Malnutrition in the elderly residing in long-term care facilities: a cross sectional survey using the Mini Nutritional Assessment (MNA®) screening tool

Robb, Liska; Walsh, Corinna M.; Nel, Mariëtte; Nel, A.; Odendaal, Hester; Aardt, Reon van

doi:10.1080/16070658.2016.1248062

Cited by 15 publications

(23 citation statements)

References 31 publications

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“…However, Alphas et al realised that more females (28%) were malnourished compared with men (17%). Moreover, similar to our findings, another cross-sectional survey in South Africa found a prevalence of 11.3% of malnutrition among older persons [ 48 ]. This higher prevalence of malnutrition may increase mortality and morbidity among the older person population in SSA.…”

Section: Discussionsupporting

confidence: 91%

“…This study summarises evidence on the factors influencing malnutrition in older persons in SSA (Table 1 ). Seventeen studies reported on the various factors associated with malnutrition; four studies revealed the association between socio-economic status and malnutrition [ 30 , 45 , 48 , 55 ], whereas seven studies were on dietary habits ([ 5 , 15 , 19 , 30 , 38 , 48 , 55 ]). Also, four studies showed a significant association between educational status and malnutrition [ 5 , 44 , 45 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

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Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

et al. 2022

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Background The older person population is rapidly increasing globally, including sub-Saharan Africa (SSA). Concurrently, malnutrition is also increasing among older persons in SSA, with a dearth of empirical evidence on nutritional status and associated factors among the older persons in the region to inform effective interventions to promote healthy ageing. Aim/Objective This review assessed the nutritional status and associated factors among older persons in SSA. Method PubMed, Google Scholar, and Cochrane Library electronic databases were searched for published articles from 2010 to 2021 using keywords and Boolean logic. Also, we carried out a free web-based search to retrieve other relevant evidence that assesses the older persons’ nutritional status. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart was used to appraise the research articles that responded to the study’s research questions. Findings Twenty studies met the inclusion criteria, from which data were extracted as findings. The malnutrition prevalence was between 6 to 54% among older persons in SSA. We found that the prevalence of malnutrition vary and could be as high as 28.4% in a low socio-economic status area. Of these studies, twelve (12) provided data on undernutrition with prevalence ranging from 2.9 to 41%;10 provided data on overweight (8.1–54.1%) and 5 on obesity (2.7–44.7%). Seventeen of the studies evaluated factors associated with malnutrition; 4 studies revealed the association between socioeconomic status and malnutrition, 7 studies reported a significant association between dietary habits and malnutrition. Four studies showed an association between educational status and malnutrition. Disease conditions associated with malnutrition were reported in four of the studies. Conclusion This review shows that malnutrition is a problem among older persons in SSA coupled with many risk factors which should be given critical attention. We recommend nutrition education for older persons as well as the development of nutrition interventions for this vulnerable group.

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Section: Discussionsupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

et al. 2022

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“…Malnutrition is as an important factor for predicting morbidity and mortality among older persons [4]. Poor nutritional status in older people increases the risk of infections, disease period, poor wound healing, hospitalization rate, postoperative complications [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

Başıbüyük

Ayremlou

Saeidlou

et al. 2021

J Health Popul Nutr

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Objective Due to an increase in aging worldwide, assessment of the nutritional status of older people becomes an important matter. Malnutrition in older people increases the risk of infections, disease period and hospitalization rates. This study aimed to compare the different anthropometric indices for detecting malnutrition among older people and comparing these indices among males and females to explain the possible differences. Methods In this cross-sectional study, 2721 aged 65 years and older in Turkey were enrolled. Anthropometric measurements weight, height, hip circumference (HC), and waist circumference (WC), abdominal circumference (AC), mid-upper arm circumference (MUAC), triceps skinfold thickness (TST), calf circumference (CC)) were measured. Body mass index (BMI), abdominal volume index (AVI), body roundness index (BRI) and body adiposity index (BAI), and waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) indices were calculated using standardized formulas. The receiver operator characteristic curves (ROCs) were conducted in detecting the best anthropometric parameters. Adjusted odds ratios (OR) (stratified by sex) calculated for each anthropometric index. Results Participants with both BMI < 18.5 (1.1%) and BMI > 25 (80%) defined as the malnourished group and BMI of 18.5–24.99 (18.9%) defined as the normal group. In both sexes, the area under the curve (AUC) was > 0.7 for all anthropometric indices except WHR in females (AUC 0.66). BRI, WHR, WHtR, and AVI indices strongly predict the risk of malnutrition among both sexes. In males, the ORs were for BRI (6.83, 95% CI 5.39–8.66), WHR (6.43, 95% CI 5.9–6.9), AVI (2.02, 95% CI 1.86–2.12). In females, the ORs were for BRI (3.72, 95% CI 3.09–4.48), WtHR (2.63, 95% CI 1.3–3.5), and WHR (2.45, 95% CI 1.9–3.06). Discussion The presence of a large AUC in almost all anthropometric indices suggests that they can be used to assess the risk of malnutrition among older persons in both sexes.

