The ability of the nutrition screening initiative determine checklist to evaluate the nutrition risk status of older Georgians
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This study examined the ability of the Nutrition Screening Initiative DETERMINE Checklist (NSI) to evaluate nutrition risk status in Older Americans Act Nutrition Program (OAANP) applicants in Georgia. The study sample included new OAANP participants and waitlisted people who completed all Georgia NSI (GANSI) and matching questions (GANSI-match) in the self-administered survey (n = 924, mean age 75.0 ± 9.2 years, 68.8% women, 26.1% black). Agreement among six GANSI and GANSI-match pairs (eating < two meals daily, eating few fruits and vegetables or dairy, eating most meals alone, food insecurity, using three or more medications daily) were compared. All six question pairs showed significant discordance (all p< 0.01); 94% of the sample provided at least one discordant response pair. Being black, living alone and food insecurity impacted the likelihood of discordant responses. This study indicates some NSI items may have limited ability to reliably identify older adults at nutritional risk.
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