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Nutritional Health Checklist
Jun 23, 2011
•
Mark Morgan
categories:
Endocrine, Nutrition & Obesity
Nutritional Health Checklist
false (0 points)
TRUE (2 points)
<-- 1. I have an illness or condition that made me change the kind or amount of food I eat.
false (0 points)
TRUE (2 points)
<-- 2. I eat fewer than two meals per day.
false (0 points)
TRUE (3 points)
<-- 3. I eat few fruits, vegetables, or milk products.
false (0 points)
TRUE (2 points)
<-- 4. I have three or more drinks of beer, liquor, or wine almost every day.
false (0 points)
TRUE (2 points)
<-- 5. I have tooth or mouth problems that make it hard for me to eat.
false (0 points)
TRUE (4 points)
<-- 6. I don't always have enough money to buy the food I need.
false (0 points)
TRUE (1 point)
<-- 7. I eat alone most of the time.
false (0 points)
TRUE (1 point)
<-- 8. I take three or more different prescription or over-the-counter drugs per day.
false (0 points)
TRUE (2 points)
<-- 9. Without wanting to, I have lost or gained 10 lb in the past six months.
false (0 points)
TRUE (2 points)
<-- 10. I am not always physically able to shop, cook, or feed myself.
Score -->
score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10)
out of 21 points
Interpretation -->
interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)+(Q9)+(Q10);score>5?'High nutritional risk, may require immediate assistance to improve your nutritional status.':score>2?'Moderate nutritional risk. Lifestyle and eating habit improvements needed. Recheck your nutritional score in three months.':'Good nutrition. Recheck nutritional score in six months.'
display/hide references
references:
The Nutrition Health Checklist was developed for the Nutrition Screening Initiative, a project of the American Academy of Family Physicians, the American Dietetic Association and the National Council on Aging, Inc.
#1
Info at AAFP website
#2
AAFP Geriatric assessment article: Elsawy (2011) Am Fam Phys 83: 48-56
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