C. Shanthi Johnson1,2

1 School of Nutrition & Dietetics, Acadia University, Wolfville, NS. 2 Canadian Centre for Activity and Aging, University of Western Ontario (UWO), London, ON, CANADA. Correspondence: C. Shanthi Johnson, Associate Professor, School of Nutrition and Dietetics, Acadia University, Wolfville, Nova Scotia B4P 1H8. Telephone: (902) 585 - 1204. Fax: (902) 585 - 1095. Email: shanthi.johnson@acadiau.ca

Abstract: PURPOSE: To examine the association between nutritional risk and falls among frail older adults. METHODS: This study involved 98 frail older adults with a mean age of 82 years. Measures included background questionnaire, falls profile, a nutritional risk assessment checklist, physical parameters such as balance, lower extremity strength, and functional mobility and endurance, and psychological variables. RESULTSs: Approximately 31% of participants had suffered falls. Fallers and non-fallers were similar in age, prevalence of self-reported health problems and medications use. However, fallers had a higher level of nutritional risk and poorer physical and psychological well-being compared to non-fallers. Regression analysis showed that the level of nutritional risk is a significant determinant of falls along with leg strength and balance. CONCLUSION: Although the level of nutritional risk is associated with falls, further research is necessary to establish the causal link and to explore the effectiveness of nutritional intervention as a falls prevention strategy.

Key words: Nutrition, physical function,aging, elderly, falls, older adults.