Nutritional risk assessment and XXXX in rural older adults: a sex difference.

@entity1 @entity1501 @entity28 @entity1255 @entity219 @entity2707 @entity2186 @entity3363 @entity68 @entity1760
BACKGROUND: Many older Americans are overweight or @entity28 , but it is unclear whether @entity28 is associated with other nutritional risk indicators. OBJECTIVE: This study investigated sex-associated differences in nutritional risk among community-dwelling, rural older adults and determined whether weight status [body mass index (BMI; in kg/m(2)) and waist circumference] was related to other measures of nutritional risk. DESIGN: This cross-sectional study explored relations between weight status and nutritional risk, which was determined on the basis of the Level II Screen, overall diet quality, nutrient intakes, and plasma biomarkers. RESULTS: Of the 179 subjects, 44% were overweight (BMI 25-29.9) and 35% were @entity28 (BMI > 30). There were few differences in nutrient intakes between older @entity1 and @entity1 after we controlled for energy intake. In @entity1 , BMI was directly associated with multiple additional nutritional risk indicators, including the number of Level II items (r = 0.30), intakes of fat (r = 0.26) and saturated fat (r = 0.21), and @entity1255 concentration (r = 0.25). Weight status in @entity1 was inversely associated with intakes of @entity3363 (r = -0.25), fiber (r = -0.35), @entity1501 (r = -0.24), @entity1760 (r = -0.29), @entity68 (r = -0.22), and @entity219 (r = -0.23); Healthy Eating Index scores (r = -0.22); and plasma @entity2707 (r = -0.30). Associations with waist circumference were similar. In @entity1 , weight status was associated only with plasma @entity2186 (r = -0.33 for BMI) and @entity2707 (r = -0.24 for waist circumference). CONCLUSIONS: Overweight and @entity28 older @entity1 , particularly those living alone, may be at greater nutritional risk than are @entity1 with a high BMI. Targeted nutritional intervention emphasizing nutrient-dense food choices to improve dietary patterns may be warranted.
