Nutritional status in the oldest elderly and associated factors

Boscatto, Elaine Caroline; Duarte, Maria de Fátima da Silva; Coqueiro, Raildo da Silva; Barbosa, Aline Rodrigues

doi:10.1590/s0104-42302013000100010

Cited by 22 publications

(4 citation statements)

References 23 publications

(30 reference statements)

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“…This implies that MNA is a better proxy than BMI to determine the nutritional status of older adults [ 29 ]. Similarly, a higher prevalence of malnutrition was reported in this study compared to previous studies reported from South Africa (5.5%) [ 32 ],Sire Lanka (13.6%) [ 33 ] and Brazil (18.8%) [ 34 ]. This might be due to the difference in the living standards and socioeconomic status like economic power of the older adults.…”

Section: Discussionsupporting

confidence: 80%

Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia

et al. 2020

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Background In Ethiopia, malnutrition among older adults is under detected and, neglected area because the entire problem related with aging considered as fate of aging. Also, older adults are often omitted from public health research. Literatures are scarce in Ethiopia; there is limited information in the current study area among older adults using Min Nutritional Assessment (MNA). Therefore, this paper investigated the prevalence of malnutrition and its predictors among older adults people aged 65 years or above in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was employed from January 1 to march 30, 2020 in Addis Ababa. Nutritional status of the older adults was measured by using Min nutritional assessment (MNA). Data from 662 older adults were collected through face to face interviews using a structured questionnaire. Bivariable and multivariable logistic regression analysis was done to identify factors associated with malnutrition. Result The prevalence of malnutrition among older adults was found to be 26.6%[95% Confidence interval (CI):22.8, 30.1]. Depression [Adjusted Odds Ratio (AOR) = 7.57 95%CI: 5.01, 11.45], being poor [AOR = 1.95 95% CI: 1.166, 3.25], occupation; daily laborer and guard [AOR = 2.78 95% CI: 1.12, 7.17] and being old old [AOR = 2.62 95% CI: 1.62, 4.25] were significantly associated with the higher odds of malnutrition. Conclusion This study illustrated that considerably high proportion of older adults were malnourished in Addis Ababa. Socio-economic characteristics and depression were significantly associated with malnutrition. Therefore, nutritional and social support activities are essential for older adults, particularly of those who are socio-economically disadvantaged and advanced age. In addition, regular nutritional screening and management as well as behavioral interventions should be strengthened as a pillar component of therapeutic interventions. Specific nutritional requirements, at later stages of life is changing, and with the population aged over 65 years increasing in low-income countries like Ethiopia, the research in this field is likely to increase further.

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Section: Discussionsupporting

confidence: 80%

Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia

et al. 2020

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“…The result showed that the pooled prevalence of undernutrition among elderly population in Ethiopia was 20⋅6 % (95 % CI 17⋅3, 23⋅8). The proportion was higher when compared to a study done in developing countries like Nigeria the prevalence was recorded to be 7⋅8 %, (43) Ghana 18 %, (44) Cameron, 19⋅7 %, (45) Brazil, 18⋅8 %, (46) Southwest China, 3⋅2 %, (47) and Lebanon, 8 %. (3) This increased prevalence of undernutrition in the study could be related to the study area's lower socioeconomic position, which could be associated with the lower food purchasing power of participants who varied their diet items.…”

Section: Discussioncontrasting

confidence: 62%

Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023

Mezgebu,

Petros,

Alemayew

et al. 2023

J Nutr Sci

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Undernutrition in elders remains under-detected, under-treated, and under-resourced and leads to further weight loss, increased infections, and delay in recovery from illness as well as increased hospital admissions and length of stay. The reports of the findings were fragmented and inconsistent in Ethiopia. Therefore, the main objective of this meta-analysis was to estimate the pooled prevalence of undernutrition and its association with dietary diversity among older persons in Ethiopia. Online databases (Medline, PubMed, Scopus, and Science Direct), Google, Google Scholar, and other grey literature were used to search articles until the date of publication. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. The random effect model was used to estimate the pooled prevalence; whereas subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity using Stata version 14.0 software. Out of 522 studies accessed, 14 met our criteria and were included in the study. A total of 7218 older people (aged above 60 years old) were included in the study. The pooled proportion of undernutrition among older persons in Ethiopia was 20⋅6 % (95 % CI 17⋅3, 23⋅8). Elders who consumed low dietary diversity scores were strongly associated with undernutrition among older persons. Therefore, promoting appropriate intervention strategies for elders to improve dietary diversity practices and nutritional status is crucial.

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“…Older adults are vulnerable to malnutrition for many reasons, including weight loss, lack of financial support and inadequate access to food [71213]. Previous studies report that socio-demographic characteristics and lifestyle are associated with nutritional status in older adults [12141516].…”

Section: Introductionmentioning

confidence: 99%

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

Poda

Hsu

Rau³

et al. 2019

Nutr Res Pract

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BACKGROUND/OBJECTIVES Aging is an imperative problem for many countries in this century, and presents several challenges for the maintenance of good nutritional status. This study aims to assess the impact of socio-demographic factors, lifestyle and health status on the nutritional status among the elderly in Taiwan. SUBJECTS/METHODS A cross-sectional study was carried out in Taiwan. Data were obtained from the Mei Jau Health Management Institution, which is a private health evaluation provider with multiple health screening centers in Taiwan and Asia. This study included 7947 adults aged 65 years or above. The data were extracted between 2001 to 2010. Nutritional status was assessed using anthropometric data, biochemical data and dietary intake information. RESULTS Among the 7947 participants with mean age of 70.1 (SD = 4.5) years, 20.2%, 6.6%, 10.5% and 52.5% experienced underweight, protein malnutrition, anemia and inadequate dietary intake in the past month, respectively. Age was negatively correlated with body weight (r = −0.19, P = 0.02), body mass index (r = −0.41, P < 0.001), albumin level (r = −0.93, P < 0.001) and hemoglobin level (r = −0.30, P = 0.008). Age above 70 years, gender, unmarried status, retirement, lack of education, low family income, smoking, alcohol drinking, sleep duration of 6-8 hours, vegetarian diet, multiple medications, comorbidity and dysphagia were positively associated with malnutrition in older adults. CONCLUSIONS Underweight and inadequate dietary intake are prevalent among the elderly in Taiwan. Vegetarian diet, multiple medications, comorbidity, dysphagia and lifestyle factors such as smoking, alcohol drinking and sleep duration of 6–8 hours are risk factors for undernutrition in older adults.

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Nutritional status in the oldest elderly and associated factors

Abstract: There are differences between men and women regarding nutritional status. The factors associated to nutritional status of the oldest elderly from Antônio Carlos are specific to the vulnerability condition (underweight and overweight).

Cited by 22 publications

References 23 publications

Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia

Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia

Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

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