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“…Additionally, a cross-sectional survey in South Africa reported that a signi cantly higher percentage of participants from the lower socioeconomic area were found to be at risk of undernutrition than those from the higher socio-economic area (74.2% vs. 37.1%) [95% CI 19.8%; 51.4%]. Participants from the higher socio-economic area consumed signi cantly more uid and protein-rich foods than their counterparts (40).…”

Section: Discussionmentioning

confidence: 99%

Undernutrition and associated factors of among older adults in Ethiopia: Systematic review and meta-analysis

Yisak¹

2022

Preprint

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Introduction: In older adults, undernutrition is a common and dangerous condition. Undernutrition contributes significantly to morbidity and mortality in older adults today, without a doubt. Undernutrition and accidental weight loss contribute to health decline, decreased physical and cognitive functional status, higher healthcare consumption, premature institutionalization, and increased mortality. Undernutrition in older adults may be reduced if the overall prevalence and determinant factors were addressed. So, the goal of this study was to determine the pooled prevalence and factors associated with undernutrition among the older adults in Ethiopia.Method: The protocol in this study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database and can be accessed with the protocol number CRD42021254805.A selection of publications, data extraction, and reported results for the review was designed according to the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. The quality of individual studies included in this meta-analysis was assessed using the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist. A total of 8 independent studies were eligible and enrolled for final analysis. The heterogeneity among studies used for this meta-analysis was assessed using the I2 test. Thus, a fixed-effect model at 95% CI was used for estimating the overall effect. The meta-analysis was conducted using Stata software (version 14, STATA Corp College Station, TX), where p < 0.05 was considered statistically significant.Results: In the estimation of the pooled prevalence of undernutrition, a total of 4,628 older adults from eight studies were included. the pooled prevalence of undernutrition among older adults in Ethiopia was 20.53% (95% CI: 17.39%, 23.67%). The study revealed that males had higher odds of being undernutrition as compared to females with AOR 5.88 (95% CI: 5.00, 6.66). Older adults in the age range of 65-74 (young-old) were less likely to be undernourished as compared to those whose age was above 85 (old-old) with AOR 022(95%CI:0.22, 0.25). Older adults who were depressed had higher odds of undernutrition as compared to their counterparts with AOR 1.27 (95%CI:1.19, 1.37). On the other hand, older adults from households with poor wealth index were two (AOR=1.90; 95% CI: 1.08, 3.32) times more likely to be undernourished as compared to those who were from rich households.Conclusion: The burden of undernutrition in Ethiopia is still significant, according to this report. As a result, different intervention measures to minimize the prevalence of undernutrition among Ethiopia's older adults are urgently needed

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Malnutrition in the elderly residing in long-term care facilities: a cross sectional survey using the Mini Nutritional Assessment (MNA®) screening tool

Cited by 15 publications

References 31 publications

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

Undernutrition and associated factors of among older adults in Ethiopia: Systematic review and meta-analysis

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Malnutrition in the elderly residing in long-term care facilities: a cross sectional survey using the Mini Nutritional Assessment (MNA®) screening tool

Cited by 15 publications

References 31 publications

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

﻿Undernutrition and associated factors of among older adults in Ethiopia: Systematic review and meta-analysis

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Undernutrition and associated factors of among older adults in Ethiopia: Systematic review and meta-analysis