• 1
    Ponza, M., J.C. Ohls & B.E. Millen. 1996. Serving Elders at Risk: The Older Americans Act Nutrition Programs, National Evaluation of the Elderly Nutrition Program, 1993–1995. Mathematica Policy Research, Inc. Princeton , NJ .
  • 2
    Galanos, A.N., C.F. Pieper, J.C. Cornoni-Huntley, et al. 1994. Nutrition and function: is there a relationship between body mass index and the functional capabilities of community-dwelling elderly? J. Am. Geriatr. Soc. 32: 368373.
  • 3
    Reuben, D., G.A. Greendale & G.G. Harrison. 1995. Nutrition screening in older persons. J. Am. Geriatr. Soc. 43: 415425.
  • 4
    Payette, H., K. Gray-Donald, R. Cyr & V. Boutier. 1995. Predictors of dietary intake in a functionally dependent elderly population in the community. Am. J. Public Health. 85: 677683.
  • 5
    Jensen, G.L., K. Kita, J. Fish & D.F.C. Heydt. 1997. Nutrition risk screening characteristics of rural older persons: relation to functional limitations and health care charges. Am. J. Clin. Nutr. 66: 819828.
  • 6
    Anderson, S.A. 1990. Core indicators of nutritional state for difficult-to-sample populations. J. Nutr. 120: 15591600.
  • 7
    Sharkey, J.R., C. Giuliani, P.S. Haines, et al. 2003. A summary measure of dietary intake of musculoskeletal nutrients (calcium, vitamin D, magnesium, and phosphorus) is associated with lower-extremity physical performance in homebound older men and women. Am. J. Clin. Nutr. 77: 847856.
  • 8
    Verbrugge, L.M. & A.M. Jette. 1994. The disablement process. Soc. Sci. Med. 38: 114.
  • 9
    Sharkey, J.R., L.G. Branch, C. Giuliani, et al. 2004. Nutrient intake and BMI as predictors of severity of ADL disability over 1 year in homebound elders. J. Nutr. Health Aging. 8: 131139.
  • 10
    Nagi, S.Z. 1976. An epidemiology of disability among adults in the United States. Milbank Mem. Fund Q. Health Soc. 54: 439466.
  • 11
    Guralnik, J.M., L.P. Fried & M.E. Salive. 1996. Disability as a public health outcome in the aging population. Annu. Rev. Public Health. 17: 2546.
  • 12
    Greiner, P.A., D.A. Snowdon & L.H. Greiner. 1996. The relationship of self-rated function and self-rated health to concurrent functional ability, functional decline, and mortality: findings from the nun study. J. Gerontol.: Psychol. Sci. Soc. Sci. 51B: S234S241.
  • 13
    Manton, K.G. 1988. A longitudinal study of functional change and mortality in the United States. J. Gerontol.: Psychol. Sci. Soc. Sci. 43: S153S161.
  • 14
    Wolinsky, F.D., C.M. Callahan, J.F. Fitzgerald & R.J. Johnson. 1993. Changes in functional status and the risks of subsequent nursing home placement and death. J. Gerontol.: Psychol. Sci. Soc. Sci. 48: S93S101.
  • 15
    Sharkey, J.R. & N.E. Schoenberg. 2005. Prospective study of Black-White differences in food insufficiency among homebound elders. J. Aging Health. 17: 507527.
  • 16
    Coulston, A.M., L. Craig & A.C. Voss. 1996. Meals-on-wheels applicants are a population at risk for poor nutritional status. J. Am. Diet. Assoc. 96: 570573.
  • 17
    Sharkey, J.R., L.G. Branch, N. Zohoori, et al. 2002. Inadequate nutrient intake among homebound older persons in the community and its correlation with individual characteristics and health-related factors. Am. J. Clin. Nutr. 76: 14351445.
  • 18
    Administration on Aging National Aging Information Center. 1998. Aging into the 21st Century. Accessed January 16, 1998. Available from
  • 19
    Camacho, T.C., W.J. Strawbridge, R.D. Cohen & G.A. Kaplan. 1993. Functional Ability in the Oldest Old. J. Aging Health 5: 439454.
