High prevalence of nutrition risk among community living older people in Woerden, the Netherlands

Abstract: Background: Undernutrition is a common problem in Dutch older people and may cause increased length of hospitalisation, early institutionalization and decreased quality of life. Nutrition risk precedes undernutrition and can be identified by timely nutritional screening. Design: This cross-sectional study aimed to examine the prevalence of nutrition risk among older people living in the community of Woerden. Measurements: Nutrition risk was assessed using a validated questionnaire: Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II (‘SCREEN II’). Participants: The sample (n=335, mean age 80, age range 75-85) were 32% men, 40% received home care and 46% lived alone. Results: Nutrition risk was present in two thirds (67%) of the respondents (38% ‘at high risk’, 29% ‘at risk’). The most common SCREENII items that led to nutrition risk were a low intake of meat and alternatives (65%), milk products (59%), fruit and vegetables (59%) and eating alone (56%). Those who received home care were 1.8 times more likely to be at nutrition risk than people without home care (p=0.03) and those living alone were 3.3 times more likely to be at nutrition risk than those living with others (p<0.001). Conclusions: Intervention strategies are needed to encourage Dutch older people to take opportunities to eat meals with others and to improve their intake of major food group items. Training of home care staff to identify nutrition problems should be prioritised.