Malnutrition in free-living elderly in rural south India: prevalence and risk factors

AbstractObjectiveTo estimate the prevalence of malnutrition among free-living elderly in a rural population of south India.DesignCross-sectional study. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) questionnaire, which is an eighteen-item nutritional screening instrument used in the elderly.SettingKaniyambadi block, a rural development block in the state of Tamil Nadu, south India.SubjectsCommunity-dwelling elderly (aged 60 years and above).ResultsAs evaluated by the MNA, 14 % of the 227 subjects were malnourished and 49 % were at risk of malnourishment. No significant difference was found between men and women. The majority of the elderly were living with their children, had no income and consumed three meals per day. Older age (P < 0·001), decreased food intake (P < 0·001) and consuming fewer meals (P < 0·001) were independently associated with lower MNA scores.ConclusionsMore than 60 % of the subjects had low MNA scores (<23·5) indicating that deficient protein–energy intake is common among rural elderly of south India and requires more attention.

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Factors associated with risk of malnutrition in the elderly in south-eastern Brazil

Revista Brasileira de Epidemiologia ◽

10.1590/1980-5497201700040004 ◽

2017 ◽

Vol 20 (4) ◽

pp. 598-610 ◽

Cited By ~ 13

Author(s):

Renata Damião ◽

Álvaro da Silva Santos ◽

Alicia Matijasevich ◽

Paulo Rossi Menezes

Keyword(s):

At Risk ◽

Formal Education ◽

Family Income ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Community Dwelling ◽

Hierarchical Regression ◽

Cross Sectional

ABSTRACT: Objective: The aim of this study was to evaluate the prevalence of malnutrition risk and its association with socioeconomic, behavioral, and health characteristics in the community-dwelling elderly. Methods: A cross-sectional study with individuals aged ≥ 60 years. Nutritional status was evaluated using the Mini Nutritional Assessment. Socioeconomic, behavioral, and health information was also collected from all participants. The association between each variable and the risk of malnutrition was calculated and adjusted using Poisson hierarchical regression. Results: The initial sample consisted of 3,101 elderly people, of whom 28.3% (95%CI 25.3 - 31.4%) were at risk of malnutrition. The multivariate analysis showed that the risk of malnutrition was significantly higher in women without formal education, who did not live with a partner, and identified as black-skinned. The risk of malnutrition was twice as high in individuals with no family income as compared to those who earned at least three minimum wages. Smokers were also more likely to be at risk of malnutrition than individuals who had never smoked. Participants suffering from kidney, respiratory or heart disease were at higher risk of malnutrition than those with no history of such illnesses. Conclusion: These findings could be used to help in the development of health policies and in the establishment of adequate programs aimed at reducing the risk of malnutrition in this population.

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Undernutrition and associated factors in a Portuguese older adult community

Revista de Nutrição ◽

10.1590/1415-52732015000300001 ◽

2015 ◽

Vol 28 (3) ◽

pp. 231-240 ◽

Cited By ~ 7

Author(s):

Ana Luísa Moreira dos Santos ◽

Teresa Maria de Serpa Pinto Freitas do Amaral ◽

Nuno Pedro Garcia Fernandes Bento Borges

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

Major Factors ◽

Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Nutritional status assessment of elderly using MNA tool in rural Belagavi: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184572 ◽

2018 ◽

Vol 5 (11) ◽

pp. 4799

Author(s):

D. J. Patil ◽

M. M. Shindhe

Keyword(s):

At Risk ◽

Nutritional Status ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Sampling Technique ◽

Simple Random Sampling ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Adverse Health Effects