  • 20
    Hickey, T., M. Speers & T. Prohaska. 1997. Public Health and Aging. The Johns Hopkins University Press. Baltimore , MD .
  • 21
    Moshfeigh, A.J. 2007. Research to advance understanding of the interrelationship of poverty and nutrition. J. Am. Diet. Assoc. 107: 18821885.
  • 22
    Fillit, H.M., G. Picariello & S.W. Warburton. 1997. Health risk appraisal in the elderly: results from a survey of 70,000 medicare HMO members. J.C.O.M. 4: 2329.
  • 23
    Kramarow, E., H. Lentzner, R. Rooks, et al. , Health, United States. 1999. Health and Aging Chartbook. National Center for Health Statistics. Hyattsville , MD .
  • 24
    Katz, S., A.B. Ford, R.W. Moskowitz, et al. 1963. Studies of illness in the aged. J.A.M.A. 185: 914919.
  • 25
    Lawton, M. & E. Brody. 1969. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9: 179186.
  • 26
    Fried, L.P., S.J. Herdman, K.E. Kuhn, et al. 1991. Preclinical disability: hypotheses about the bottom of the Iceberg. J. Aging Health 3: 285300.
  • 27
    Gill, T., C. Williams & M. Tinetti. 1995. Assessing risk for the onset of functional dependence among older adults: the role of physical performance. J. Am. Geriatr. Soc. 43: 603609.
  • 28
    Ferrucci, L., J.M. Guralnik, M. Pahor, et al. 1997. Hospital diagnoses, medicare charges, and nursing home admissions in the year when older persons become severely disabled. J.A.M.A. 277: 728734.
  • 29
    Salive, M.E., J. Guralnik, R.J. Glynn, et al. 1994. Association of visual impairment with mobility and physical function. J. Am. Geriatr. Soc. 42: 287292.
  • 30
    Reuben, D.B., S. Mui, M. Damesyn, et al. 1999. The prognostic value of sensory impairment in older persons. J. Am. Geriatr. Soc. 47: 930935.
  • 31
    Dargent-Molina, P., M. Hays & G. Bréart. 1996. Sensory impairments and physical disability in aged women living at home. Int. J. Epidemiol. 25: 621629.
  • 32
    Guralnik, J.M., L. Ferrucci, B.W. Penninx, et al. 1999. New and worsening conditions and change in physical and cognitive performance during weekly evaluations over 6 months: The women's health and aging study. J. Gerontol: Med. Sci. 54A: M410M422.
  • 33
    Ostir, G.V., K.S. Markides, S.A. Black & J.S. Goodwin. 1998. Lower body functioning as a predictor of subsequent disability among older Mexican Americans. J. Gerontol.: Biol. Sci. Med. Sci. 53A: M491M495.
  • 34
    Gill, T., J. Robison & M. Tinetti. 1998. Difficulty and dependence: two components of the disability continuum among community-living older persons. Ann. Intern. Med. 128: 96101.
  • 35
    Guralnik, J.M., L. Ferrucci, E.M. Simonsick, et al. 1995. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N. Engl. J. Med. 332: 556561.
  • 36
    Rantanen, T., J.M. Guralnik, L. Ferrucci, et al. 1999. Coimpairments: strength and balance as predictors of severe walking disability. J. Gerontol.: Biol. Sci. Med. Sci. 54A: M172M176.
  • 37
    Wolfson, L., J. Judge, R. Whipple & M. King. 1995. Strength is a major factor in balance, gait, and the occurrence of falls. J. Gerontol.: Biol. Sci. Med. Sci. 50A: 6467.
  • 38
    Fiatarone, M.A., E.F. O'Neill, N.D. Ryan, et al. 1994. Exercise training and nutritional supplementation for physical frailty in very elderly people. N. Engl. J. Med. 330: 17691775.
  • 39
    Dutta, C. & E.C. Hadley. 1995. The significance of sarcopenia in old age. J. Gerontol.: Biol. Sci. Med. Sci. Special Issue: 14.
