There exists a deficiency of accurate information regarding standard nutritional parameters in people of greatly advanced age. In order to begin obtaining appropriate data, we assessed nutritional status in 45 elderly homebound individuals with a mean age of 84 yr, using anthropometric methods, skin testing, and blood analysis. We compared our data with those from the HANES survey, a reasonable approach to the testing of new possible standards for nutritional assessment. Our results suggest that standard measures in common use are inappropriate for people of greatly advanced age. (Journal of Parenteral and Enteral Nutrition7:378-380, 1983)
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References
1.
Hearing before the Committee on Labor and Human Resources, United States Senate, Ninety-Seventh Congress, First Session on S.234, Community Home Health Services Act of1981, March 4, 1981 . US Government Printing Office, Washington, DC, 1981
2.
Blackburn GL , Bistrian BR, Mains BS, et al: Nutritional and metabolic assessment of the hospital patient. JPEN1:11-22, 1977
3.
Bistrian BR, Blackburn GL, Scrimshaw NS, et al: Cellular immunity in semi-starved states in hospitalized adults . Am J Clin Nutr28:1148-1155, 1975
4.
Bistrian BR, Blackburn GL, Sherman M., et al: Therapeutic index of nutritional depletion in hospitalized patients . Surg Gynecol Obstet141:512-516, 1973
5.
Bistrian BR, Blackburn GL, Hallowell E., et al: Protein status of general surgical patients. JAMA230:858-860, 1974.
Bistrian BR, Blackburn GL, Vitale J., et al: Prevalence of malnutrition in general medical patients. JAMA235:1567-70, 1976
8.
Willard MD, Gilsdorf RB, Price RA: Protein calorie malnutritioin in a community hospital. JAMA243:1720-1722, 1980
9.
Stoudt HW, Damon A., McFarland RA, et al: Skinfolds, body girths, biacromial diameter, and selected anthropometric indices of adults. United States, 1960- 1962 (Vital and Health Statistics Series II, National Health Survey No. 35), Public Health Service, Washington, DC, 1970
10.
National Center for Health Statistics: Weight by height and age of adults 18-74 years; United States 1971-74. Advance data14, 1977 . US Dept of Health, Education, and Welfare, Public Health Service, Office of Health Research, Statistics and Technology, National Center for Health Statistics: Hyattsville, MD.
11.
Center for Disease Control: Ten state nutrition surveys in the United States, 1968-70. III Clinical Anthropometry, Dental, DHEW Pub. No. (HSM) 72-8131; IV Biochemical, DHEW Pub. No. 72-8133. Health Service and Mental Health Administration, Atlanta, GA, 1972
12.
National Center for Health Statistics: Plan and operation of the health and nutrition examination survey, United States, 1971-73. Vital and Health Statistics. DHEW Pub. No. (HSM) 73-1310 Series I-No. 10A, 10B. Health Services and Mental Health Administration, United States Government Printing Office, Washington DC, February 1973.
13.
Rivlin RS: Nutrition and aging: some answered questions. Am J Med71:337-340, 1981
14.
The Chelsea-Village Program, 9-Year Report. Department of Community Medicine, St. Vincent's Hospital and Medical Center of New York, New York, NY, 1982
15.
Brickner PW : Health care services for homebound aged maintain independence, limit costs. Hosp Prog61:56-59, 1980.
16.
Bistrian BR : Anthropometric norms used in assessment of hospitalized patients. Am J Clin Nutr33:2211-2214, 1980
17.
Frisancho AR : New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr34:2540-2545, 1981
