This paper was presented at the annual meeting of the American Society for Nutrition, New Orleans, Louisiana, 2009.
Hardiness, Depression, and Emotional Well-Being and Their Association with Appetite in Older Adults
Article first published online: 10 MAR 2011
© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 59, Issue 3, pages 482–487, March 2011
How to Cite
Engel, J. H., Siewerdt, F., Jackson, R., Akobundu, U., Wait, C. and Sahyoun, N. (2011), Hardiness, Depression, and Emotional Well-Being and Their Association with Appetite in Older Adults. Journal of the American Geriatrics Society, 59: 482–487. doi: 10.1111/j.1532-5415.2010.03274.x
- Issue published online: 10 MAR 2011
- Article first published online: 10 MAR 2011
- emotional well-being;
- older adults
OBJECTIVES: To examine the associations between hardiness (defined as the ability to manage stress), depression, and emotional well-being and appetite in older adults.
SETTING: Assisted-living facilities and senior centers in the Washington/Baltimore area.
PARTICIPANTS: Two hundred ninety-two adults aged 60 and older.
MEASUREMENTS: Depressive symptoms assessed using the 5-item Geriatric Depression Scale and categorized as 0 to 1 (normal, referent group) versus 2 to 5 (depressive symptoms present). Hardiness was measured using the 18-item Dispositional Resilience Scale II modified based on interviews with older adults and categorized as 67 or less (low hardiness) versus greater than 67 (normal, referent group). Appetite was measured using the Simplified Nutritional Appetite Questionnaire and categorized as 4 to 14 (poor appetite) versus 15 to 20 (normal, referent group). Emotional well-being was measured using a single question.
RESULTS: Depression, hardiness, and emotional well-being were all significantly associated with appetite. In models controlling for confounders (data collection site, age, educational attainment, self-reported health, race, presence of chronic disease), fair to poor emotional well-being was most significantly associated with poor appetite (odds ratio (OR)=5.60, 95% confidence interval (CI)=2.60–12.07) and low commitment (a component of hardiness that indicates an individual's involvement in life) was also significantly associated with poor appetite (OR=1.35, 95% CI=1.13–1.61).
CONCLUSION: These associations further elucidate the components of mental health that contribute to poor appetite in this population. Simple measures of self-reported mental health administered to older adults may predict poor appetite and lend themselves to potential interventions to prevent malnutrition and negative health outcomes.