  • 40
    Herndon, A.S. 1995. Using the nutrition screening initiative to survey the nutritional status of clients participating in a home delivered meals program. J. Nutr. Elder. 14: 1525.
  • 41
    Weddle, D.O., N.S. Wellman & G.M. Bates. 1997. Incorporating nutrition screening into three older americans act elderly nutrition programs. J. Nutr. Elder. 17: 1937.
  • 42
    Sharkey, J.R. 2004. Variations in nutritional risk among Mexican American and non-Mexican American homebound elders who receive home-delivered meals. J. Nutr. Elder. 23: 119.
  • 43
    Sharkey, J.R. 2002. The interrelationship of nutritional risk factors, indicators of nutritional risk, and severity of disability among home-delivered meal participants. Gerontologist 42: 373380.
  • 44
    Browne, J.P., V.A. O'Doherty, H.M. McGee, et al. 1997. General practitioner and public health nurse views of nutritional risk factors in the elderly. Ir. J. Med. Sci. 166: 2325.
  • 45
    Chandra, R.K. 1997. Nutrition and the immune system: an introduction. Am. J. Clin. Nutr. 66: 460S463S.
  • 46
    Lesourd, B.M., L. Mazari & M. Ferry. 1998. The role of nutrition in immunity in the aged. Nutr. Rev. 56: S113S125.
  • 47
    Lesourd, B.M. 1997. Nutrition and immunity in the elderly: modification of immune responses with nutritional treatments. Am. J. Clin. Nutr. 66: 478S484S.
  • 48
    Sullivan, D. 1992. Risk factors for early hospital readmission in a select population of rehabilitation patients. J. Am. Geriatr. Soc. 40: 792798.
  • 49
    Friedmann, J., G. Jensen, H. Smiciklas-Wright & M. McCamish. 1997. Predicting early nonelective hospital readmission in nutritionally compromised older adults. Am. J. Clin. Nutr. 65: 17141720.
  • 50
    Covinsky, K., G. Martin, R. Beyth, et al. 1999. The relationship between clinical assessments of nutritional status and adverse outcomes in older hospitalized medical patients. J. Am. Geriatr. Soc. 47: 532538.
  • 51
    Landi, F., G. Zuccalà, G. Gambassi, et al. 1999. Body mass index and mortality among older people living in the community. J. Am. Geriatr. Soc. 47: 10721079.
  • 52
    Boult, C., U. Krinke, C. Urdangarin & V. Skarin. 1999. The validity of nutritional status as a marker for future disability and depressive symptoms among high-risk older adults. J. Am. Geriatr. Soc. 47: 995999.
  • 53
    Chima, C., K. Barco, M. Dewitt, et al. 1997. Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service. J. Am. Diet. Assoc. 97: 975978.
  • 54
    The Nutrition Screening Initiative. 1994. Incorporating Nutrition Screening and Interventions into Medical Practice. The Nutrition Screening Initiative. Washington , DC .
  • 55
    Singh, M.A. & I.H. Rosenberg. 1999. Nutrition and aging. In Principles of Geriatric Medicine and Gerontology. W.R.Hazzard, J.P.Blass, W.H.Ettinger, et al. , Eds.: 8196. McGraw-Hill Health Professions Division. New York , NY .
  • 56
    Gloth, F., C.E. Smith, B.W. Hollis & J.D. Tobin. 1995. Functional improvement with vitamin D replenishment in a Cohort of frail, vitamin D-deficient older people. J. Am. Geriatr. Soc. 43: 12691271.
  • 57
    Gloth, F., J. Tobin, C. Smith, et al. 1993. The prevalence of vitamin D deficiency in home-bound elderly: Community vs. nursing home. J. Am. Geriatr. Soc. 41: SA11 (Abstract).
  • 58
    Russell, R.M. & P.M. Suter. 1993. Vitamin requirements of elderly people: an update. Am. J. Clin. Nutr. 58: 414.
