social and Behavioral Health; School of Public Health, Department of Nutrition, Texas A&M University and University of North Carolina at Chapel Hill, 810 Old Mill Road, Chapel Hill, NC 27514, (919) 942-2882, aggie1@mindspring.com and Laurence G. Branch, PhD, Dean, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 056, Tampa, FL 33612.
Abstract Text Objectives: In view of the challenges for the ENP to assist an increasing and more diverse homebound older population to maintain nutritional health and independent living, we examined data from 345 home-delivered meal recipients (49% Black; 61-98 years; 66% income <$750/month) who completed an in-home assessment and 3 dietary recalls. Methods: Contingency tables with c2statistic and multiple and logistic regression models were used for cross-sectional analyses. Dependent variable was a summary measure of the lowest quartile of dietary intake of 4 nutrients associated with bone and muscular health (calcium, Vitamin D, phosphorus, magnesium). Results: Race differences in medication use, oral health, disease burden, and physical limitations were not significant. However, Blacks were more likely than Whites to report the lowest level of income, highest BMI, lowest educational attainment, and lowest quartile of intake for individual (calcium 34% v 17%, p <0.001 and magnesium 32% v 19%, p <0.001) and multiple nutrients (³2 nutrients 37% v 20%, p <0.001). Independent of sex, age, income, and education, homebound Blacks were 2 times more likely than comparable Whites to report the lowest quartile of intake for multiple nutrients. Conclusions: These results suggest that Black ENP participants are at increased vulnerability for inadequate intake of multiple bone/muscle health nutrients. Prospective research is needed to examine the interrelationships between race, nutrient intake, physical performance, and functional independence among the growing homebound older population.
Learning Objectives:
Keywords: Nutrition, Minority Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.