Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018

ntroduction Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of the elderly and non-communicable disease association with incidents of falls. Methods and Materials This study used data from NHMS 2018, a cross-sectional design, applied two-stage stratified cluster sampling. Descriptive statistics such as the percentage of each variable were done. Factors associated with falls were determined at both univariate and multivariable levels using simple logistic regression and multiple logistic regression. The data were presented as standard values for each analysis and adjusted odds ratios with 95% CI with p values (<0.05). Results A total of 3,867 from 3,977 elderly (mean age 68.2+ 6.85) were recruited with the response rate of 97.2%. Factors associated with fall were 70 years old and above (AOR= 1.34, 95% CI: 1.09, 1.64), obesity (AOR=1.55, 95% CI: 1.21, 1.98), undernutrition (AOR=1.59, 95% CI: 1.30, 1.94), persons with 2 NCDs (AOR=1.49, 95% CI: 1.15, 1.92) and persons with 3 NCDs (AOR=1.63, 95% CI: 1.23, 2.16). Discussion and Conclusion Advanced age, malnutrition, obesity, and having two or more NCD are associated with falls in the NHMS 2018 study. In conclusion, falls are prevalent among older persons. There is an urgent need for public health strategies to decrease the incidence and early identification of those at risk. Implementation of fall preventive programs can also significantly reduce falls among the elderly.

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Falls among the elderly: risk factors in a population-based study

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400030011 ◽

2014 ◽

Vol 17 (3) ◽

pp. 705-718 ◽

Cited By ~ 9

Author(s):

Iara Guimarães Rodrigues ◽

Gustavo Pereira Fraga ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Elderly Adults ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Gender And Age ◽

Policies And Programs

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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Factors Associated with Chronic Illness among the Elderly in a Rural Community in Malaysia

Asia Pacific Journal of Public Health ◽

10.1177/101053950401600206 ◽

2004 ◽

Vol 16 (2) ◽

pp. 109-114 ◽

Cited By ~ 13

Author(s):

M.S. Sherina ◽

L. Rampal ◽

A. Mustaqim

Keyword(s):

Chronic Illness ◽

Rural Community ◽

Functional Dependence ◽

Community Setting ◽

The Elderly ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Factors Associated

Chronic illness is one of the major causes of mortality and morbidity among the elderly. To determine the prevalence and factors associated with chronic illness among the elderly in a rural community setting. A cross sectional study design was used. Stratified proportionate cluster sampling method was used to select respondents in Mukim Sepang, Sepang, Selangor, Malaysia. Out of 263 elderly residents (6.2% of the total population), 223 agreed to participate in the study giving a response rate of 84.8%. The prevalence of chronic illness among the elderly in Mukim Sepang was 60.1 %. Out of 223 respondents,134 were diagnosed as having chronic illness such as hypertension, diabetes mellitus, ischaemic heart disease, bronchial asthma or gout. Chronic illness was found to be significantly associated with functional dependence among the elderly (χ2=6.863, df=1, p<0.05). The prevalence of chronic illness among the elderly in the rural community is very high. Problems facing this age-group should be addressed comprehensively in order to formulate appropriate programmes for the health care of the elderly. Asia Pac J Public Health 2004; 16(2): 109-114.

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A study of non-communicable diseases risk factors among the tribal population of Lefunga block, Tripura: cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183996 ◽

2018 ◽

Vol 5 (10) ◽

pp. 4478

Author(s):

Aman Kumar ◽

Rupali Choudhury ◽

Sushma Yadav

Keyword(s):

Risk Factors ◽

Abdominal Obesity ◽

Communicable Disease ◽

Cross Sectional Study ◽

Tribal Population ◽

Multiple Logistic Regression ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Non Communicable Disease

Background: The burden of non-communicable diseases such as diabetes and coronary heart disease is increasing both globally and in India. The present study was conducted to estimate the prevalence of risk factors associated with non-communicable disease and to study the association of the risk factors with non-communicable disease among tribal population of Lefunga Block of Tripura.Methods: A cross-sectional study was conducted in Lefunga block during April to June 2017 among 150 Indigenous tribal population of Tripura. Multistage random sampling was used. A predesigned, pretested, semi-structured modified WHO STEPs questionnaire was used. Chi square and Multiple Logistic Regression was done to see association.Results: Mean age was 39.03±12.76 years. Majority (66.7%) were females and (44.7%) had studied up to secondary. (26%) were tobacco smokers and (68%) were tobacco chewing. (36%) were alcoholic. (89.3%) had exercising for <2.5 hrs. 68% were taking vegetables >10 times/ week and 88.7% were taking fruits <5 times/week. (26%) were overweight, (45.3%) had abdominal obesity and 31% were hypertensive. 93.3% were aware of the harmful effects of tobacco consumption. Multiple logistic regression analysis showing factors associated with male were more likely to had higher abdominal obesity and alcohol user >50 yrs, government employee. With smoking, male having more chances of smoking and Age group of 20-30 yrs and 31-40 yrs.Conclusions: The mean age was 39.03±12.76 years. (26%) were overweight, (45.3%) had abdominal obesity and (31%) were hypertensive. NCD clinic, IEC should be increased.

