Developing and Piloting a Tool to Identify Food Insecurity in Older Adults

Southern Medical Journal
Alexandra KingMaria Torroella Carney

Abstract

The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital discharge to identify patients who may require community food resources. This is the first attempt to build such a tool for implementation in our health system. In two university hospitals and one community hospital, patients 65 years old and older were admitted to the Internal Medicine service who would approach discharge within 2 days. We screened patients meeting our criteria using an FI tool (FIT), which addressed patterns associated with FI. All of the patients screened were offered a list of community resources. Of the patients recruited, 69 met the study criteria. The majority of patients screened displayed some FI, with 56% having ≥3 food insecurities. Statistically significant relationships were established for individual FIT questions with age, admission albumin level, body mass index, length of stay, and median household income based on ZIP code. Use of the FIT can help identify vulnerable patients and connect them to food resources....Continue Reading

References

May 21, 2011·Journal of Nutrition in Gerontology and Geriatrics·Ucheoma O AnyanwuNadine R Sahyoun
Jun 7, 2011·Journal of Community Health·Brandi FranklinShelley White-Means
Nov 27, 2014·Journal of Nutrition in Gerontology and Geriatrics·Elisabeth Lilian Pia SattlerVibha Bhargava
Aug 13, 2015·Journal of Nutrition in Gerontology and Geriatrics·Patience AfulaniGail G Harrison
Nov 4, 2015·Health Affairs·Craig Gundersen, James P Ziliak
Jan 6, 2016·Journal of Community Health·Chantelle BazerghiMatthew Dunn
Aug 26, 2016·Journal of Nutrition in Gerontology and Geriatrics·Vibha Bhargava, Jung Sun Lee
Dec 8, 2016·The Journal of Nutrition, Health & Aging·M L RedmondT C Collins
Apr 8, 2017·Journal of Hunger & Environmental Nutrition·Caitlin Eicher CaspiMarilyn S Nanney
Jul 18, 2017·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Emily Frith, Paul D Loprinzi
Mar 2, 2018·Journal of the American Geriatrics Society·John F SteinerChan Zeng

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