scholarly journals Assessment of nutritional status among geriatric population in rural Mangaluru: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2408
Author(s):  
Shrivathsa D.N. ◽  
Chandana G. Manglik ◽  
Ranish Deelan Saldanha ◽  
Prajna P. Sharma
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Nuclear Family ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Assessment Score

Background: The percentage of elderly is growing rapidly worldwide. They are at a risk of malnutrition due to physiological, psychological, social, dietary and environmental factors.The present study was conducted to find the malnourished elderly in the community. The aims and objectives of the study were to evaluate the nutritional status of elderly using Mini Nutritional Assessment (MNA) scales; to evaluate the dietary consumption in terms of total calories and protein intake; to assess the factors associated with the malnutrition; to educate regarding nutritional importance in elderly.Methods: A community based cross-sectional study was conducted among the geriatric population (n=117) in rural Mangaluru using convenient sampling technique. After obtaining oral consent, mini nutritional assessment scale was used and socio-demography was collected. Total screening score of 14 and assessment score of 16 were summed up to get the total assessment score of 30 to determine the person’s nutritional status.Results: Majority (60.6%) of the study population was females and 39.4% were males. 53% population were Muslims and 51% belonged to nuclear family. According to MNA scale, 54 (46.7%) were at risk of malnutrition, 17 (14.5%) were suffering from malnutrition and rest 46 (39.3%) had normal nutritional status. There was a significant correlation of MNA score with BMI.Conclusions: The results suggest that MNA is a useful tool in the identification of elderly at risk of malnutrition. Due to the high prevalence of elderly who were malnourished or at the risk of malnutrition, a more detailed evaluation, regular follow up and dietary intervention is required.

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

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3345 ◽  
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.

scholarly journals Nutritional status of the geriatric population in the field practice area of a medical college in Rajasthan

2017 ◽  
Vol 5 (1) ◽  
pp. 220 ◽  
Author(s):  
Shreyashkumar J. Gandhi ◽  
Mahesh Kumar Choudary ◽  
Rupesh Kumar ◽  
Dinesh Bhatnagar
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Dietary Intervention ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Medical College ◽  
Field Practice

Background: Ageing is a physiological process that starts from birth, continues throughout life, and ends with death. Poor nutrition is not a natural concomitant of ageing; older adults are at risk for malnutrition due to physiological, psychological, social, dietary, and environmental risk factors. The objectives of the study were to assess the nutritional status of elderly living in rural India and to study the factors related to nutritional status.Methods: Community-based cross-sectional study was undertaken in the field practice area of Pacific Medical College and Hospital, Udaipur, Rajasthan. Predesigned and pretested questionnaire and nutritional status were assessed using mini nutritional assessment scale for elderly people. Results: Out of the total 152 participants, 2 (1.3%) were having BMI less than 19, 11 (7.2%) were having BMI 19 to less than 21 and 43 (28.3%) were having BMI 21 to less than 23. Out of 152 participants, 30 (41.1%) males and 43 (54.4%) females were at risk of malnutrition. Six (8.2%) males and 5 (6.4%) females were suffering from malnutrition. However, the association of gender and nutritional status of elderly was not found to be statistically significant (p=0.258). Conclusions: Due to the high prevalence of elderly who were malnourished or at risk of malnutrition, a more detailed evaluation, regular follow up & dietary intervention to reverse the situation is required. 

scholarly journals Assessment of nutritional status among elderly population in a rural area in Manipur: community-based cross-sectional study

2018 ◽  
Vol 5 (7) ◽  
pp. 3125 ◽  
Author(s):  
Joymati O. ◽  
Minita Ningombam ◽  
Bishwalata Rajkumari ◽  
Agatha Gangmei
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Background: Malnutrition in elderly (≥60 years) is both a health outcome as well as a risk factor for diseases. It increases the risk both of morbidity and mortality among them. Objectives of the study were to determine the prevalence of nutritional status among elderly people and any associated factors between nutritional status with selected variables of interest.Methods: This cross-sectional study was conducted from March to April, 2017 in a rural community in Kongpal in Imphal East, Manipur in North-Eastern India.  Using a structured interview schedule, data were collected from 245 elderly people aged ≥60 years. For nutritional assessment, Mini nutritional assessment tool (MNA) was used. Descriptive statistics like mean (SD) and Chi-square test was used.  P<0.05 was taken as significant.Results: A total of 250 eligible individuals participated. Mean age (SD) was 69.5 (±7.7) years and majority (82.4%) belonged to 60-74 age groups. Around three-fifth of the respondents (56.0%) reported they suffered from co-morbid illnesses. According to MNA tool, one-fifths (20.8%) of respondents were malnourished and 49.2% at risk of malnourished. Significant association was found between being malnourished with older age group, female gender, among unmarried/widow/widower, lower educational level, unemployed/ homemaker and financially dependent on other.Conclusions: The overall prevalence of malnutrition and at risk of malnutrition in our study was 20.8% and 49.2%. Approaches to improve the nutritional status of the elderly should focus primarily on those who are older, low educational status, female gender and financially dependence.