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Effect of the Living Environment on falls among the Elderly in Urmia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.434 ◽

2018 ◽

Vol 6 (11) ◽

pp. 2233-2238 ◽

Cited By ~ 2

Author(s):

Seyed Saeed Mazloomy Mahmoodabad ◽

Moradali Zareipour ◽

Mohsen Askarishahi ◽

Alireza Beigomi

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Elderly People ◽

Physical Space ◽

The Elderly ◽

Living Environment ◽

Cluster Sampling ◽

Living Room ◽

Chi Square ◽

Cross Sectional

BACKGROUND: The living environment has an impact on the health of the elderly, and the safety of the house is one of the concerns of the elderly. Disregarding the safety concerns increases the falling. AIM: This research was conducted with the aim of influencing the living environment on falls among elderly people in Urmia city. METHODS: This is a cross-sectional (descriptive-analytic) study which 200 elderly people were selected by random cluster sampling. Data were collected by using a two-part questionnaire including demographic information, and home safety assessment checklist. Data were analysed by using chi-square test and logistic regression in SPSS v. 21 software. RESULTS: The incidence of falling in the elderly was 30%. There was a significant statistical association with age, sex, marital status and history of chronic disease. Results of logistic regression showed non-safe stairs (OR = 1.1, p = 0.002), unsafe toilet/bath (OR = 1.3, p = 0.001), unsafe bedrooms (OR = 1.7, p = 0.05) unsafe living room (OR = 1.4, p = 0.02) increase the falls in the elderly, as well as male gender (OR = 1.14, p < 0.001) and living with other people (OR = 0.19, p = 0.002) reduce the falls in the elderly. CONCLUSION: By identifying the risk factors of the physical space of the home, we can plan for implementing necessary interventions according to the risk factor or risk factors to prevent and reduce the falls in the elderly community.

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HUBUNGAN POLA MAKAN DENGAN KEJADIAN PENYAKIT HIPERTENSI PADA LANSIA DI DUSUN BLOKSEGER KECAMATAN TEGALSARI KABUPATEN BANYUWANGI

IKESMA ◽

10.19184/ikesma.v14i2.10458 ◽

2018 ◽

Vol 14 (2) ◽

pp. 77

Author(s):

Ogis Mega Pratiwi ◽

Anggun Anggraini Wibisana

Keyword(s):

Communicable Disease ◽

The Elderly ◽

Cross Sectional Study ◽

P Value ◽

Local Health ◽

Cross Sectional ◽

Local Health Service ◽

The Relationship ◽

Extension Program ◽

Non Communicable Disease

Hypertension is a non-communicable disease, but hypertension is suffered by many people, the incidence of hypertension in the elderly becomes the highest. Asia has a record of 38.4 million hypertensive sufferers in 2000 and is predicted to be 67.4 million by 2025, while in Indonesia it reaches 17-21% of the population and most are undetectable (Muhammadun, 2010). The purpose of this study was to determine the relationship between eating patterns and the incidence of hypertension in the elderly atBlokseger Hamlet, Tegalsari, Banyuwangi. This was an cross-sectional study design. The sample of this study amounted to 60 elderly. This research instrument uses questionnaires and measurement of hypertension using a spigmomanometer and stethoscope blood pressure measuring instrument. The analytical method used is Person Chisquare. The results of this study are p = Value of P = 0,000 <0,05%. The conclusion of this study is that a significant relationship between diet and the incidence of hypertension in the elderly. The advice that can be given to the elderly of Blokseger hamlet is to manage a good diet, to the local health service center is to make a regular extension program on maintaining good pollutants starting from the beginning.

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Prevalence and Factors Associated with Self-Reported Vision Disability among the Elderly in Malaysia: Findings from National Health and Morbidity Survey (NHMS) 2018

Journal of Ophthalmology ◽

10.1155/2021/7564827 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Muhammad Solihin Rezali ◽

Nor’ Ain Ab Wahab ◽

Norhafizah Sahril ◽

Muhd Hafizuddin Taufik Ramli ◽

Nik Adilah Shahein ◽

...

