Undernutrition and associated factors in a Portuguese older adult community

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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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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Malnutrition and Food Insecurity Might Pose a Double Burden for Older Adults

Nutrients ◽

10.3390/nu12082407 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2407

Author(s):

Konstantinos Gkiouras ◽

Stavros Cheristanidis ◽

Theopoula D. Papailia ◽

Maria G. Grammatikopoulou ◽

Nikolaos Karamitsios ◽

...

Keyword(s):

Older Adults ◽

At Risk ◽

Food Insecurity ◽

Assessment Tool ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Care Utilization ◽

Double Burden ◽

Cross Sectional

Although food insecurity has been associated with a disadvantageous socioeconomic status, especially in older adults, its association with comorbidities is less clear. The scope of the present cross-sectional study was to assess the prevalence of food insecurity among older adults and evaluate the association between food insecurity, malnutrition, chronic disease, multimorbidity and healthcare utilization. A total of 121 older adults (mean (standard deviation) age: 72.6 (8.1)) were recruited from a Primary Care Health Center from 10 August 2019 to 10 September 2019. Food insecurity and malnutrition status were assessed by the Household Food Insecurity Access Scale and Mini Nutritional Assessment tool, respectively. Recorded variables included financial, family data and comorbidities. The prevalence of food insecurity in the sample reached 50.4%, with men and older adults malnourished or at risk for malnutrition, exhibiting high risk for food insecurity. Multimorbidity, frequency of health care utilization and medication adherence were not associated with food insecurity, possibly due to the free health services and remunerated medications offered by the Greek government. However, male gender and malnutrition risk were significant predictors of food insecurity in the multiple logistic analyses. This study highlights the need for mainstreaming food insecurity assessment among older adults with comorbidities, especially those at risk for malnutrition.

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

Public Health Nutrition ◽

10.1017/s1368980009991674 ◽

2009 ◽

Vol 13 (9) ◽

pp. 1328-1332 ◽

Cited By ~ 28

Author(s):

Aditya Vedantam ◽

Vijay Subramanian ◽

Nicholas Vijay Rao ◽

KR John

Keyword(s):

Tamil Nadu ◽

South India ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Community Dwelling ◽

Free Living ◽

Cross Sectional ◽

Significant Difference

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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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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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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Nutrition assessment and geriatric associated conditions among free living elderly people in Birjand, East of Iran: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-021-02518-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fatemeh Hoseinzadeh-Chahkandak ◽

Mehran Rahimlou ◽

Fatemeh Salmani ◽

Elham Ansarifar ◽

Mitra Moodi ◽

...

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Rural Areas ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Geriatric Population ◽

Cross Sectional ◽

East Of Iran

Abstract Background Few data are available on the nutritional status of Iranian geriatric population. The present study aimed to determine the nutritional status of older adults’ population in Birjand, East of Iran. Methods The community-based cohort study was performed on older adults population (60 years and older) living in urban and rural areas of Birjand. The mini nutritional assessment (MNA) questionnaire was used to assess nutritional status. Anthropometric and biochemical evaluation were also performed for all of the participants. Results A total of 1417 geriatric person were enrolled in this study, which, most of them were female (51.9 %). According to MNA tool, most of the participants (73.3 %) had normal nutrition (MNA score ≥ 24). Malnourished (MNA score < 17) and at high risk of malnutrition (MNA score: 17- 23.5) were constituted 0.9 % and 25.8 % of the participants, respectively. Marital status, occupation, period of education and family member were associated with nutritional status. Multiple logistic regression showed that with increase of body mass index (BMI) (OR = 0.96), education years (OR = 0.95), hemoglobin (OR = 0.86) and lymphocyte (OR = 0.98), the odds of malnutrition decreased, but with increase of age the odds (1.03) of malnutrition is also elevated. Conclusions MNA could successfully forecast the risk of malnutrition and malnourished people. Sociodemographic factors are associated with the nutritional status.

