scholarly journals Nutritional status and correlates of malnutrition among elderly adults in a South Indian village

2020 ◽  
Vol 11 (4) ◽  
pp. 7213-7219
Author(s):  
Aarthy Marimuthu ◽  
Balaji Ramraj
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Research Centre ◽  
Categorical Variables ◽  
P Value ◽  
College Hospital ◽  
South Indian

Nutrition is the single most important determinant of the health of an individual and provides essential support during the ageing process. Malnutrition is not a consequence of ageing and should never be considered as a normal process. Early detection of nutritional problems is vital to ensure the quality of life throughout these extended years. This study aimed, at assessing the nutritional status among the elderly (60 years and above), in the rural field practice area of SRM Medical College Hospital and Research Centre (Kalivanthapattu village), and to identify the correlates of malnutrition. A Community-based Cross-sectional study was conducted for assessing the Nutritional status of the elderly population (≥ 60 years) in Kalivanthapattu village using MNA (Mini Nutritional Assessment) scale. Data analysed using SPSS 22. Descriptive data were presented in percentages, mean, standard deviation. Chi-square test was used to prove the association between categorical variables. p-value < 0.05 is considered statistically significant. Among 102 participants, 33% are with normal nutritional status, 59% were at risk, and 8% of individuals were malnourished. Both males and females were >50% at risk of malnutrition. The association of age, spouse status, whether alive or dead and the type of house were found to be statistically significant (p <0.05). This study stresses on the nutritional assessment of elderly followed by anthropometric, clinical, biochemical and functional assessments in malnourished individuals and those at risk of malnutrition. Like immunisation schedule for under-five children, it is essential to rope Malnutrition scale to assess the nutritional status at or over the age of 60 years.

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 of elderly and its association with frailty among them

2021 ◽  
Author(s):  
Amit Vasant Deshpande ◽  
Baer Philip Ravikumar
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Activities Of Daily Living ◽  
Outpatient Clinic ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
P Value ◽  
Cross Sectional ◽  
Study Participants

Background: Malnutrition among geriatrics remain undetected. The present study was conducted to assess the prevalence of malnutrition among geriatric outpatients and various factors associated with it.Methods: This cross-sectional study was done in Mamata medical college, Khammam, Telangana, in which we included geriatric patients (more than 60 years of age) who visited the outpatient clinic between January 2021 till March 2021. All study participants were evaluated for the following two domains of frailty: physical frailty and psychological frailty.Results: During the study period, we included 185 participants in the study. Based on mini nutritional assessment (MNA), 20% participants had normal nutrition, 55% were at risk of malnutrition and 25% had malnutrition. We observed that 59% of the participants with malnutrition were aged more than 80 years, 35% were smokers, 67% were living alone and 83% had comorbidities. It was observed that 67% and 57% of the study participants with malnutrition had impaired activities of daily living and impaired instrumental activities of daily living respectively. 54% of those malnutrition were depressed, which was significantly higher as compared to those with normal nutrition and those at risk of malnutrition (p value <0.05).Conclusions: The results of the present study demonstrate the nutritional status of geriatric outpatients is associated with physical as well as psychological frailty. Therefore, it is recommended that detailed nutritional assessment of patients of geriatric age groups should be conducted when they present in the outpatient clinic for any reason or complaint.

scholarly journals A Cross-sectional Study to Assess the Nutritional Status of Cancer Clients at Selected Hospitals of Mangaluru – A Pilot Study

2021 ◽  
pp. 16-22
Author(s):  
. Shambhavi ◽  
S. Shanthi
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Family Income ◽  
Nutritional Assessment ◽  
Medical Science ◽  
Mini Nutritional Assessment ◽  
Research Centre ◽  
Breast Cancer Patients ◽  
Cross Sectional