Keyword(s):

Logistic Regression ◽

National Health ◽

Care Delivery ◽

Significant Risk ◽

The Elderly ◽

Multivariable Logistic Regression Analysis ◽

Cluster Sampling ◽

Factors Associated ◽

Awareness Campaigns ◽

Vision Disability

Introduction. Disability has adverse effects on health, wellbeing, and life quality. Vision disorder is one of the top-ranked causes of disability in the elderly population. This study aims to determine the prevalence and factors associated with vision disability among the elderly in Malaysia. Methodology. Data collection from National Health and Morbidity Survey (NHMS) 2018 was obtained. This survey focused on elderly health by using two-stage stratified cluster sampling design. The Washington Group Extended Question Set on Functioning (WG ES-F) was used to determine the vision disability. The data were analyzed using SPSS version 21.0 utilizing a complex sample design with multivariable logistic regression analysis to determine the prevalence and associated factors to vision disability. Results. A total of 3,977 elderly completed the vision disability questionnaire. The overall prevalence of vision disability among those who were 60 years old and above was 4.5%. Multiple logistic regression revealed that no formal education (AOR: 6.69, 95% CI: 1.52, 29.49), only primary education (AOR: 4.26, 95% CI: 1.01, 18.03), unemployed/retiree or homemaker (AOR: 3.25, 95% CI: 1.79, 5.89), hypertension (AOR: 1.45, 95% CI: 1.00, 2.09), and malnourished elderly (AOR: 2.84, 95% CI: 1.76, 461) had higher odds for having vision disability. Conclusion. The findings suggest that a low education level, unemployment, hypertension, and malnourishment are significant risk factors for VD among Malaysia’s elderly. Strengthening awareness campaigns to increase VD awareness and provide high-quality rehabilitation services must target specific groups, such as the elderly with a low level of education and the unemployed. Empower primary healthcare providers with the knowledge and skills necessary to improve the quality of eye care delivery and expand eye screening in settling VD issues nationally.

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Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018232.02862016 ◽

2018 ◽

Vol 23 (2) ◽

pp. 607-616 ◽

Cited By ~ 1

Author(s):

Luara Costa Fagundes ◽

Marcos Henrique Fernandes ◽

Thais Alves Brito ◽

Raildo da Silva Coqueiro ◽

José Ailton Oliveira Carneiro

Keyword(s):

Logistic Regression ◽

Elderly People ◽

The Elderly ◽

Population Based ◽

Study Data ◽

Community Dwelling ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Hypertriglyceridemic Waist

Abstract To identify the prevalence and factors associated with hypertriglyceridemic waist (HW) in community-dwelling elderly people in northeast Brazil. Population-based cross-sectional study. Some 316 elderly (≥ 60 years) people of both sexes participated in this study. Data were collected using a questionnaire, based on that used in the Health, Welfare and Aging Study (SABE), in addition to blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist condition was diagnosed using high values of triglycerides (≥ 150 mg/dl) and waist circumference increased ≥ 88 and ≥ 102 cm for women and men, respectively. Logistic regression analysis was used to compare the hypertriglyceridemic waist and associated factors, significance level of 5%. The prevalence of hypertriglyceridemic waist (HW) was 27.1%. The logistic regression model (OR) adjusted showed the condition of HW associated to the feminine sex (OR 4.19), to the insufficiently active elderly (OR 2.41) and with overweight (OR 4.06). A high prevalence (27.1%) of hypertriglyceridemic waist was observed, indicating the female sex, physical inactivity and overweight as key factors associated with hypertriglyceridemic waist in community-dwelling elderly people.

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Budaya Kerja Petugas Panti Menurut Persepsi Lansia Dengan Kejadian Pengabaian di PSTW X

Jurnal Endurance ◽

10.22216/jen.v4i3.3776 ◽

2019 ◽

Vol 4 (3) ◽

pp. 651

Author(s):

Lola Felnanda Amri

Keyword(s):