Background: Worldwide the elderly population gradually increasing and that will definitely pose several challenges. Malnutrition is one of the major but neglected problem in elderly. They are at risk of malnutrition due to physical, psychological, social, dietary and environmental risk factors. Malnutrition in elderly is associated with adverse health effects. Hence to study the nutritional status of elderly.Methods: The study was carried out between January 2016- June 2017. 545 elderly were included in the study. Out of the 6 subcentres, 1 subcentre (Uchagaon) was selected by simple random sampling technique and house to house survey was carried out to select eligible elderly participants in the villages of selected subcentre. Data was collected from eligible elderly by using mini nutritional assessment (MNA) tool.Results: Majority of the participants (65.1%) were between the age group of 60-69 years. 55% were females. 23.5% were malnourished, 49% were at risk of malnutrition and 27.5% had normal nutritional status.Conclusions: The present study concluded that majority of the elderly were at risk of malnutrition. There is a need of actions to improve the nutritional status of the elderly.

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Early Dementia Questionnaire (EDQ): A Screening Instrument for early Dementia among elderly in Cairo governorate

QJM ◽

10.1093/qjmed/hcab095.002 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Aya Ashraf Sayed ◽

Nayera Samy Mostafa ◽

Salma Mohamed Samir El Said

Keyword(s):

Predictive Value ◽

Assessment Tool ◽

Nutritional Assessment ◽

Depression Scale ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Early Dementia

Abstract Objectives To screen elderly participants for early Dementia in primary care in Egypt using a newly developed Early Dementia Questionnaire (EDQ) and comparing it with standard assessment tool, Mini Mental State Examination (MMSE). Design A cross-sectional study. Setting and Participants The study included 220 elder adults (both men and women) recruited from a primary healthcare center, the outpatient geriatric clinic at Ain Shams University hospitals and elderly clubs (Community dwelling) in Cairo Governorate, Egypt. Methods A cross-sectional study was conducted on a group of elderly patients using systematic random sampling. Elderly depression was excluded using the Geriatric Depression Scale (GDS). Diagnosed cases of dementia and other mental or psychiatric disorders and illiterate participants were excluded from the study. A face-to-face interview was done using EDQ with the participants to elicit symptoms of early dementia. The participants were then assessed with MMSE using variable cut-off points according to age and educational level. Results Prevalence of dementia among the study participants was 81.4% by EDQ and 19.5% by MMSE. The EDQ demonstrated a sensitivity of 97.7% with specificity of 22.6%. Positive predictive value of EDQ was 23.5% with the negative predictive value of 97.6%. A significant association was found between possible dementia, hypertension, Mini Nutritional Assessment and urinary incontinence. Conclusion The EDQ is more sensitive than MMSE for screening of early dementia.

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Malnutrition risk and hospitalization in elderly assisted in Primary Care

Ciência & Saúde Coletiva ◽

10.1590/1413-81232017222.15732016 ◽

2017 ◽

Vol 22 (2) ◽

pp. 575-582 ◽

Cited By ~ 1

Author(s):

Carolina Böettge Rosa ◽

◽

Solange Beatriz Billig Garces ◽

Dinara Hansen ◽

Ângela Vieira Brunelli ◽

...

Keyword(s):

Primary Care ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Family Health ◽

The Elderly ◽

Cross Sectional Study ◽

Elderly Persons ◽

Sectional Study ◽

Cross Sectional ◽

Risk Rate

Abstract The aim of this study was to investigate the association of malnutrition risk and single items of the Mini Nutritional Assessment (MNA®) with hospitalization in the last 12 months in the elderly assisted in primary care. A cross-sectional study was conducted with the evaluation of 1229 elderly persons assisted in Family Health Strategies in seven cities of South Brazil. Malnutrition risk was evaluated using the MNA®, and hospitalization was determined by one question of the Probability of Repeated Admission (PRA) instrument. Most of the elderly were women (61.7%), with a mean age of 71.7 ± 7.7 years. The malnutrition risk rate was 23.3% and hospitalization was 32.9%. The frequency of malnutrition and risk of malnutrition was two times greater among the elderly who were hospitalized (36.8 versus 18.6% - P < 0.001). There was a significant association between hospitalization and 11 (64.7%) of the 17 items on the MNA® evaluated (P < 0.05). Of these, seven items were independently associated with hospitalization by multivariate analysis. We observed an association of malnutrition risk and most of the single MNA® items as well, with hospitalization in the elderly assisted in primary care.