Aims: Malnutrition is an overlooked and undertreated problem among the cancer population. It is necessary to identify at-risk patients early and provide appropriate and effective nutritional interventions which in turn help the cancer patients to improve treatment tolerance and prognosis. Hence, the study was undertaken with the aim to assess the nutritional status of cancer clients admitted in the hospital. Study design: A cross sectional descriptive survey was used. Place and Duration of Study: Oncology wards of the AJ Institute of Medical Science and Research Centre, Mangalore between December 2019 to March 2020, then again December 2020 to February 2021. Methodology: We included 100 cancer patients (39 males and 61 females). Participants were selected purposively. Head, neck and breast cancer patients who are aged above 18 years, admitted in the wards were included in the study. Data were collected by using demographic proforma and Mini Nutritional Assessment (MNA) scale. Results: Data were analyzed by descriptive and inferential statistics. The findings of the study revealed that more than half (56%) of the cancer clients are malnourished and 43% are at risk for malnutrition. Study found that there is a significant association of degree of malnutrition with demographic variables such as education and family income (at p=.05) Conclusion: Based on the result, it was concluded that the patients with cancer should undergo nutrition screening at the early so that appropriate nutrition intervention could be planned to have positive outcomes.

scholarly journals The research methodology for malnutrition risk identification and dietary practices among community living elderly

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Aliza Haslinda Hamirudin ◽  
Nor Azlina A. Rahman ◽  
Suriati Sidek ◽  
Norain Zainudin
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Risk Identification ◽  
Nutrition Intervention ◽  
Dietary Practices ◽  
Nutrition Screening

Introduction: Nutrition screening is an initial procedure to identify malnutrition, whilst subsequent nutrition intervention is warranted for at risk individuals. However, none of nutrition screening studies conducted among Malaysian elderly, accompanied by individualized nutrition intervention. The objective here is to describe the methodology to determine malnutrition risk and nutritional status of elderly in community at baseline and after 3 months of nutrition intervention; and to assess perception of elderly on their dietary practices. Methods: Elderly aged ≥ 60 years will be recruited as participants at several FELDA in Terengganu and Pahang with the calculated sample size of 416. Nutrition screening will be performed to identify malnutrition risk using a validated nutrition screening tool for the elderly in the community; the Mini Nutritional Assessment-Short Form. Dietary intake will be assessed using the diet history method and individualized nutrition intervention will be provided to improve nutritional status. Nutrition screening and assessment will be repeated after three months for malnourished and at risk elderly. An in-depth individual interview will be conducted to assess perception on dietary practices particularly prophetic food intake. Quantitative and qualitative data will be analyzed using IBM SPSS software and NVivo software, respectively. Results: Nutritional status of the elderly is anticipated to improve after 3 months of nutrition intervention and the elderly will perceive that their dietary practices are good. Conclusions: This research is at the forefront to provide individualized nutrition intervention following nutrition screening among Malaysian community elderly. It can potentially prevent further health complications associated with malnutrition through timely malnutrition identification and nutrition intervention.

scholarly journals Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status

2008 ◽  
Vol 100 (1) ◽  
pp. 152-158 ◽  
Author(s):  
Alan C. Tsai ◽  
Pei-Yu Ku
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cognitive Status ◽  
Severe Malnutrition ◽  
Term Care ◽  
Institutionalized Elderly

The study was conducted to determine the effectiveness of a modified Mini Nutritional Assessment (MNA) for assessing the nutritional status and predicting follow-up mortality of institutionalized elderly Taiwanese. The study was conducted in a large long-term care centre in central Taiwan. Trained interviewers assisted by the caregivers elicited sociodemographic data, healthcare and disease history, and answers to the MNA screen from each subject. One researcher performed all subjects' anthropometric measurements. Plasma albumin and cholesterol concentrations were determined. Results showed that the MNA without BMI, modified according to population-specific mid-arm circumference and calf circumference cut-points, effectively predicted the nutritional risk status of the elderly regardless of cognitive status. Substituting caregiver's assessments for self-viewed nutrition and health status (questions O and P of MNA) improved the predicting power of the tool in cognition-normal subjects. Results showed that 21·9 % of the elderly were malnourished, 59·2 % were at risk of malnutrition and 18·9 % were normal according to self-assessment whereas 14·2 % were malnourished, 59·2 % were at risk of malnutrition, and 26·6 % were normal according to caregiver's evaluation. The tool was also effective in predicting 12- and 6-month follow-up mortality in cognition-normal and cognition-impaired elderly, respectively. Results indicate that a population-specific MNA can effectively predict the nutritional status and 6-month follow-up mortality of elderly Taiwanese regardless of cognitive condition. Easier and wider application of the tool will enable early detection of emerging nutritional problems and timely intervention to prevent the development of severe malnutrition in the elderly.

