Nutrition Risk: Cultural Aspects of Assessment

營養風險：評估的文化觀點

Carol A Wham ； Lorna Dyall ； Ruth OY Teh ； Ngaire M Kerse

《Asia Pacific Journal of Clinical Nutrition》 20卷4期 (2011/12) Pp. 632-638

https://doi.org/10.6133/apjcn.2011.20.4.18

摘要

Aim: To assess a nutrition risk screening tool amongst Māori and non-Māori of advanced age. Method: A cross sectional feasibility study was conducted in three North Island locations. One hundred and eight communityliving residents aged 75- 85 years were assessed for nutrition risk using ‘the validated questionnaire ‘Seniors in the Community: Risk Evaluation for Eating and Nutrition’, Version II (SCREENII) and level of physical activity using the ‘Physical Activity Scale for the Elderly’ (PASE). Physical assessments included height and weight. Results: Fifty-two percent of participants were assessed to be at high nutrition risk (SCREENII score ＜50; range 29-58; out of maximum score 64). Nutrition risk factors amongst Māori and non-Māori respectively differed for weight change in the previous six months (45.2% and 18.7%, p=0.005), skipping meals (54.8% and 13.3%, p＜0.001), fruit and vegetable intake (77.4% and 18.7%, p＜0.001) and the use of meal replacements (28.1% and 9.3%, p=0.013). Process evaluation showed that Māori took different meaning from the individual question items in SCREENII. Level of physical activity (PASE score) was higher for Māori, median (IQR): 125 (74) than non-Māori, 72 (74) (p＜0.001) especially for leisure-time and household related activity. BMI was higher for Māori median (IQR): 31.5 kg/m^2 (6.8) compared to non-Māori 24.7 kg/m^2 (5.4) (p＜0.001). Conclusions: The nutrition risk tool suggested that Māori were at high risk for malnutrition despite higher BMI and higher levels of activity. Several items of the screening tool were interpreted differently among Māori compared to non-Māori. Further development is needed to ensure accurate assessment.

關鍵字

營養評估 ； 營養不良 ； 老年人 ； 文化 ； 紐西蘭

並列摘要

Aim: To assess a nutrition risk screening tool amongst Māori and non-Māori of advanced age. Method: A cross sectional feasibility study was conducted in three North Island locations. One hundred and eight communityliving residents aged 75- 85 years were assessed for nutrition risk using ‘the validated questionnaire ‘Seniors in the Community: Risk Evaluation for Eating and Nutrition’, Version II (SCREENII) and level of physical activity using the ‘Physical Activity Scale for the Elderly’ (PASE). Physical assessments included height and weight. Results: Fifty-two percent of participants were assessed to be at high nutrition risk (SCREENII score ＜50; range 29-58; out of maximum score 64). Nutrition risk factors amongst Māori and non-Māori respectively differed for weight change in the previous six months (45.2% and 18.7%, p=0.005), skipping meals (54.8% and 13.3%, p＜0.001), fruit and vegetable intake (77.4% and 18.7%, p＜0.001) and the use of meal replacements (28.1% and 9.3%, p=0.013). Process evaluation showed that Māori took different meaning from the individual question items in SCREENII. Level of physical activity (PASE score) was higher for Māori, median (IQR): 125 (74) than non-Māori, 72 (74) (p＜0.001) especially for leisure-time and household related activity. BMI was higher for Māori median (IQR): 31.5 kg/m^2 (6.8) compared to non-Māori 24.7 kg/m^2 (5.4) (p＜0.001). Conclusions: The nutrition risk tool suggested that Māori were at high risk for malnutrition despite higher BMI and higher levels of activity. Several items of the screening tool were interpreted differently among Māori compared to non-Māori. Further development is needed to ensure accurate assessment.

並列關鍵字

nutrition assessment ； malnutrition ； aged ； culture ； New Zealand