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Relationship between Oral Hypofunction, and Protein Intake: A Cross-Sectional Study in Local Community-Dwelling Adults

Nutrients ◽

10.3390/nu13124377 ◽

2021 ◽

Vol 13 (12) ◽

pp. 4377

Author(s):

Keitaro Nishi ◽

Hiroaki Kanouchi ◽

Akihiko Tanaka ◽

Maya Nakamura ◽

Tomofumi Hamada ◽

...

Keyword(s):

Protein Intake ◽

Large Scale ◽

Local Community ◽

Nutritional Assessment ◽

Comprehensive Evaluation ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Skeletal Muscle Index ◽

Significant Difference

Few studies have investigated the relationship between nutritional status and comprehensive assessment of oral hypofunction, especially protein intake-related sarcopenia. Thus, we explored these relationships in a large-scale cross-sectional cohort study using the seven-item evaluation for oral hypofunction and Diet History Questionnaire for nutritional assessment. We used the data from 1004 individuals who participated in the 2019 health survey of the residents of Tarumizu City, Kagoshima Prefecture, Japan for analysis. We found that individuals with oral hypofunction were significantly older with a lower skeletal muscle index. Although there were few foods that had a significant difference between the groups with and without oral hypofunction, the consumption of beans and meats was significantly lower in women and men in the oral hypofunction group, respectively. According to the lower limit of the tentative dietary goal defined in Japan, comprehensive evaluation of oral hypofunction was significantly and independently associated with protein intake in both men and women (odds ratio, 1.70; 95% confidence interval, 1.21–2.35). In conclusion, we found that oral hypofunction was associated with targeted protein intake for sarcopenia and frailty prevention in middle-aged and older community-dwelling adults. Comprehensive evaluation of oral function with intervention in cases of hypofunction could inform clinicians to better prevent sarcopenia.

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NUTRITION STATUS IN COMMUNITY DWELLING OLDER POPULATION IN AN EGYPTIAN URBAN AREA

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2014.24 ◽

2014 ◽

pp. 1-7

Author(s):

H.M.M. Abdelrahman ◽

A.E.E. Elawam

Keyword(s):

Cognitive Impairment ◽

Nutritional Assessment ◽

Elderly Person ◽

Mini Nutritional Assessment ◽

Community Dwelling ◽

Nutrition Status ◽

Older Population ◽

Cross Sectional ◽

Significant Difference ◽

Older Subjects

Objectives: To evaluate the nutrition status in community dwelling Egyptian older subjects, living in Cairo, and the factors that may be associated with malnutrition. Design: A cross-sectional study. Setting: Egyptian social clubs, in Cairo. Participants: 318 older subjects, 60 years old and above. Measurements: Comprehensive Geriatric Assessment and Mini Nutritional Assessment. Results: The nutrition status of the sample was: 44 % (140 subjects) were well nourished, 41.5% (132 subjects) had risk of malnutrition and 14.5 % (46 subjects) were malnourished. the mean age of the well-nourished patients was 64 ± 3.16, while for malnourished patients was 72.3 ± 4.83 [P: <0.001]. Sex did not show a significant difference between well-nourished and malnourished patients [P: 0.35]. Also marital status did not show significant affection of nutritional status [P: 0.254]. While education level and employment status showed significant difference between well-nourished and malnourished patients [P: <0.001]. The functional state assessed by ADL showed a significant difference between well-nourished and malnourished patients [P: <0.007]. Also the Cognitive impairment was more among malnourished than well-nourished patients [P: 0. <0.001]. Depression and polypharmacy were significantly found more among malnourished than well-nourished patients [P: 0.009, 0. 001] respectively. logistic regression analysis revealed that increased age, low score of MMSE, less years of education and increased number of medications were independent risk factor for malnutrition. Conclusion: Malnutrition and risk of malnutrition were prevalent in community dwelling older population, especially with increased age, less education, living alone, unemployment, cognitive impairment, depression and taking multiple medications. So we recommend that nutritional assessment to be included in any assessment of elderly person.

