Nutritional Status and Associated Factors Among the Community-Dwelling Elderly Population in Debre Berhan Town, North Shewa Zone, Ethiopia

Poor nutritional status (PNS) threatens successful aging. Identifying potentially modifiable predictors of PNS is essential for elaborating a preventive strategy for the population at risk. To assess the prevalence of PNS in the Polish elderly population and analyze its socioeconomic correlates based on the data from the nationwide PolSenior2 project. Special emphasis was put on potentially modifiable factors among the identified PNS predictors. Nutritional status was assessed in 5698 community-dwelling older adults with the Mini Nutritional Assessment–Short Form. We evaluated the effect of age, sex, level of education, marital status, place of residence, subjective loneliness, and self-reported poverty on the nutritional status of the studied subjects. PNS was found in 25.3% of studied subjects (27.7% women and 21.9% men; p < 0.001). Female sex, older age, unmarried status (in men), subjective loneliness, and self-reported poverty were independent correlates of PNS. The two last above-mentioned predictors were identified as potentially modifiable. Based on our results, we recommend preventive interventions (e.g., performing regular screening), particularly in unmarried (men), poorly educated individuals, self-reporting poverty, complaining of loneliness, and the oldest old. PNS preventive strategies should include social support (both emotional and instrumental) to reduce the effect of poverty and subjective loneliness.

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The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology according to Different Cancer Types and Settings: A Narrative Review

Nutrients ◽

10.3390/nu13061980 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1980

Author(s):

Paolo Bossi ◽

Paolo Delrio ◽

Annalisa Mascheroni ◽

Michela Zanetti

Keyword(s):

Nutritional Status ◽

Common Knowledge ◽

Critical Evaluation ◽

Community Dwelling ◽

Narrative Review ◽

Current Evidence ◽

Cancer Type ◽

Inflammatory Status ◽

Treatment Type ◽

Modifiable Factors

Nutritional status in oncological patients may differ according to several modifiable and non-modifiable factors. Knowledge of the epidemiology of malnutrition/cachexia/sarcopenia may help to manage these complications early in the course of treatment, potentially impacting patient quality of life, treatment intensity, and disease outcome. Therefore, this narrative review aimed to critically evaluate the current evidence on the combined impact of tumor- and treatment-related factors on nutritional status and to draw some practical conclusions to support the multidisciplinary management of malnutrition in cancer patients. A comprehensive literature search was performed from January 2010 to December 2020 using different combinations of pertinent keywords and a critical evaluation of retrieved literature papers was conducted. The results show that the prevalence of weight loss and associated symptoms is quite heterogeneous and needs to be assessed with recognized criteria, thus allowing a clear classification and standardization of therapeutic interventions. There is a large range of variability influenced by age and social factors, comorbidities, and setting of cures (community-dwelling versus hospitalized patients). Tumor subsite is one of the major determinants of malnutrition, with pancreatic, esophageal, and other gastroenteric cancers, head and neck, and lung cancers having the highest prevalence. The advanced stage is also linked to a higher risk of developing malnutrition, as an expression of the relationship between tumor burden, inflammatory status, reduced caloric intake, and malabsorption. Finally, treatment type influences the risk of nutritional issues, both for locoregional approaches (surgery and radiotherapy) and for systemic treatment. Interestingly, personalized approaches based on the selection of the most predictive malnutrition definitions for postoperative complications according to cancer type and knowledge of specific nutritional problems associated with some new agents may positively impact disease course. Sharing common knowledge between oncologists and nutritionists may help to better address and treat malnutrition in this population.

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Factors affecting frailty among community-dwelling older adults: A multi-group path analysis according to nutritional status

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2020.103850 ◽

2021 ◽

Vol 115 ◽

pp. 103850

Author(s):

Eunjung Kim ◽

Sohyune R. Sok ◽

Chang Won Won

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Path Analysis ◽

Community Dwelling ◽

Factors Affecting ◽

Community Dwelling Older Adults

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Prevalence of Hypertension and Its Associated Factors among Indonesian Adolescents

International Journal of Hypertension ◽

10.1155/2020/4262034 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Andra Kurnianto ◽

Deni Kurniadi Sunjaya ◽

Fedri Ruluwedrata Rinawan ◽

Dany Hilmanto

Keyword(s):

Physical Activity ◽

Family History ◽

Nutritional Status ◽

Perceived Stress ◽

Associated Factors ◽

Equation Model ◽

Behavior Changes ◽

Cross Sectional ◽

History Of ◽

Family History Of Hypertension

Background. Given that hypertension in adulthood has its onset in childhood, it is not surprising that the prevalence of hypertension among adolescents has also increased in recent years. However, there are limited data on the prevalence of hypertension and also the new AAP guideline has not yet been applied to the Indonesian adolescent population. Thus, this study aimed to evaluate the prevalence of hypertension using the new AAP guideline and to assess the occurrence of its associated factors among Indonesian adolescents. Methods. This was a cross-sectional study conducted at twelve senior high schools in Palembang, South Sumatera, Indonesia, from June to December 2019. The study included adolescents aged 13 to 18 years old. Anthropometric measurements were obtained. Multiple logistic regression was used to assess the risk factors most associated with hypertension among adolescents, and then an equation model was created. The prevalence of hypertension was evaluated, together with several factors such as age group, sex, ethnicity, family history of hypertension, nutritional status, physical activity, perceived stress, sleep duration, nutritional intake, and smoking. Results. In total, 1200 adolescents aged 15.9 ± 0.99 years were evaluated. The prevalence of hypertension and elevated blood pressure among adolescents was 8% and 12.2%, respectively. There were significant associations between sex, family history of hypertension, hypertensive father, nutritional status, physical activity, perceived stress, and hypertension among Indonesian adolescents (p<0.05). Stress was the most powerful risk factor of hypertension with an odds ratio of 5.83 (95% confidence interval 2.91–11.6). Conclusions. Nowadays, the prevalence of hypertension among Indonesian adolescents is quite high. This may be caused by lifestyle or behavior changes among adolescents. Sex, family history of hypertension, nutritional status, physical activity, and perceived stress influenced the 27% hypertension prevalence rate among Indonesian adolescents, particularly in Palembang, South Sumatera. In order to decrease the prevalence of hypertension in adults, concern about lifestyle or behavior changes and hypertension among adolescents should be given.

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Cognitive function and number of teeth in a community-dwelling elderly population without dementia

Journal of Oral Rehabilitation ◽

10.1111/j.1365-2842.2009.01998.x ◽

2009 ◽

Vol 36 (11) ◽

pp. 808-813 ◽

Cited By ~ 21

Author(s):

Y. TAKATA ◽

T. ANSAI ◽

I. SOH ◽

K. SONOKI ◽

S. AWANO ◽

...

Keyword(s):

Cognitive Function ◽

Elderly Population ◽

Community Dwelling ◽

Number Of Teeth

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Prevalence of malnutrition among women and adolescent girls: impact of urbanization in rural–urban interface of Bangalore

British Food Journal ◽

10.1108/bfj-03-2021-0281 ◽

2022 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Veerabhadrappa Bellundagi ◽

K.B. Umesh ◽

B.C. Ashwini ◽

K.R. Hamsa

Keyword(s):

Nutritional Status ◽

Adolescent Girls ◽

Associated Factors ◽

Multinomial Logistic Regression ◽

Wealth Index ◽

Total Sample ◽

Normal Weight ◽

Double Burden ◽

Content Type ◽

Multinomial Logistic Regression Analysis

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.

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