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