The Journal of Frailty & Aging

, Volume 7, Issue 3, pp 182–186 | Cite as

Congregate Meals: Opportunities to Help Vulnerable Older Adults Achieve Diet and Physical Activity Recommendations

  • Jeannette M. BeasleyEmail author
  • M.A. Sevick
  • L. Kirshner
  • M. Mangold
  • J. Chodosh
Original Research



Through diet and exercise interventions, community centers offer an opportunity to address health-related issues for some of the oldest, most vulnerable members of our society.


The purpose of this investigation is to draw upon nationwide data to better characterize the population served by the congregate meals program and to gather more detailed information on a local level to identify opportunities for service enhancement to improve the health and well-being of older adults.


We examined community center data from two sources: 2015 National Survey of Older Americans Act and surveys from two New York City community centers. To assess nationwide service delivery, we analyzed participant demographics, functional status defined by activities of daily living, and perceptions of services received.


Participants from the two New York City community centers completed a four-day food record. Functional measures included the short physical performance battery, self-reported physical function, grip strength, and the Montreal Cognitive Assessment.


Nationwide (n=901), most participants rated the meal quality as good to excellent (91.7%), and would recommend the congregate meals program to a friend (96.0%). Local level data (n=22) were collected for an in-depth understanding of diet, physical activity patterns, body weight, and objective functional status measures. Diets of this small, local convenience sample were higher in fat, cholesterol, and sodium, and lower in calcium, magnesium, and fiber than recommended by current United States Dietary Guidelines. Average time engaged in moderate physical activity was 254 minutes per week (SD=227), exceeding the recommended 150 minutes per week, but just 41% (n=9) and 50% (n=11) of participants engaged in strength or balance exercises, respectively.


Research is warranted to test whether improvements in the nutritional quality of food served and access/supports for engaging in strength training within community centers could help older adults achieve diet and physical activity recommendations.