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

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.

scholarly journals Nutritional status, dementia, and mobility among nursing home’s residents: First exhaustive cross-sectional study in Limousin territory (France)

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250595
Author(s):  
Philippe Fayemendy ◽  
Gustave Mabiama ◽  
Thibault Vernier ◽  
Aude Massoulard-Gainant ◽  
Carole Villemonteix ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Mini Mental State Examination ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mobility Patterns ◽  
Cross Sectional ◽  
Nutritional Data ◽  
State Examination

Background Aging is accompanied by a drop in the level of health and autonomy, within Western countries more and more people being cared for in nursing homes (NH). The nutritional data in NH in France remain poor, not exhaustive and not representative. The objective of the study was to assess the nutritional status, dementia and mobility patterns among residents of NH in the Limousin territory of France. Methods The study was cross-sectional, descriptive and exhaustive, conducted with the residents of 13 voluntary NH. Undernutrition was identified using French High Authority for Health criteria, and obesity if Body Mass Index >30, in the absence undernutrition criterion. The Mini Mental State examination scores was used for dementia assessment at the threshold of 24. The Mini Nutritional AssessmentTM was used for mobilitity assessment. The statistics were significant at the 5% threshold. Results 866 residents (70.6% women) included with an average age of 85.3 ± 9.3 years. Undernutrition was 27.5%, obesity 22.9%, dementia 45.7% and very low mobility 68.9%. Women were older than men, more often undernourished, more often demented and more often had very low mobility (p<0.01). Undernutrition (p<0.0001) and low mobility (p<0.0001) were significantly higher among those with dementia versus those without dementia. Very low mobility was higher among undernourished (p<0.05). Conclusions Undernutrition and obesity are important problems in NH in France. Being a woman, having dementia and having a very low mobility may induce undernutrition.

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

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.

scholarly journals The association between nutritional status and functional limitations among centenarians: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Song ◽  
Miao Liu ◽  
Wang-ping Jia ◽  
Ke Han ◽  
Sheng-shu Wang ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Functional Limitations ◽  
Mini Nutritional Assessment ◽  
Disease Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models

Abstract Background Although there have been studies on the association between nutritional status and functional limitations, there were few studies on Asian centenarians in community. Therefore, this study aims to identify associations between nutritional status and functional limitations among centenarians in China. Methods This cross-sectional study was conducted with the data from the China Hainan Centenarian Cohort Study. These data ultimately included basic characteristics, hematologic indicators, and chronic disease status for 1,002 centenarians. The nutritional status was evaluated using the Mini Nutritional Assessment Short-Form scale. The functional limitations were assessed using the activities of daily living (ADL) scale, namely Barthel Index and Lawton Scale. The association between nutritional status and ADL was assessed using multivariate logistic regression models. Results In this study, the prevalence of malnutrition was 20.8 % among centenarians, basic ADL (BADL) limitation was 28.6 %, and instrumental ADL (IADL) limitation was 64.7 %. As the nutritional status deteriorated, the risk of ADL limitations increased in total population (BADL limitation: OR = 17.060, 95 % CI: 8.093-35.964; IADL limitation: OR = 11.221, 95 % CI: 5.853-21.511; p for trend < 0.001). Similar results were found in both men and women after stratifying sex but were more prominent in women. Conclusions Malnutrition is associated with functional limitations among centenarians in China and more pronounced among women.

scholarly journals Nutritional assessment in patients with early-onset Autosomal Dominant Alzheimer’s Disease due to PSEN1- E280A genetic variant: a cross-sectional study

2021 ◽  
pp. 1-7
Author(s):  
M. Gómez-Vega ◽  
E. Garcia-Cifuentes ◽  
D. Aguillon ◽  
J.E. Velez ◽  
A. Jaramillo-Jimenez ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Early Onset ◽  
Autosomal Dominant ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Background: Weight loss and malnutrition are frequent findings in late-onset and sporadic presentations of Alzheimer’s Disease (AD). However, less is known about nutritional status in Early-Onset Autosomal Dominant AD (EO-ADAD). Objective: To analyze the association between nutritional status and other clinical and sociodemographic characteristics in individuals with a genetic form of EO-ADAD. Design, settings, and participants: Cross-sectional study with 75 non-institutionalized participants from a cohort of Autosomal Dominant AD (13 with mild cognitive impairment and 61 with dementia, ages from 38 to 67 years) underwent a structured clinical assessment with emphasis on nutritional status. Measurements: Primary outcome was nutritional status and it was measured using the Mini Nutritional Assessment (MNA). Patients were categorized according to MNA total score, as undernourished (MNA ≤23.5) and well-nourished (MNA ≥ 24). Sociodemographic and clinical variables identified as potential predictors or confounders of nutritional status were also collected. Results: Undernourishment by MNA was present in 57.3% of the sample. Forty-two percent of participants had abnormal BMI values considered lower than 18.5 or higher than 24.9 kg/m2. Total BMI values were similar in well and undernourished patients (median 24.2 IQR 3.59 and median 23.9 IQR 4.42, respectively, p=0.476). When comparing well and undernourished groups, we found statistically significant differences for variables: severity of dementia (p=0.034), frailty (p=0.001), multimorbidity (p=0.035) and, polymedication (p=0.045). Neither adjusted logistic regression nor the Poisson regression showed that any clinical or sociodemographic variables explained undernourishment. Conclusions: Undernourishment was a frequent finding in our sample of EO-ADAD, especially in later stages of the disease. Patients with polymedication, multimorbidity, frailty and severe dementia show differences in their nutritional status with a tendency to be more frequently undernourished. Further studies with larger sample sizes are needed to establish this association.

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