Logistic Regression ◽

Nursing Home ◽

Work Environment ◽

The Elderly ◽

Statistical Test ◽

Nursing Personnel ◽

Work Culture ◽

Chi Square ◽

Cross Sectional ◽

Correlation Design

Perawatan pada lansia di panti tresna werdha X dilakukan berdasarkan rutinitas kerja dan petugas belum mendapat pelatihan mengenai kebutuhan dasar lansia yang harus dipenuhi. Berdasarkan hal tersebut, peneliti ingin mengetahui hubungan budaya kerja petugas panti menurut persepsi lansia dengan kejadian pengabaian di PSTW X Sumatera Barat. Desain penelitian deskriptif korelasi, menggunakan pendekatan cross sectional. Pengambilan sampel dengan total sampling, berjumlah 75. Uji statistik digunakan chi square dan regresi logistik. Hasil yang diperoleh seluruh lansia mengalami pengabaian; ada hubungan antara sikap terhadap apa yang dikerjakan, lingkungan pekerjaan; waktu dengan pengabaian lansia; Tidak ada hubungan antara perilaku ketika mengambil keputusan dengan pengabaian lansia. Sikap terhadap apa yang dikerjakan memiliki pengaruh paling besar terhadap kejadian pengabaian lansia. Disimpulkan bahwa petugas harus lebih memahami tentang peran dan fungsinya sebagai pemberi pelayanan pada lansia. Direkomendasikan agar pejabat yang berwenang dapat menempatkan petugas panti sesuai dengan peran dan fungsi serta kewenangannya, dan merekrut perawat sesuai dengan kebutuhan panti. The nursing of elderly in Tresna Werda X nursing home is mainly based on the workrout in and that the caregiver have not yet received training on the basic needs of the elderly that they should meet. Therefore, the researcher wanted to know the relations of the work culture of caregiver according to the elderly’s perception with the incidence of neglect in PSTW X West Sumatera. This study used Descriptive correlation design with cross sectional approach. The method of sampling used total sampling, which amounts to 75. The statistical test used chi square and logistic regression. The results of the study show that all of the elderly experienced neglect; there is a relation between attitude towards what is conducted, work environment, time with elderly neglect; no relation between behavior in making decisions with elderly neglect. The attitude towards what is conducted has the most impacton the incidence of elderly neglect. It is concluded that the caregiver should have a better understanding on their roles and functions as the caregivers to the elderly. Moreover, it is recommended that the authorities should put nursing personnel in accordance with the roles, functions and competence, and recruit nurses in accordance with the needs of the nursing home.

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Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

Dhaulagiri Journal of Sociology and Anthropology ◽

10.3126/dsaj.v4i0.4517 ◽

1970 ◽

Vol 4 ◽

pp. 129-142 ◽

Cited By ~ 1

Author(s):

Raj Kumar Subedi

Keyword(s):

Elderly People ◽

The Elderly ◽

Cross Sectional Study ◽

Interview Schedule ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Keywords Alcohol ◽

Chi Square Test ◽

Restorative Sleep

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

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Cross-Sectional Association between Hypercholesterolemia and Knee Pain in the Elderly with Radiographic Knee Osteoarthritis: Data from the Korean National Health and Nutritional Examination Survey

Journal of Clinical Medicine ◽

10.3390/jcm10050933 ◽

2021 ◽

Vol 10 (5) ◽

pp. 933

Author(s):

Byung Woo Cho ◽

Du Seong Kim ◽

Hyuck Min Kwon ◽

Ick Hwan Yang ◽

Woo-Suk Lee ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Knee Pain ◽

Logistic Regression Analysis ◽

National Health ◽

Large Scale ◽

Metabolic Diseases ◽

The Elderly ◽

Cross Sectional ◽

Ordinal Logistic Regression Analysis

Few studies have reported the relationship between knee pain and hypercholesterolemia in the elderly population with osteoarthritis (OA), independent of other variables. The aim of this study was to reveal the association between knee pain and metabolic diseases including hypercholesterolemia using a large-scale cohort. A cross-sectional study was conducted using data from the Korea National Health and the Nutrition Examination Survey (KNHANES-V, VI-1; 2010–2013). Among the subjects aged ≥60 years, 7438 subjects (weighted number estimate = 35,524,307) who replied knee pain item and performed the simple radiographs of knee were enrolled. Using multivariable ordinal logistic regression analysis, variables affecting knee pain were identified, and the odds ratio (OR) was calculated. Of the 35,524,307 subjects, 10,630,836 (29.9%) subjects experienced knee pain. Overall, 20,290,421 subjects (56.3%) had radiographic OA, and 8,119,372 (40.0%) of them complained of knee pain. Multivariable ordinal logistic regression analysis showed that among the metabolic diseases, only hypercholesterolemia was positively correlated with knee pain in the OA group (OR 1.24; 95% Confidence Interval 1.02–1.52, p = 0.033). There were no metabolic diseases correlated with knee pain in the non-OA group. This large-scale study revealed that in the elderly, hypercholesterolemia was positively associated with knee pain independent of body mass index and other metabolic diseases in the OA group, but not in the non-OA group. These results will help in understanding the nature of arthritic pain, and may support the need for exploring the longitudinal associations.

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