Key words

Aging diet quality cognitive function physical function 


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  1. 1.
    US Department of Commerce. US Census Bureau Quick Facts: Persons aged 65 and older. US Government; 2017 Available:
  2. 2.
    Lloyd JL, Wellman NS. Older Americans Act Nutrition Programs: A Community-Based Nutrition Program Helping Older Adults Remain at Home. J Nutr Gerontol Geriatr. 2015;34:90–109.CrossRefPubMedGoogle Scholar
  3. 3.
    Bengle R, Sinnett S, Johnson T, Johnson MA, Brown A, Lee JS. Food insecurity is associated with cost-related medication non-adherence in community-dwelling, lowincome older adults in Georgia. J Nutr Elder. 2010;29:170–91.CrossRefPubMedGoogle Scholar
  4. 4.
    Brewer DP, Catlett CS, Porter KN, et al. Physical limitations contribute to food insecurity and the food insecurity-obesity paradox in older adults at senior centers in Georgia. J Nutr Elder. 2010;29:150–69.CrossRefPubMedGoogle Scholar
  5. 5.
    Beasley JM, Deierlein AL, Morland KB, Granieri EC, Spark A. Is Meeting the Recommended Dietary Allowance (RDA) for Protein Related to Body Composition among Older Adults?: Results from the Cardiovascular Health of Seniors and Built Environment Study. J Nutr Health Aging. 2016;20:790–6.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Deierlein AL, Morland KB, Scanlin K, Wong S, Spark A. Diet quality of urban older adults age 60 to 99 years: the Cardiovascular Health of Seniors and Built Environment Study. J Acad Nutr Diet. 2014;114:279–87.CrossRefPubMedGoogle Scholar
  7. 7.
    Evenson KR, Morland KB, Wen F, Scanlin K. Physical activity and sedentary behavior among adults 60 years and older: New York City residents compared with a national sample. J Aging Phys Act. 2014;22:499–507.CrossRefPubMedGoogle Scholar
  8. 8.
    Munoz-Plaza CE, Morland KB, Pierre JA, Spark A, Filomena SE, Noyes P. Navigating the urban food environment: challenges and resilience of communitydwelling older adults. J Nutr Educ Behav. 2013;45:322–31.CrossRefPubMedGoogle Scholar
  9. 9.
    Morland KB, Evenson KR. Obesity prevalence and the local food environment. Health Place. 2009;15:491–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Buys DR, Locher JL. What Does the Evidence Reveal Regarding Home-and Community-Based Nutrition Services for Older Adults? J Nutr Gerontol Geriatr. 2015;34:81–4.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Lehtisalo J, Ngandu T, Valve P, et al. Nutrient intake and dietary changes during a 2-year multi-domain lifestyle intervention among older adults: secondary analysis of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) randomised controlled trial. Br J Nutr. 2017;118:291–302.CrossRefPubMedGoogle Scholar
  12. 12.
    Smith PJ, Blumenthal JA, Babyak MA, et al. Effects of the dietary approaches to stop hypertension diet, exercise, and caloric restriction on neurocognition in overweight adults with high blood pressure. Hypertension. 2010;55:1331–8.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Beaucham. JT, L. Results from the Administration on Aging’s Third National Survey of Older Americans Act Program Participants. Washington DC. 2007.Google Scholar
  14. 14.
    Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1. 0. Health Econ. 1993;2:217–27.CrossRefPubMedGoogle Scholar
  15. 15.
    Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of gerontology. 1994;49:M85–94.CrossRefPubMedGoogle Scholar
  16. 16.
    Ciesielska N, Sokolowski R, Mazur E, Podhorecka M, Polak-Szabela A, Kedziora-Kornatowska K. Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. Psychiatr Pol. 2016;50:1039–52.CrossRefPubMedGoogle Scholar
  17. 17.
    Schakel SF, Sievert YA, Buzzard IM. Sources of data for developing and maintaining a nutrient database. J Am Diet Assoc. 1988;88:1268–71.PubMedGoogle Scholar
  18. 18.
    Mellen PB, Gao SK, Vitolins MZ, Goff DC,Jr. Deteriorating dietary habits among adults with hypertension: DASH dietary accordance, NHANES 1988–1994 and 1999–2004. Archives of internal medicine. 2008;168:308–14.CrossRefPubMedGoogle Scholar
  19. 19.
    Beasley JM, LaCroix AZ, Neuhouser ML, et al. Protein intake and incident frailty in the Women’s Health Initiative observational study. J Am Geriatr Soc. 2010;58:1063–71.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Wolfe RR, Cifelli AM, Kostas G, Kim IY. Optimizing Protein Intake in Adults: Interpretation and Application of the Recommended Dietary Allowance Compared with the Acceptable Macronutrient Distribution Range. Adv Nutr. 2017;8:266–75.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Physica. Activity Guidelines Advisory Committee report, 2008. To the Secretary of Health and Human Services. Part A: executive summary. Nutr Rev. 2008;67:114–20.Google Scholar
  22. 22.
    Marzetti E, Calvani R, Landi F, Hoogendijk EO, Fougere B, Vellas B, et al. Innovative Medicines Initiative: The SPRINTT Project. J Frailty Aging. 2015;4:207–8.PubMedCentralPubMedGoogle Scholar
  23. 23.
    Santanasto AJ, Glynn NW, Lovato LC, et al. Effect of Physical Activity versus Health Education on Physical Function, Grip Strength and Mobility. J Am Geriatr Soc. 2017.Google Scholar
  24. 24.
    An R. Association of Home-Delivered Meals on Daily Energy and Nutrient Intakes: Findings from the National Health and Nutrition Examination Surveys. J Nutr Gerontol Geriatr. 2015;34:263–72.CrossRefPubMedGoogle Scholar
  25. 25.
    Porter Starr K, Fischer JG, Johnson MA. Eating behaviors, mental health, and food intake are associated with obesity in older congregate meal participants. J Nutr Gerontol Geriatr. 2014;33:340–56.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    United States Department of Agriculture. USDA National Nutrient Database for Standard Reference, Release 21. Available:
  27. 27.
    Cesari M, Vellas B, Hsu FC, et al. A physical activity intervention to treat the frailty syndrome in older persons-results from the LIFE-P study. J Gerontol A Biol Sci Med Sci. 2015;70:216–22.CrossRefPubMedGoogle Scholar
  28. 28.
    Marzetti E, Calvani R, Tosato M, et al. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. 2017;29:35–42.CrossRefPubMedGoogle Scholar
  29. 29.
    Myles T. Porter Starr KN, Johnson KB, Sun Lee J, Fischer JG, Ann Johnson M. Food Insecurity and Eating Behavior Relationships Among Congregate Meal Participants in Georgia. J Nutr Gerontol Geriatr. 2016;35:32–42.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Ziegler J, Redel N, Rosenberg L, Carlson B. Older Americans Act Nutrition Programs Evaluation: Meal Cost Analysis. Mathematica Policy Research. 2015.Google Scholar
  31. 31.
    Swain JF, McCarron PB, Hamilton EF, Sacks FM, Appel LJ. Characteristics of the diet patterns tested in the optimal macronutrient intake trial to prevent heart disease (OmniHeart): options for a heart-healthy diet. Journal of the American Dietetic Association. 2008;108:257–65.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Fielding RA, Rejeski WJ, Blair S, et al. The Lifestyle Interventions and Independence for Elders Study: design and methods. J Gerontol A Biol Sci Med Sci. 2011;66:1226–37.CrossRefPubMedGoogle Scholar

Copyright information

© Serdi and Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Jeannette M. Beasley
    • 1
    • 5
    Email author
  • M.A. Sevick
    • 2
  • L. Kirshner
    • 1
  • M. Mangold
    • 3
  • J. Chodosh
    • 3
    • 4
  1. 1.Division of General Internal Medicine and Clinical InnovationNew York University School of MedicineNew YorkUSA
  2. 2.Department of Population HealthNew York University School of MedicineNew YorkUSA
  3. 3.Division of GeriatricsNew York University School of MedicineNew YorkUSA
  4. 4.VA New York Harbor Healthcare SystemNew YorkUSA
  5. 5.Division of General Internal Medicine and Clinical InnovationNYU School of MedicineNew YorkUSA

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