  • 59
    Guralnik, J., S. Stabler, L. Ferrucci, et al. 1998. The impact of vitamin B12 deficiency on impairments, functional limitations and disability. Gerontologist 38: 24.
  • 60
    Tucker, K.L., K.M. Riggs & A. Sprio, III. 1999. Nutrient intake is associated with cognitive function: the normative aging study. Gerontologist 39: 149 (Abstract).
  • 61
    Arnaud, C.D. & S.D. Sanchez. 1996. Calcium and phosphorus. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds. ILSI Press. Washington , DC .
  • 62
    Olson, J.A. 1996. Vitamin A. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds.: 109119. ILSI Press. Washington , DC .
  • 63
    Meydani, S.N., M. Barklund, S. Liu, et al. 1990. Vitamin E supplementation enhances cell-mediated immunity in healthy elderly subjects. Am. J. Clin. Nutr. 52: 557563.
  • 64
    Ortega, R.M., R. Mañas, P.G.M. Andrés, et al. 1996. Functional and psychic deterioration in elderly people may be aggravated by folate deficiency. J. Nutr. 126: 19921999.
  • 65
    Wood, R.J. 1992. Zinc. In Nutrition in the Elderly: The Boston Nutritional Status Survey. S.C.Hartz, I.H.Rosenberg & R.M.Russell, Eds.: 177182. Smith-Gordon. Great Britain .
  • 66
    Cousins, R.J. 1996. Zinc. In Present Knowledge in Nutrition. E.E.Ziegler, L.Filer, Eds.: 293306. ILSI Press. Washington , DC .
  • 67
    Garry, P.J. & B.J. Vellas. 1996. Aging and Nutrition. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds.: 414419. ILSI Press. Washington , DC .
  • 68
    Selhub, J. & I.H. Rosenberg. 1996. Folic Acid. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds.: 206219. ILSI Press. Washington , DC .
  • 69
    Rivlin, R.S. 1996. Riboflavin. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds.: 167173. ILSI Press. Washington , DC .
  • 70
    Shils, M.E. 1996. Magnesium. In Present Knowledge in Nutrition. E.E.Ziegler & L.Filer, Eds.: 256264. ILSI Press. Washington , DC .
  • 71
    Payette, H., M. Rola-Pleszczynski & P. Ghadirian. 1990. Nutrition factors in relation to cellular and regulatory immune variables in a free-living elderly population. Am. J. Clin. Nutr. 52: 927932.
  • 72
    Morley, J.E., A.J. Silver, M. Fiatarone & A.D. Mooradian. 1986. Geriatric grand rounds: Nutrition and the elderly. J. Am. Geriatr. Soc. 34: 823832.
  • 73
    Kasper, H. 1999. Vitamin absorption in the elderly. Int. J. Vitam. Nutr. Res. 69: 169172.
  • 74
    Schümann, K. 1999. Interactions between drugs and vitamins at advanced age. Int. J. Vitam. Nutr. Res. 69: 173178.
  • 75
    Posner, B.M., A. Jette, C. Smigelski, et al. 1994. Nutritional risk in New England elders. J. Gerontol.: Biol. Sci. Med. Sci. 49: M123M132.
  • 76
    Institute of Medicine. 1997. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. National Academy Press. Washington , DC .
  • 77
    White, J. 1991. risk factors for poor nutritional status in older Americans. Am. Fam. Phys. 44: 20872097.
  • 78
    White, J., R. Ham, D. Lipschitz, et al. 1991. Consensus of the Nutrition Screening Initiative: risk factors and indicators of poor nutritional status in older Americans. J. Am. Diet. Assoc. 91: 783787.
  • 79
    MacLellan, D.L. & L.D. Van Til. 1998. Screening for nutritional risk among community-dwelling elderly on Prince Edward Island. Can. J. Public Health 89: 342346.
  • 80
    Kerekes, J. & O. Thornton. 1996. Incorporating nutritional risk screening with case management initiatives. Nutr. Clin. Pract. 11: 9597.