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Predictive ability of the Mini Nutritional Assessment Short Form (MNA-SF) in a free-living elderly population: a cross-sectional study

PeerJ ◽

10.7717/peerj.3345 ◽

2017 ◽

Vol 5 ◽

pp. e3345 ◽

Cited By ~ 17

Author(s):

Raimunda Montejano Lozoya ◽

Nieves Martínez-Alzamora ◽

Gonzalo Clemente Marín ◽

Silamani J.A. Guirao-Goris ◽

Rosa María Ferrer-Diego

Keyword(s):

At Risk ◽

Nutritional Status ◽

Nutritional Assessment ◽

Short Form ◽

Mini Nutritional Assessment ◽

Predictive Ability ◽

Cross Sectional Study ◽

Sectional Study ◽

Free Living ◽

Cross Sectional

Background Various scales have been used to perform a quick and first level nutritional assessment, and the MNA is one of the most used and recommended by experts in the elderly in all areas. This scale has a short form, the MNA-SF, revised and validated in 2009, which has two versions: the BMI-MNA-SF contains the first six items of the full scale including Body Mass Index while the CC-MNA-SF includes Calf Circumference instead of BMI. Objective To evaluate the predictive ability for nutritional status of the two versions of the MNA-SF against the MNA in free-living elderly in the province of Valencia. Methods Cross-sectional study of 660 free-living elderly in the province of Valencia selected in 12 community centres using stratified sampling by blocks. Inclusion criteria: being aged 65 or over, living at home, having functional autonomy, residing in the province of study for more than one year, regularly attending community centres and voluntarily wanting to take part. Results Of the 660 subjects studied, 319 were men (48.3%) and 341 (51.7%) women with a mean age of 74.3 years (SD = 6.6). In terms of nutritional assessment, using the BMI-MNA-SF and the CC-MNA-SF we found that 26.5% and 26.2% were at risk of malnutrition and 0.9% and 1.5% were malnourished respectively. With the full MNA, 23.3% were at risk of malnutrition. Spearman’s rank correlation coefficients indicate a high association between the full MNA score and the MNA-SFs scores (BMI-MNA-SF: ρ = 0.78p < 0.001; CC-MNA-SF: ρ = 0.78p < 0.001). In addition we obtained a very high correlation between the two MNA-SFs (ρ = 0.96p < 0.001). We evaluated the agreement between the full MNA and the MNA-SFs classification in three nutritional categories (normal nutritional status, risk of malnutrition, malnutrition) with Cohen’s kappa coefficients (BMI-MNA-SF: κ = 0.54p < 0.001; CC-MNA-SF: κ = 0.52p < 0.001). These values indicate moderate agreement with the full MNA. There is very good agreement between the BMI-MNA-SF and CC-MNA-SF (κ = 0.88p < 0.001). In order to determine the ability of both MNA-SFs to identify subjects not requiring any nutritional intervention, we considered the dichotomised categorisation of the full MNA and the MNA-SFs as “normal nutritional status” vs. “malnutrition and risk of malnutrition” Areas under the ROC curves using MNA as the gold standard indicate moderately high prognostic accuracy (BMI-MNA-SF: AUC = 0.88p < 0.001; CC-MNA-SF: AUC = 0.87 p < 0.001). Both versions of the MNA-SF showed similar sensitivity, specificity and diagnostic effectiveness (BMI-MNA-SF: 73.4%, 86.6%, 83.5%; CC-MNA-SF 73.4%, 86.2%, 83.2%). Conclusions In its two versions the MNA-SF presents useful predictive ability against the MNA. The advantage of the CC-MNA-SF is that using it requires fewer resources and less time in primary care, although always the characteristics of the population must take into account to make the right decision based on the MNA-SF scales.

