Table 2: Live polling results: Rural US-based primary care clinicians’ perceptions on anorexia of aging.

Question

Answer Choices

N (Percentage)

What proportion of your elderly patients are currently experiencing geriatric anorexia?

None

1% to 25%

26% to 50%

51% to 75%

76% to 100%

Unsure

29 (14.3)

88 (43.3)

30 (14.8)

15 (7.4)

5 (2.5)

36 (17.7)

How confident are you right now in your ability to identify geriatric anorexia?

Extremely confident

Very confident

Neither confident nor unconfident

Somewhat confident

Not at all confident

3 (1.6)

28 (13.8)

34 (16.7)

89 (43.8)

49 (24.1)

How often do you currently use standardized screening tools to assess appetite and risk for weight loss in your older adult patients?

Never

Rarely

Sometimes

Frequently

Always

84 (40.4)

58 (27.9)

37 (17.8)

21 (10.1)

8 (3.8)

Your patient’s reduced appetite may be related to her sarcopenia, which is directly related to insufficient intake of:

Protein*

Fiber

Carbohydrates

Fat

I don't know

159 (76.4)

4 (1.9)

12 (5.8)

10 (4.8)

23 (11.1)

Based on current recommendations, what is the recommended dietary protein intake in older adults?

0.5 grams of protein per kilogram body weight/day*

2 grams of protein per kilogram body weight/day

4 grams of protein per kilogram body weight/day

6 grams of protein per kilogram body weight/day

I don't know

31 (14)

71 (32)

38 (17)

11 (5)

71 (32)

Which of the following hormones secreted by the gastrointestinal tract is elevated in the fasting state and markedly lower in anorexia of aging?

Leptin

Ghrelin*

Cholecystokinin

Glucagon-like peptide

I don't know

58 (27.5)

49 (23.2)

47 (4.7)

30 (14.2)

27 (30.4%)

A four-question validated tool that

can be used to assess appetite among older adults and identify

those who are at risk for future weight loss is:

Geriatric Nutritional Risk Index (GNRI)

Simplified Nutritional Appetite Questionnaire (SNAQ)*

Mini Nutritional Assessment (MNA)

Malnutrition Universal Screening Tool (MUST)

I don't know

78 (34.1)

40 (17.5)

20 (8.7)

17 (7.4)

74 (32.7)

Which of the following diets has been shown to have beneficial effects on anorexia of aging (geriatric anorexia)?

Mediterranean diet*

Paleo diet

Atkins diet

Keto diet

I don't know

111 (49.1)

19 (8.4)

19 (8.4)

15 (6.6)

62 (27.5)

What do you consider to be the greatest barrier to managing anorexia of aging (i.e, decreased appetite and unintended weight loss in older adults)? (select ONE)

Limited knowledge about this disorder

Lack of available guidelines for management

Lack of time/competing priorities

Lack of available therapeutic options

Distance or travel-related barriers

Shortage of specialists

Lack of validated screening tools

Treatment-related side effects

110 (48.7)

36 (15.9)

24 (10.6)

23 (10.2)

16 (7)

9 (4)

6 (2.7)

2 (0.9)

Which of the following best describes your level of interest in learning more about anorexia of aging (geriatric anorexia)?

Extremely interested

Considerably interested

Slightly interested

Not at all interested

93 (40.6)

97 (42.4)

36 (15.7)

3 (1.3)

Live polling segment (N = 301): Rural US-based primary care clinicians’ perceptions, confidence, knowledge, barriers, and interest in anorexia of aging; *Correct answer