Prevalence of undernutrition and its associated factors among older adults using Mini Nutritional Assessment tool in Womberma district, West Gojjam Zone, Amhara Region, North West Ethiopia, 2020

Abstract

Background Undernutrition is a frequent and serious problem in the world’s older adults. Even though life expectancy is increasing, they are more vulnerable and at risk for nutritional problems. However, not much is known about the nutritional status of this group of the population, and they are often neglected. Objective This study was aimed at assessing undernutrition and associated factors among older adults in Womberma District, West Gojjam Zone, Amhara Region, Ethiopia, 2020. Methods A community-based cross-sectional study design was used among randomly selected 594 older adults aged above 60 years with a multistage simple random sampling method and proportional sample size allocation was used to address study subjects at the village level. The collected data was entered into Epi-Data version 4.2 and analyzed by using SPSS version 25. All variables with a p-value<0.25 in the bivariable analysis were considered for multivariable logistic regression for further analysis and the level of statistical significance was declared at p-value<0. 05. Results The prevalence of undernutrition among older adults was found to be 14.6% (95%CI: 11.9–17.7). A number of independent variables have a significant association with undernutrition, including gender, females [(AOR (95%CI): 3.14 (1.50–6.54)], age (Oldest Old [AOR (95%CI): 4.91 (2.44–6.08)] and Middle Old, [AOR (95%CI): 2.96 (1.44–6.08)], meal frequency [AOR (95%CI): 2.01 (1.12 (1.04–3.63)], dietary diversity score [AOR (95%CI): 2.92 (1.54–5.53)], depression [AOR (95%CI): 5.22 (3–9.07)], individuals with a sickness in the last 4 weeks [AOR (95%CI): 2.12 (1.02–4.41)] and individuals with a known hemorrhoid [AOR (95%CI): 3.51 (1.12–10.97)]. Conclusion This study found that the prevalence of undernutrition in older adults is high and needs attention. Sex, age, meal frequency, dietary diversity, being sick in the last 4 weeks, having hemorrhoids, and depression were the associated risk factors. Therefore, the government, family members, and other stakeholders should give more attention to older individuals.

Nutritional Status of Elderly Patients with Type 2 Diabetes Mellitus: Case of a Regional Hospital

“…The prevalence of undernutrition in elderly patients with type 2 diabetes mellitus ranged from 12.3% to 15.1% according to the screening tools used (MNA-SF and GLIM respectively). This prevalence was similar to a study done by Tadesse et al in Ethiopia where the prevalence of undernutrition was 14.6% [13]. This can be explained by the fact that elderly patients with type 2 diabetes mellitus are exposed to complications such as autonomic neuropathy (malabsorption, diarrhea, gastroparesis) and diabetic kidney disease which may predispose them to undernutrition [14].…”

“…This can be explained by the fact that elderly patients with type 2 diabetes mellitus are exposed to complications such as autonomic neuropathy (malabsorption, diarrhea, gastroparesis) and diabetic kidney disease which may predispose them to undernutrition [14]. Likewise, the ndings of our study demonstrated a higher prevalence of undernutrition among very old participants (55.6%), a nding that is also supported by studies that have reported higher prevalence rates of undernutrition in patients aged 70 years and above [13].…”

Bovine Trypanosomiasis Prevalence, Farmer’s Perception, Apparent Vector Density and Associated Risk Factors in Dembecha District of Amhara Region, Ethiopia

“…2.4% f/t/d was the apparent density of total ies caught and apparent density of glossina, stomoxy and tabanus were 1.43f/t/d, 0.47f/t/d and 0.5 f/t/d respectively. Closer results for tsetse, stomoxy and tabanus were reported by [33], 1.45, 0.35 and 0.23 respectively from East Wollega zone, Ethiopia and 2.83 for tsetse ies by [34] from Bench Maji zone, southwest Ethiopia. However, these results were lower than ndings of [22] 14.97 f/t/d in Arbaminch, Ethiopia), [10] 16 f/t/d in tana beles valley and [35] 10.68f/t/d in upper Didessa valley.…”

Magnitude and Associated Factors of Undernutrition among elderly people in Shashemene District, West Arsi Zone, Oromia Region, South Ethiopia

“…Study participants who were not satis ed with their lives were 4.5 times more likely to be undernourished than their counterparts (AOR: 4.5, 95% C.I: 1.29, 15.69), and participants whose monthly income was from birr 1,000.00 to birr 1,499.00 were 98% less likely to be undernourished when compared to participants who got monthly incomes < 500 and 500-999 (AOR: 0.021, 95% C.I: 0.001-0.376). (Table 5) In addition, undernutrition is higher among males (29.7%) than females (21.7%), which is in contrast to the study done in Gonder town, Northwest Ethiopia (11) and Gojjam Zone, North West Ethiopia (14). Even though it is not statistically signi cant, undernutrition is higher among older adults of ≥ 75 years (40%) than among the younger adults (27.6%), which is in line with the study done in Gonder town (11), Gojjam Zone ( 14), and Debre Markos (7).…”