Research brief| Volume 40, ISSUE 2, P89-93, March 2008

Nutritional Risk among Oklahoma Congregate Meal Participants



      To determine if there were differences by demographic variables in response rates to Nutrition Screening Initiative (NSI) Checklist statements reported by over 50% of Oklahoma Older Americans Act Nutrition Program (OAANP) congregate meal participants categorized at high nutritional risk based on cumulative NSI Checklist scores.


      This study evaluated Oklahoma State Unit on Aging statewide archival demographic and NSI Checklist data from 8892 OAANP congregate participants.


      Data were analyzed using chi-square analyses.


      Eighteen percent of congregate participants were categorized at high nutritional risk. Over 50% of participants categorized at high nutritional risk reported “yes” to having an illness or condition that affected food eaten; eating alone; taking 3 or more medications; and inability to shop, cook, and feed themselves. Significant differences were observed in participant “yes” response rates to these NSI Checklist statements by demographic variables. Participants responded “yes” more to these statements if they were female, of advanced age, and living alone or in rural areas.

      Conclusions and Implications

      The results of this study indicate problem areas and population groups for targeting nutrition education programs and services among Oklahoma OAANP congregate meal participants.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.


      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • American Dietetic Association
        Position of the American Dietetic Association: nutrition across the spectrum of aging.
        J Am Diet Assoc. 2005; 105: 616-633
        • Wellman N.S.
        • Rosenzweig L.Y.
        • Lloyd J.L.
        Thirty years of the Older Americans Nutrition Program.
        J Am Diet Assoc. 2002; 102: 348-350
        • Weddle D.O.
        • Fanelli-Kuczmarski M.
        Nutrition, aging, and the continuum of care.
        J Am Diet Assoc. 2000; 100: 580-595
        • Sahyoun N.R.
        • Jacques P.F.
        • Dallal G.E.
        • Russel R.M.
        Nutrition Screening Initiative Checklist may be a better awareness/educational tool than a screening one.
        J Am Diet Assoc. 1997; 97: 760-764
        • Miller D.K.
        • Carter M.E.
        • Sigmund R.H.
        • et al.
        Nutritional risk in inner-city–dwelling older black Americans.
        J Am Geriatr Soc. 1996; 44: 959-962
        • Jensen G.L.
        • Kita K.
        • Fish J.
        • Heydt D.
        • Frey C.
        Nutrition risk screening characteristics of rural older persons: relation to functional limitations and health care charges.
        Am J Clin Nutr. 1997; 66: 819-828
        • Marshall J.A.
        • Lopez T.K.
        • Shetterly S.M.
        • et al.
        Indicators of nutritional risk in a rural elderly Hispanic and non-Hispanic white population: San Luis Valley Health and Aging Study.
        J Am Diet Assoc. 1999; 99: 315-322
        • Castel H.
        • Shahar D.
        • Harman-Boehm I.
        Gender differences in factors associated with nutritional status of older medical patients.
        J Am Coll Nutr. 2006; 25: 128-134
        • Ledikwe J.H.
        • Smiciklas-Wright H.
        • Mitchell D.C.
        • Jensen G.L.
        • Friedmann J.M.
        • Still C.D.
        Nutritional risk assessment and obesity in rural older adults: a sex difference.
        Am J Clin Nutr. 2003; 77: 551-558
        • Gustafsson K.
        • Sidenvall B.
        Food-related health perceptions and food habits among older women.
        J Adv Nurs. 2002; 39: 164-173
        • Pullen C.
        • Walker S.N.
        • Fiandt K.
        Determinants of health-promoting lifestyle behaviors in rural women.
        Fam Community Health. 2001; 24: 49-72
        • Wakimoto P.
        • Block G.
        Dietary intake, dietary patterns, and changes with age: an epidemiological perspective.
        J Gerontol A Biol Sci Med Sci. 2001; 56A: 65-80
        • Marshall T.A.
        • Stumbo P.J.
        • Warren J.J.
        • Xie X.
        Inadequate nutrition intakes are common and are associated with low diet variety in rural, community-dwelling elderly.
        J Nutr. 2001; 131: 2192-2196
        • Kulkowski K.
        • Coon P.J.
        Comparison of nutritional risk between urban and rural elderly.
        Ostomy Wound Manage. 2004; 50: 46-58
        • Institute of Medicine, Committee on Nutrition Services for Medicare Beneficiaries
        The Role of Nutrition in Maintaining Health in the Nation’s Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population.
        National Academies Press, Washington, DC2000