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Nutritional assessment and associated factors in the elderly: a population-based cross-sectional study

Nutrition ◽

10.1016/j.nut.2018.03.053 ◽

2018 ◽

Vol 55-56 ◽

pp. 104-110 ◽

Cited By ~ 3

Author(s):

Luciana M.B. Stoffel ◽

Francisco Wilker M.G. Muniz ◽

Paulo R.G. Colussi ◽

Cassiano K. Rösing ◽

Eliane L. Colussi

Keyword(s):

Associated Factors ◽

Nutritional Assessment ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Multimorbidity associated with polypharmacy and negative self-perception of health

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.170059 ◽

2017 ◽

Vol 20 (5) ◽

pp. 634-642 ◽

Cited By ~ 6

Author(s):

Gustavo Cavalcanti ◽

Marlene Doring ◽

Marilene Rodrigues Portella ◽

Emanuelly Casal Bortoluzzi ◽

Andreia Mascarelo ◽

...

Keyword(s):

Robust Regression ◽

Well Being ◽

The Elderly ◽

Cross Sectional Study ◽

Small Towns ◽

Self Perception ◽

Cross Sectional ◽

Independent Variables ◽

The North ◽

Perception Of Health

Abstract Objective: to verify the association between the multimorbidity of the elderly and sociodemographic variables, self-perception of health and polypharmacy. Method: a cross-sectional study was performed. The research data was collected using the Health, Well-Being and Aging questionnaire. The sample was composed of 676 people aged 60 years or more, who were residents of small towns in the north of the state of Rio Grande do Sul, Brazil. The dependent variable was multimorbidity, that is, the occurrence of two or more chronic non-communicable diseases in the same person. The independent variables were demographic, socioeconomic and health-related characteristics. Poisson’s raw and robust regression model was used to analyze the effect of the independent variables in relation to the outcome and p was considered significant when <0.05. Result: among the elderly interviewed, 45% presented multimorbidity, 51.1% reported a self-perception of poor/very poor health and 37.1% used polypharmacy. After the analysis was adjusted to the occurrence of multimorbidity, association with the following variables was found: health perception (regular/poor/very poor) PR=1.15 (CI95%; 1.09 - 1.22) and use of polypharmacy PR=1.29 (CI95%; 1.22 - 1.35). Conclusion: Multimorbidity may interfere negatively in the self-perception of health of the elderly contributing to increased medicine consumption.

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Prevalence and Risk Factors of Sarcopenia among Older Adults Aged ≥65 Years Admitted to Daycare Centers of Taiwan: Using AWGS 2019 Guidelines

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168299 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8299

Author(s):

Cheng-Fen Chang ◽

Yu-Lyu Yeh ◽

Huang-Yu Chang ◽

Sheng-Hua Tsai ◽

Jiun-Yi Wang

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Short Form ◽

Handgrip Strength ◽

Mini Nutritional Assessment ◽

Standing Balance ◽

Geriatric Syndrome ◽

Cross Sectional ◽

Daycare Centers

Sarcopenia is a geriatric syndrome which is likely to cause disability, body unbalance, and mortality and thus can lead to heavy healthcare expenditure and caregiver burden. Although some studies have addressed the prevalence of sarcopenia for older adults, there are limited studies conducted in daycare centers. The present study aimed to (i) estimate the prevalence of sarcopenia and (ii) explore associated factors of sarcopenia and standing balance among older adults admitted to daycare centers in Taiwan. The cross-sectional study collected data on demographics, health status, handgrip strength, gait speed (GS), skeletal muscle mass, Taiwan-Mini Nutritional Assessment Short-Form (TW-MNA-SF), and Short Physical Performance Battery from daycare centers in northern Taiwan. The definition of sarcopenia followed the Asian Working Group for Sarcopenia 2019 guidelines. Among 173 participants ≥65 year-old, 50.9% had confirmed sarcopenia, 47.4% possible sarcopenia, and 1.7% normal. Results showed that calf circumference, TW-MNA-SF, dementia, and body mass index (BMI) were associated with sarcopenia. Moreover, BMI, GS, and sarcopenia were associated factors of standing balance. The study estimated a high prevalence of sarcopenia in daycare centers and identified some significant factors of sarcopenia and standing balance. Early nutritional and physiotherapy interventions could benefit older adults to prevent sarcopenia or unbalance.

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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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