scholarly journals Nutritional status of the elderly attending public polyclinics in Benghazi city, Libya

Author(s):  
Faiza Nouh ◽  
Mariam Omar ◽  
Manal Younis ◽  
Moftah Younis

Background: Ageing brings various physiological and non physiological changes which influence the nutritional status. Methods: A cross-sectional study extended from 1st December 2007 to 15th April 2008 on elderly of both sexes attending public polyclinics in Benghazi city. Results: 6.5% was the prevalence of malnutrition. 36.8% was the percentage of elderly at risk of malnutrition. Age, sex, occupation, income inadequacy to food, oral problems, dysphagia, constipation and dehydration, activity level, chronic disease, food intolerances and BMI all these factors were the various physiological and non-physiological factors associated with the nutritional status of the subjects. Conclusions: Outpatients elderly in Benghazi should be routinely screened and assessed if needed, for malnutrition or its risk. 

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Man Kumar Tamang ◽  
Uday Narayan Yadav ◽  
Hassan Hosseinzadeh ◽  
Bharat Kafle ◽  
Girish Paudel ◽  
...  

Author(s):  
Grant Stafford ◽  
Noemí Villén ◽  
Albert Roso-Llorach ◽  
Amelia Troncoso-Mariño ◽  
Mònica Monteagudo ◽  
...  

(1) Background: The acquisition of multiple chronic diseases, known as multimorbidity, is common in the elderly population, and it is often treated with the simultaneous consumption of several prescription drugs, known as polypharmacy. These two concepts are inherently related and cause an undue burden on the individual. The aim of this study was to identify combined multimorbidity and polypharmacy patterns for the elderly population in Catalonia. (2) Methods: A cross-sectional study using electronic health records from 2012 was conducted. A mapping process was performed linking chronic disease categories to the drug categories indicated for their treatment. A soft clustering technique was then carried out on the final mapped categories. (3) Results: 916,619 individuals were included, with 93.1% meeting the authors’ criteria for multimorbidity and 49.9% for polypharmacy. A seven-cluster solution was identified: one non-specific (Cluster 1) and six specific, corresponding to diabetes (Cluster 2), neurological and musculoskeletal, female dominant (Clusters 3 and 4) and cardiovascular, cerebrovascular and renal diseases (Clusters 5 and 6), and multi-system diseases (Cluster 7). (4) Conclusions: This study utilized a mapping process combined with a soft clustering technique to determine combined patterns of multimorbidity and polypharmacy in the elderly population, identifying overrepresentation in six of the seven clusters with chronic disease and chronic disease-drug categories. These results could be applied to clinical practice guidelines in order to better attend to patient needs. This study can serve as the foundation for future longitudinal regarding relationships between multimorbidity and polypharmacy.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248587
Author(s):  
Nicharuch Panjaphothiwat ◽  
Ratipark Tamornpark ◽  
Tawatchai Apidechkul ◽  
Prapamon Seeprasert ◽  
Onnalin Singkhorn ◽  
...  

Background Domestic violence significantly affects physical and mental health, particularly among children, women, and the elderly. Living in certain family environments could lead to victimization by domestic violence, especially among families with a poor socioeconomic status, such as the Lahu hill tribe people in Thailand. This study aimed to estimate the prevalence of and determine the factors associated with domestic violence among Lahu children, women, and the elderly. Methods A cross-sectional study was conducted of participants who belonged to the Lahu hill tribe and lived in 20 selected villages in Chiang Rai Province, Thailand. A validated questionnaire was used to collect personal information and information regarding experiences related to domestic violence in the past year from children (aged 5–15 years), women (aged 16–59 years), and the elderly (aged 60 years and over). A binary logistic regression was used to detect associations between the variables. Results A total of 646 participants were recruited into the study, specifically, 98 children aged 5–15 years, 430 women aged 16–59 years, and 118 elderly people. Children who smoked (AOR = 8.70; 95%CI = 1.27–59.45) had greater odds of experiencing domestic violence than children who did not smoke. Women who had a role as a family member (AOR = 1.59; 95%CI = 1.02–2.50), used alcohol (AOR = 3.36; 95%CI = 2.27–4.99), lived in a family with financial problems (AOR = 4.01; 95%CI = 2.52–7.66), and lived with a family member who uses alcohol (AOR = 2.87; 95%CI = 2.20–5.63) had greater odds of suffering domestic violence than women who did not share these characteristics. The elderly who used alcohol (AOR = 3.25, 95%CI = 1.08–9.81), lived with a family member who uses alcohol (AOR = 3.31; 95%CI = 1.26–7.34), or lived in a family with financial problems in the past year (AOR = 2.16; 95%CI = 1.16–8.77) had greater odds of facing domestic violence than the elderly who did not have these characteristics. Conclusion Family financial problems and substance use are associated with domestic violence in Lahu families in Thailand. Health interventions to reduce the use of substances, including training programs to respond to domestic violence, should be promoted for Lahu children, women, and the elderly.