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A CROSS SECTIONAL STUDY ON NUTRITIONAL STATUS OF ELDERLY POPULATION IN A RURALAREA OF WEST BENGAL USING MNA SCREENING TOOL.

10.36106/ijsr/4202738 ◽

2021 ◽

pp. 73-75

Author(s):

Nirmalya Manna ◽

Saikat Bhattacharya ◽

Rahul Biswas ◽

Soumitra Mondal ◽

V. Abinesh

Keyword(s):

Nutritional Status ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Nutrition Status ◽

Sectional Study ◽

Cross Sectional ◽

Permanent Resident ◽

Baseline Information

Malnutrition, or under nutrition, is a frequent and often unrecognized problem in older adults. It can result in immune dysfunction; poor wound healing, anaemia, longer hospitalization and higher readmission rates, delayed recovery from surgery and a higher rate of mortality. Current statistics for the elderly in India gives a prelude to a new set of medical, social, and economic problems that could arise if a timely initiative in this direction is not taken by the program managers and policy makers. A community based observational, descriptive cross-sectional study was conducted among the elderly people residing at Banspole sub-centre area to nd out their nutritional status. Geriatric people who were the permanent resident of the study area for at least six months were included in the study. A proforma was used to collect the baseline information of the study subjects and details of factors inuencing nutrition status. Mini nutritional assessment (MNA) tool was used to assess nutritional status of 2 elderly. 300 elderly patients were included in this study with an average age of 77.29 ± 6.97 years and BMI of 23.67 ± 3.49 kg/m . Age, literacy and nancial status were found to be signicantly associated with malnutrition. Geriatric nutritional assessment should be integrated into a comprehensive geriatric assessment. Regular assessment of the nutritional status among elderly followed by early interventions will improve the health outcomes, prevents the onset of disability, improves quality of life and saves healthcare costs.

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Dysphagia and its relation with nutritional status and calorie/protein intake in the elderly

Revista CEFAC ◽

10.1590/1982-0216/201921315618 ◽

2019 ◽

Vol 21 (3) ◽

Author(s):

Laura Mata de Lima Silva ◽

Cybelle Rolim de Lima ◽

Daniele Andrade da Cunha ◽

Luciana Gonçalves de Orange

Keyword(s):

Nutritional Status ◽

Elderly People ◽

Protein Intake ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Oral Feeding ◽

Cross Sectional ◽

Comparison Results ◽

Significant Difference

ABSTRACT Purpose: to evaluate the nutritional status associated with dysphagia, and compare the calorie and protein intake of dysphagic elderly patients to that of non dysphagic ones, during hospitalization. Methods: this is a cross-sectional study with elderly people ranging from 60 to 80 years old admitted as inpatients in a medical and neurological clinic of a public hospital. They formed two groups, according to the presence of dysphagia: dysphagic and non dysphagic ones. The inclusion criteria were: dysphagia secondary to stroke and exclusive oral feeding. Anthropometric measurements and the Mini-Nutritional Assessment (MNA) were applied. The 24-hour recall was used to analyze food consumption. The statistical analysis used the Fisher's exact test for the association of variables, and the Mann-Whitney test, for their comparison. Results: a total of 12 elderly people participated, whose mean age was 70.50 ± 7.77 years in the dysphagia group (n = 6), and 72.67 ± 5.01 years in the non dysphagia group (n = 6).There was an association between the presence of dysphagia and the risk of malnutrition, according to MNA (p = 0.028). No significant difference in calorie and protein intake was seen between the groups. The group with dysphagia had a lower water intake as compared to the non dysphagia group (p = 0.045). Conclusion: dysphagia was associated with the risk of malnutrition and lower fluid intake in dysphagic patients, thus, increasing their risk of dehydration.

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