Nutritional Status of Rural Older Adults Is Linked to Physical and Emotional Health

dc.contributor.authorJung, Seung Eun
dc.contributor.authorBishop, Alex J.
dc.contributor.authorKim, Minjung
dc.contributor.authorHermann, Janice
dc.contributor.authorKim, Giyeon
dc.contributor.authorLawrence, Jeannine
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherOklahoma State University - Stillwater
dc.date.accessioned2023-09-28T19:36:25Z
dc.date.available2023-09-28T19:36:25Z
dc.date.issued2017
dc.description.abstractBackground Although nutritional status is influenced by multidimensional aspects encompassing physical and emotional well-being, there is limited research on this complex relationship. Objective The purpose of this study was to examine the interplay between indicators of physical health (perceived health status and self-care capacity) and emotional wellbeing (depressive affect and loneliness) on rural older adults' nutritional status. Design The cross-sectional study was conducted from June 1, 2007, to June 1, 2008. Participants/setting A total of 171 community-dwelling older adults, aged 65 years and older, residing within nonmetro rural communities in the United States participated in this study. Main outcome measures Participants completed validated instruments measuring self-care capacity, perceived health status, loneliness, depressive affect, and nutritional status. Statistical analyses performed Structural equation modeling was employed to investigate the complex interplay of physical and emotional health status with nutritional status among rural older adults. The chi(2) test, comparative fit index, root mean square error of approximation, and standardized root mean square residual were used to assess model fit. Results The chi(2) test and the other model fit indexes showed the hypothesized structural equation model provided a good fit to the data (chi(2) (2)=2.15; P=0.34; comparative fit index=1.00; root mean square error of approximation=0.02; and standardized root mean square residual=0.03). Self-care capacity was significantly related with depressive affect (gamma=-0.11; P=0.03), whereas self-care capacity was not significantly related with loneliness. Perceived health status had a significant negative relationship with both loneliness (gamma=-0.16; P=0.03) and depressive affect (gamma=-0.22: P=0.03). Although loneliness showed no significant direct relationship with nutritional status, it showed a significant direct relationship with depressive affect (beta=.4; P<0.01). Finally, the results demonstrated that depressive affect had a significant negative relationship with nutritional status (beta=-.30; P<0.01). The results indicated physical health and emotional indicators have significant multidimensional associations with nutritional status among rural older adults. Conclusions The present study provides insights into the importance of addressing both physical and emotional well-being together to reduce potential effects of poor emotional well-being on nutritional status, particularly among rural older adults with impaired physical health and self-care capacity.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationJung, S. E., Bishop, A. J., Kim, M., Hermann, J., Kim, G., & Lawrence, J. (2017). Nutritional Status of Rural Older Adults Is Linked to Physical and Emotional Health. In Journal of the Academy of Nutrition and Dietetics (Vol. 117, Issue 6, pp. 851–858). Elsevier BV. https://doi.org/10.1016/j.jand.2017.01.013
dc.identifier.doi10.1016/j.jand.2017.01.013
dc.identifier.orcidhttps://orcid.org/0000-0002-4439-2777
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11569
dc.languageEnglish
dc.language.isoen_US
dc.publisherElsevier
dc.subjectRural older adults
dc.subjectDepressive affect
dc.subjectLoneliness
dc.subjectPerceived health status
dc.subjectNutritional status
dc.subjectRISK-FACTORS
dc.subjectDEPRESSIVE SYMPTOMS
dc.subjectLONELINESS
dc.subjectCOMMUNITY
dc.subjectMALNUTRITION
dc.subjectPREVALENCE
dc.subjectLIFE
dc.subjectCARE
dc.subjectNutrition & Dietetics
dc.titleNutritional Status of Rural Older Adults Is Linked to Physical and Emotional Healthen_US
dc.typeArticle
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