1970 ◽  
Vol 7 (3) ◽  
pp. 163-168
Author(s):  
Mawera Babar ◽  
Rukhsana Khan ◽  
Aziz Ullah

Background: Globally, more than 150 million under five children are malnourished. In Pakistan 43.7% of under five children were stunted, 15.1% were wasted and 31.5% were underweight according to NNS, 2011. Nomads are the shifted or migrated people, they are the neglected ones therefore have a very poor health status and knowledge about nutrition. The aim of this study was to improve the nutritional status of the under five nomad children in district Faisalabad. The objectives were to assess the nutritional status of nomad children, knowledge of mothers regarding the nutritional status of their children, factors associated with the nutritional status of these children. Methods: A cross sectional study was conducted in nomad settlements of four Union councils of district Faisalabad. A structured questionnaire was used and anthropometric measurements like height, weight and MUAC of 296 children selected consecutively were calculated. Results were analyzed by using WHO Anthro to identify stunting, wasting and underweight cases whereas SPSS-20 was used for descriptive and inferential statistics. Results: Results showed that the proportion of malnutrition among under five children was 86% in which 10.8% were wasted, 53.4% were stunted and 58.8% were underweight. About 76% of the mothers have no knowledge about their child's nutritional needs. A significant association was found between malnutrition and sociodemographic, child health and maternal health characteristics including knowledge of mothers. Conclusion: The nutritional status of the nomad children less than five years was unsatisfactory. Therefore efforts should be made to enhance nomad mothers knowledge through CMW's and LHW's and also provide nutritional support to them.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020243 ◽  
Author(s):  
Diana Toledo ◽  
Núria Soldevila ◽  
Núria Torner ◽  
María José Pérez-Lozano ◽  
Elena Espejo ◽  
...  

ObjectiveHospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.DesignA cross-sectional study.SettingThe study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013–2014 and 2014–2015).ParticipantsWe included patients aged ≥65 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.Main outcome measures30-day readmission.ResultsFactors associated with 30-day readmission were living with a person aged <15 years (adjusted OR (aOR) 2.10, 95% CI 1.01 to 4.41), >3 hospital visits during the 90 previous days (aOR 1.53, 95% CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95% CI 1.24 to 2.45), heart failure (aOR 1.69, 95% CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95% CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95% CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.ConclusionsThis study shows that 11.39% of patients aged ≥65 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.


2017 ◽  
Vol 70 (4) ◽  
pp. 747-752 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Rafael Rodrigues Cardoso ◽  
Meiriellen Silva Durães ◽  
Maria Clara Araújo Guedes ◽  
Frederico Leão Santos ◽  
...  

ABSTRACT Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoning Liu ◽  
Jing Cao ◽  
Zheng Zhu ◽  
Xia Zhao ◽  
Jing Zhou ◽  
...  

Abstract Background Nutrition is a crucial factor that can impact morbidity and mortality in older people living with HIV (PLWH). Studies on nutritional risk and nutritional status in all age groups in PLWH have been conducted. However, few studies have focused on nutritional risk in older PLWH. This study aimed to describe the nutritional risk and nutritional status in older PLWH, and explore factors associated with nutritional risk and undernutrition status. Methods We conducted a cross-sectional study. We recruited participants aged 50 years or older from the Third People’s Hospital of Shenzhen from January 2016 to May 2019. Nutritional risk and nutritional status were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) tool, body mass index (BMI), albumin level, and prealbumin level on the first day of admission. Logistic regression models were used to identify the factors associated with undernutrition based on the BMI, albumin, and prealbumin criteria. Results A total of 196 older PLWH were included in the analysis. We found that 36% of hospitalized older PLWH had nutritional risk, and 12–56% of them had undernutrition based on the BMI, albumin, and prealbumin criteria. An increased nutritional risk score was associated with older age (β = 0.265 CI [0.021, 0.096], P = 0.002), a higher viral load (β = − 0.186 CI [− 0.620, − 0.037], P = 0.028), a lower BMI (β = − 0.287 CI [− 0.217, − 0.058], P = 0.001), and a lower albumin level (β = − 0.324 CI [− 8.896, − 1.230], P = 0.010). The CD4 count was associated with the prevalence of undernutrition based on the albumin criterion (OR = 15.637 CI [2.742, 89.178], P = 0.002). Conclusion Our study indicated that nutritional screening, assessment, and management should be routinely performed in hospitalized older PLWH. HIV-specific measures should be used to assess nutritional risk, and albumin, BMI, and other assessments should be used in combination to identify undernutrition in older PLWH.


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