Effect of the Mini Nutritional Assessment-Short Form (MNA-SF) in Elderly Burn Patients

2021 ◽  
Author(s):  
Jia-Yu Wei ◽  
Shu-Ting Shi ◽  
Dan Sun ◽  
Guo-Zhong Lyu
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Reference Points ◽  
Nutrition Intervention ◽  
Burn Patients ◽  
Cross Sectional

Abstract Objective Nutritional assessment can early identify patients who are malnourished and at risk of malnutrition. To examine the effect of nutritional status on wound healing in elderly burn patients, we used the MNA-SF to measure the nutritional status of elderly patients. This study aimed to examine the role of MNA-SF in elderly burn patients through the correlation analysis of wound-healing indicators and MNA-SF score. Design Prospective observational and cross-sectional study. Methods This study used the MNA-SF to investigate the elderly burn patients at the department of burn. According to the score, the patients fell into three groups: good nutritional status (more than 12 points), malnutrition risk (8~11 points), and malnutrition (0~7 points). At the same time, we measured and compared the wound-healing indicators among the three groups of patients, and detected the correlation. Results The statistical analysis found gender had a slight influence on the score of nutritional status. While age was negatively correlated with the MNA-SF score and nutrition-related indicators. There was a low positive linear correlation between the wound healing percent area change or wound healing rate of patients and the score of the MNA-SF. Conclusion This study finds malnutrition is common among hospitalized elderly burn patients. The application of the MNA-SF in elderly burn patients is efficient and accurate to identify malnutrition early and prevent further obstruction of the normal wound healing, which can provide reference points for early nutrition intervention programs.

scholarly journals Association between Nutritional Status Determined By Mini Nutritional Assessment and Serum Marker Levels in Older Adults at Eldercare Facilities

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Angel G Hilerio Lopez
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Serum Marker ◽  
Cross Sectional ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean

Malnutrition in the older adult is an ongoing situation in Mexico and is most apparent in individuals that reside in hospitals, nursing homes, and retirement homes. For that reason, it is necessary to evaluate the nutritional status of these adults by means of the Mini Nutritional Assessment (MNA) and levels of three serum indicators that are commonly ordered when making malnutrition diagnosis. An analytical cross-sectional study was carried out on 100 older adults residing in eldercare facilities. Nutritional status was evaluated by means of the MNA and three serum indicators (albumin, ferritin, and hemoglobin). Descriptive statistics were used to analyze sociodemographic characteristics, and a Student’s t test, based on gender and reference values, was used to compare mean values of the three serum indicators.  A Chi-square test was used to compare proportions in individuals, based on gender, who had normal nutritional status or were malnourished, and who were at-risk of malnutrition.  A One-way ANOVA with Scheffé post hoc test was used to identify the association between serum indicators and nutritional status of older adults. Of the 100 older adults studied, 53% were men and 47% were women. The mean age was 85±0.7 years. According to the MNA, 20% had normal nutritional status, 55% were at-risk of malnutrition, and 25% were malnourished. The mean indicator values were: albumin 4.7±0.04 g/dL, ferritin 74.2±8.7 ng/mL, and hemoglobin 13.0±0.1 g/dL. No significant association was found between serum indicators and each MNA classification; however, when the same indicators were compared between the sexes, hemoglobin showed a significant difference (P=0.037). Women had lower values but those values did not extend beyond the established physiological range for this population. There was a 55% prevalence of risk of malnutrition in the nutritional status of older adults living in Mexican eldercare facilities in a Mexican province and it was even more frequent in women. 

scholarly journals 79 Relationship Between Depression and Nutritional Status Among the Elderly Attending Selected Primary Healthcare Centers in Lagos