  • 81
    Sahyoun, N.R., P.F. Jacques, G.E. Dallal & R.M. Russell. 1997. Nutrition Screening Initiative checklist may be a better awareness/educational tool than a screening one. J. Am. Diet. Assoc. 97: 760763.
  • 82
    Spangler, A.A. & J.S. Eigenbrod. 1995. Field trial affirms value of DETERMINE-ing nutrition-related problems of free-living elderly. J. Am. Diet. Assoc. 95: 489490.
  • 83
    Marshall, J.A., T.K. Lopez, S.M. Shetterly, et al. 1999. 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. 99: 315322.
  • 84
    Miller, D.K., M.E. Carter, R.H. Sigmund, et al. 1996. Nutritional risk in Inner-City-Dwelling older black Americans. J. Am. Geriatr. Soc. 44: 959962.
  • 85
    Sharkey, J.R. 2003. Risk and presence of food insufficiency are associated with low nutrient intakes and multimorbidity among homebound older women who receive home-delivered meals. J. Nutr. 133: 34853491.
  • 86
    Sharkey, J.R. 2005. Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and implications for service provision. Gerontologist 45: 773782.
  • 87
    Sharkey, J.R. 2004. Nutrition risk screening: the interrelationship of food insecurity, food intake, and unintentional weight change among homebound elders. J. Nutr. Elder. 24: 1934.
  • 88
    Barrocas, A., J.V. White, C. Gomez & L. Smithwick. 1996. Assessing health status in the elderly: the nutrition screening initiative. J. Health Care Poor Underserved 7: 210218.
  • 89
    Posner, B.M., A.M. Jette, K.W. Smith & D.R. Miller. 1993. Nutrition and health risks in the elderly: the nutrition screening initiative. Am. J. Public Health 83: 972978.
  • 90
    Melnik, T.A., S.J. Helferd, L.A. Firmery & K.R. Wales. 1994. Screening elderly in the community: the relationship between dietary adequacy and nutritional risk. J. Am. Diet. Assoc. 94: 14251427.
  • 91
    White, J.V. 1996. The nutrition screening initiative: a 5-year perspective. Nutr. Clin. Pract. 11: 8993.
  • 92
    Sharkey, J.R. & P.S. Haines. 2002. Nutrition risk screening of home-delivered meal participants: relation of individual risk factors to functional status. J. Nutr. Eldr. 22: 1534.
  • 93
    Sharkey, J.R., P.S. Haines & N. Zohoori. 2000. Community-based screening: association between nutritional risk status and severe functional disability among rural home-delivered nutrition participants. J. Nutr. Eldr. 20: 115.
  • 94
    Ensrud, K.E., M.C. Nevitt, C. Yunis, et al. 1994. Correlates of impaired function in older women. J. Am. Geriatr. Soc. 42: 481489.
  • 95
    Seeman, T.E., P.A. Charpentier, L.F. Berkman, et al. 1994. Predicting changes in physical performance in a high-functioning elderly Cohort: MacArthur studies of successful aging. J. Gerontol.: Biol. Sci. Med. Sci. 49: M97M108.
  • 96
    Landerman, L.R., G.G. Fillenbaum, C.F. Pieper, et al. 1998. Private health insurance coverage and disability among older americans. J. Gerontol.: Psychol. Sci. Soc. Sci. 53B: S258S266.
  • 97
    Gill, T., J. Robison & M. Tinetti. 1997. Predictors of recovery in activities of daily living among disabled older persons living in the community. J. Gen. Intern. Med. 12: 757762.
  • 98
    Gray-Donald, K., H. Payette, V. Boutier & S. Page. 1994. Evaluation of the dietary intake of homebound elderly and the feasibility of dietary supplementation. J. Am. Coll. Nutr. 13: 277284.
  • 99
    Tully, C.L. & D.A. Snowdon. 1995. Weight change and physical function in older women: findings from the Nun Study. J. Am. Geriatr. Soc. 43: 13941397.
  • 100
    Chandra, R.K. 1992. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. Lancet 340: 11241127.