title: Nutrition Screening Initiative Checklist may be a better awareness/educational tool than a screening one.
abstract: OBJECTIVE
  To evaluate the Nutrition Screening Initiative (NSI) checklist as a screening and an awareness/educational tool in an elderly population.
  
  
  METHODS
  Epidemiologic follow-up study. Information similar to the questions of the NSI checklist was collected by the Nutrition Status Survey of Boston elders between 1981 and 1984. Vital status of volunteers was obtained during 8 to 12 years of follow-up.
  
  
  METHODS
  Community-dwelling men (n = 200) and women (n = 381) aged 60 years and older who participated in the survey.
  
  
  METHODS
  Multivariate analysis was used to assess the association between mortality and each of the NSI-similar questions and the cumulative score, which is the sum of the values assigned to each question. Attributable risk percent, a measure of association, was calculated to measure the percentage of deaths that could potentially be prevented if the risk factors or their consequences were eliminated.
  
  
  RESULTS
  Eating meals alone, problems biting or chewing, difficulties with shopping or cooking, and taking more than three medications per day were positively associated with mortality (P < .05). The cumulative score, although significant, was a weaker predictor of mortality. Attributable risk percent of mortality was 19.9% and 51.2% for men and women, respectively.
  
  
  CONCLUSIONS
  Some but not all of the individual questions of the NSI checklist equivalent were significantly associated with mortality and identify specific problems that may have a long-term negative effect yet may be missed if the cumulative score were the sole criterion for screening people. The attributable risk percent suggests that the checklist may be best used as an awareness/educational tool as intended originally and could have an important public health effect on early death of community-dwelling elderly people.
authors.affiliation: National Center for Health Statistics, Office of Analysis Epidemiology and Health Promotion, Hyattsville, Md. 20782, USA.
authors.forename: N R
authors.initials: NR
authors.lastname: Sahyoun
authors.forename: P F
authors.initials: PF
authors.lastname: Jacques
authors.forename: G E
authors.initials: GE
authors.lastname: Dallal
authors.forename: R M
authors.initials: RM
authors.lastname: Russell
mesh_terms: D000368:Aged; D001364:Awareness; D004032:Diet; D005069:Evaluation Studies as Topic; D005260:Female; D006266:Health Education; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality; D015999:Multivariate Analysis; D009747:Nutritional Physiological Phenomena; D012307:Risk Factors; D011795:Surveys and Questionnaires