Undernutrition at Baseline and Health Services Utilization and Mortality Over a 1-Year Period in Older Adults Receiving Medicare Home Health Services

Yongbin Yang, Cynthia J. Brown, Kathryn L. Burgio, Meredith L. Kilgore, Christine S. Ritchie, David L Roth, Delia Smith West, Julie L. Locher

Research output: Contribution to journalArticle

Abstract

Objective: Older adults receiving Medicare home health services who experience undernutrition may be at increased risk of experiencing adverse outcomes. We sought to identify the association between baseline nutritional status and subsequent health service utilization and mortality over a 1-year period in older adults receiving Medicare home health services. Design: This was a longitudinal study using questionnaires and anthropometric measures designed to assess nutritional status (Mini-Nutritional Assessment) at baseline and health services utilization and mortality status at 6-month and 1-year follow-ups. Setting: Participants were evaluated in their homes. Participants: A total of 198 older adults who were receiving Medicare home health services. Results: Based on Mini-Nutritional Assessment, 12.0% of patients were malnourished, 51.0% were at risk for malnourishment, and 36.9% had normal nutritional status. Based on body mass index, 8.1% of participants were underweight, 37.9% were normal weight, 25.3% were overweight, and 28.8% were obese. Using multivariate binary logistic regression analyses, participants who were malnourished or at risk for malnourishment were more likely to experience subsequent hospitalization, emergency room visit, home health aide use, and mortality for the entire sample and hospitalization and nursing home stay for overweight and obese participants. Conclusions: Experiencing undernutrition at the time of receipt of Medicare home health services was associated with increased health services utilization and mortality for the entire sample, and with increased health services utilization only for the overweight and obese subsample. Opportunities exist to address risk of undernutrition in patients receiving home health services, including those who are overweight or obese, to prevent subsequent adverse health outcomes.

Original languageEnglish (US)
Pages (from-to)287-294
Number of pages8
JournalJournal of the American Medical Directors Association
Volume12
Issue number4
DOIs
StatePublished - May 2011
Externally publishedYes

Fingerprint

Medicare
Malnutrition
Health Services
Mortality
Nutritional Status
Nutrition Assessment
Home Health Aides
Hospitalization
Thinness
Nursing Homes
Longitudinal Studies
Hospital Emergency Service
Body Mass Index
Logistic Models
Regression Analysis
Weights and Measures
Health

Keywords

  • Medicare home health care, health services utilization
  • Mini Nutritional Assessment
  • Mortality, overweight and obese, older adults

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)
  • Health Policy

Cite this

Undernutrition at Baseline and Health Services Utilization and Mortality Over a 1-Year Period in Older Adults Receiving Medicare Home Health Services. / Yang, Yongbin; Brown, Cynthia J.; Burgio, Kathryn L.; Kilgore, Meredith L.; Ritchie, Christine S.; Roth, David L; West, Delia Smith; Locher, Julie L.

In: Journal of the American Medical Directors Association, Vol. 12, No. 4, 05.2011, p. 287-294.

Research output: Contribution to journalArticle

Yang, Yongbin ; Brown, Cynthia J. ; Burgio, Kathryn L. ; Kilgore, Meredith L. ; Ritchie, Christine S. ; Roth, David L ; West, Delia Smith ; Locher, Julie L. / Undernutrition at Baseline and Health Services Utilization and Mortality Over a 1-Year Period in Older Adults Receiving Medicare Home Health Services. In: Journal of the American Medical Directors Association. 2011 ; Vol. 12, No. 4. pp. 287-294.
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