Physical limitations in meal preparation and consumption are associated with lower musculoskeletal nutrient (calcium, vitamin D, magnesium, and phosphorus) intakes in homebound older adults.
OBJECTIVE
Although homebound older adults are at increased risk for poor nutritional health and adverse nutrition-related outcomes, little attention has focused on the tasks involved in meal preparation and consumption and the influence of those tasks on dietary intake.


METHODS
We examined the self-reported dietary intake from 3, 24-h dietary recalls and physical limitations in meal preparation and consumption (LMPC) activities from a randomly recruited sample of 345 homebound older men and women. Ordered logistic regression was used to examine the correlation of demographic characteristics and 6 activities with relative intakes of key musculoskeletal nutrients (calcium, vitamin D, magnesium, and phosphorus).


RESULTS
At least 70% reported not meeting ⅔ recommended intakes for calcium and vitamin D; 12.5% failed to achieve ⅔ recommended intakes in at least three of the four nutrients. More than 12% of the sample reported it was very difficult or they were unable to perform at least 3 LMPC tasks. Regression results indicated that reporting the greatest LMPC increased the odds for lower intake of musculoskeletal nutrients.


CONCLUSIONS
Independent of sociodemographic characteristics, self-reported difficulty in meal preparation and consumption was associated with lower dietary intakes of musculoskeletal nutrients. These results suggest the need to assess difficulty in meal preparation and consumption for the growing population of homebound older adults who participate in supplemental nutrition programs. This brief, 6-item measure may help identify older adults at risk of poor nutritional health and declining function.
Texas Healthy Aging Research Network Collaborating Center, TX, USA. jrsharkey@srph.tamhsc.edu
J
J
Sharkey
C M
CM
Johnson
W R
WR
Dean
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002118:Calcium / Q000172:deficiency*; D002136:Calcium, Dietary / Q000008:administration & dosage; D003296:Cooking; D001068:Feeding and Eating Disorders / Q000503:physiopathology*; D005260:Female; D016330:Frail Elderly; D018577:Homebound Persons; D006801:Humans; D008274:Magnesium / Q000008:administration & dosage; D008275:Magnesium Deficiency / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D010758:Phosphorus / Q000008:administration & dosage / Q000172:deficiency*; D012306:Risk; D057566:Self Report; D014807:Vitamin D / Q000008:administration & dosage; D014808:Vitamin D Deficiency / Q000453:epidemiology / Q000209:etiology*
D002136:Calcium, Dietary; D014807:Vitamin D; D010758:Phosphorus; D008274:Magnesium; D002118:Calcium