The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sharkey, J. R.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Sharkey, J. R.
The Gerontologist 45:773-782 (2005)
© 2005 The Gerontological Society of America

Longitudinal Examination of Homebound Older Adults Who Experience Heightened Food Insufficiency: Effect of Diabetes Status and Implications for Service Provision

Joseph R. Sharkey, PhD, MPH, RD1

Correspondence: Address correspondence to Joseph R. Sharkey, 1103 University Drive, Suite 203, College Station, TX 77840. E-mail: jrsharkey{at}

Purpose: Healthful eating is important for optimal diabetes self-care. However, the level of food sufficiency may influence the degree of adherence to dietary self-care behaviors through the affordability of nutritionally appropriate food. This study examines whether homebound older adults with diabetes were at greater risk for heightened food insufficiency over 1 year, despite regular receipt of home-delivered meals. Design and Methods: This was a longitudinal study of a randomly recruited sample of 268 homebound older adults in the Nutrition and Function Study (NAFS) who regularly received home-delivered meals and completed baseline and 1-year in-home assessments. Based on an economic context model, self-reported data were collected on fundamental and proximate factors, food-sufficiency status, and intervening events. Determinants of heightened food insufficiency were examined with multivariate logistic regression models. Results: Not only did food-sufficiency status diminish over time in this sample, but it became or remained worse for older adults with diabetes. In addition to diabetes status, heightened food insufficiency was associated with perceived inadequacy of economic resources. Implications:&!ensp;Health care providers and nutrition programs should attempt to identify high-risk older adults – those who have diabetes and are at risk of food insufficiency – and develop community linkages and strategies that integrate nutrition with diabetes care plans, thus supporting a multidisciplinary, chronic care model to improve diabetes management and outcomes.

Key Words: Chronic care • Diabetes management • Dietary adherence • Food insufficiency • Home-delivered meals • Nutrition

This article has been cited by other articles:

Home page
Ann. N. Y. Acad. Sci.Home page
Diet and Health Outcomes in Vulnerable Populations
Ann. N.Y. Acad. Sci., June 1, 2008; 1136(1): 210 - 217.
[Abstract] [Full Text] [PDF]

Home page
GerontologistHome page
R. L. Ettinger
Letter to the Editor.
Gerontologist, June 1, 2006; 46(3): 317 - 317.
[Full Text] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2005 by The Gerontological Society of America.