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
B A Akodu ◽  
S O Akinwunmi ◽  
A Onajole
Keyword(s):  
Nutritional Status ◽  
Primary Healthcare ◽  
Living Arrangement ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Categorical Variables ◽  
Antidepressant Effect ◽  
Significant Difference ◽  
Primary Healthcare Centers

Abstract Introduction Depression causes and worsens malnutrition. The prevalence of malnutrition in the elderly of the developed world was about 22.6% and about 40% of hospitalized elderly are malnourished while about 4.8% have one major depressive episode in people aged 50 and above. Food rich in omega-3 has antidepressant effect and its low intake is linked with dementia. Decrease dietary folate has been linked with depression. This study was aimed at determining the relationship between depression and nutritional status among the elderly in selected primary healthcare centers (PHC) in Lagos Nigeria. Method A descriptive cross-sectional study was conducted using multi-stage technique to select 219 participants by systematic sampling method from the selected PHC centers. Data was collected using structured interviewer-administered questionnaires. Nutritional status and Depression were assessed using Mini-Nutritional Assessment and Geriatric Depression Scale respectively. Data analysis was carried out using Epi-info 7.1. Associations were tested using Chi-square for categorical variables while t-test and analysis of variance were used for continuous variables. Associations were statistically significant if two-tailed probability was less than 5% (0.05). Results It was found that 57.9% and 47.1% were malnourished and depressed respectively. There was a statistically significant association between the sex of the participants and the nutritional status (p = 0.048). Statistically significant association existed between sex (p = 0.024), marital status (p = &lt;0.001), educational qualification and depression. Statistically significant association between monthly income (p = &lt;0.001), living arrangement (p = 0.002) and depression was demonstrated. There was a statistically significant association between family support (p = &lt;0.001), nutritional status (p = &lt;0.001) and depression. There was statistically significant difference between the height (p = 0.00885), weight (p = 0.00052, waist-hip ratio (p = 0.036) and the nutritional status. Remarkably, there was statistically significant difference between the waist (p = 0.023) and hip circumference (p = 0.047) and their level of depression. Conclusion A high prevalence of poor nutritional status and depression existed among the elderly primary healthcare centers.

scholarly journals Nutritional Status and Cardiometabolic Risk Factors in Institutionalized Adults with Cerebral Palsy

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 157 ◽  
Author(s):  
Aurora Norte ◽  
Coral Alonso ◽  
José Miguel Martínez-Sanz ◽  
Ana Gutierrez-Hervas ◽  
Isabel Sospedra
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Cardiometabolic Risk ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Density Lipoprotein ◽  
Cardiometabolic Risk Factors ◽  
Lipoprotein Cholesterol

Background and Objectives: Cerebral palsy (CP) is a set of permanent disorders that limit physical activity and increase the risk of developing other diseases, such as metabolic syndrome (MS). Adequate nutrition can contribute to the prevention of associated symptoms. The main objective of this study is to evaluate the nutritional status and the prevalence of cardiometabolic risk factors in adults with CP and Gross Motor Function Classification System (GMFCS) levels between IV and V. Materials and Methods: A sample of 41 adults with CP and GMFCS levels from IV to V were studied. The variables used in the study were age, sex, weight, height, mean age, and GMFCS level range. To evaluate nutritional status, body mass index and the Mini Nutritional Assessment (MNA), a nutritional screening tool, were used. To assess cardiometabolic risk, data on obesity, central obesity, blood pressure, fasting plasma glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides were collected. Results: More than 80% of the population studied was malnourished or at risk of malnutrition, according to the MNA tool classification ranges, and around 35% of the studied population was within the underweight range. Regarding cardiometabolic risk factors, only one adult with CP was diagnosed with MS. Conclusions: The studied population of adults with CP and GMFCS levels between IV and V is not a population at risk of MS; however, the high prevalence of malnutrition, as well as some of the most prevalent cardiovascular risk factors, should be taken into consideration.

scholarly journals Factors associated with risk of malnutrition in the elderly in south-eastern Brazil

2017 ◽  
Vol 20 (4) ◽  
pp. 598-610 ◽  
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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