Document Detail


Relationships between nutrition screening checklists and the health and well-being of older Australian women.
MedLine Citation:
PMID:  12001980     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine associations between nutrition screening checklists and the health of older women. DESIGN: Cross-sectional postal survey including measures of health and health service utilisation. as well as the Australian Nutrition Screening Initiative (ANSI), adapted from the Nutrition Screening Initiative (NSI). SETTING: Australia, 1996. SUBJECTS: In total, 12,939 women aged 70-75 years randomly selected as part of the Australian Longitudinal Study on Women's Health. RESULTS: Responses to individual items in the ANSI checklist, and ANSI and NSI scores, were associated with measures of health and health service utilisation. Women with high ANSI and NSI scores had poorer physical and mental health, higher health care utilisation and were less likely to be in the acceptable weight range. The performance of an unweighted score (TSI) was also examined and showed similar results. Whereas ANSI classified 30% of the women as 'high-risk', only 13% and 12% were classified as 'high-risk' by the NSI and TSI, respectively. However, for identifying women with body mass index outside the acceptable range, sensitivity, specificity and positive predictive values for all of these checklists were less than 60%. CONCLUSIONS: Higher scores on both the ANSI and NSI are associated with poorer health. The simpler unweighted method of scoring the ANSI (TSI) showed better discrimination for the identification of 'at risk' women than the weighted ANSI method. The predictive value of individual items and the checklist scores need to be examined longitudinally.
Authors:
Amanda J Patterson; Anne F Young; Jennifer R Powers; Wendy J Brown; Julie E Byles
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Public health nutrition     Volume:  5     ISSN:  1368-9800     ISO Abbreviation:  Public Health Nutr     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-05-10     Completed Date:  2002-10-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  65-71     Citation Subset:  IM    
Affiliation:
Research Centre for Gender and Health, University of Newcastle, Callaghan, Australia. whasec@alinga.newcastle.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Australia / epidemiology
Body Mass Index
Cross-Sectional Studies
Female
Geriatric Assessment
Health Status Indicators*
Humans
Longitudinal Studies
Nutrition Disorders / diagnosis*,  epidemiology
Nutrition Surveys*
Predictive Value of Tests
Risk Factors
Sensitivity and Specificity
Women's Health*
Women's Health Services / utilization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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