Determination of nutritional status and is effective factors among the elderly (original) (raw)
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Nutritional Status and the Affecting Factors in the Elderly In Gonbad Kavus, Iran
Journal of Research Development in Nursing and Midwifery , 2021
Background: The elderly population is projected to increase in Iran and the world. A large number of chronic diseases observed in the elderly could be prevented or treated by improving their lifestyle, including nutrition. The present study aimed to determine nutritional status and the affecting factors in the elderly in Gonbad Kavus, Iran. Methods: This descriptive-analytical study was performed on 139 elderlies aged more than 60 years who resided in Gonbad (northeast of Iran) in 2013. The subjects were selected via two-stage cluster sampling, and each health center was considered as a cluster. Data were collected using a demographic questionnaire and mini nutritional assessment (MNA) questionnaire. Moreover, anthropometric indices (e.g., weight and height) were measured using a fabric meter, stadiometer, and Seca scale. Data was analyzed in SPSS version 11.5 using Chi-square and ordinal logistic regression model. Results: In total, 36% of the elderlies had a normal nutritional status, whereas 59% and 5% were at the risk of malnutrition and malnourished, respectively. Among the subgroups, the female elderlies (78.6%) and single participants (87.1%) were at the risk of malnutrition or malnourished. Gender was the only independent variable affecting malnutrition. In addition, malnutritional status and marital status were the only variables affecting the body mass index even in the presence of other variables. Conclusion: Based on the nutritional assessment of the elderly, special attention must be paid to elderly women with lower education levels and financial dependence. It is also recommended that periodic assessments be carried out in the elderly population using the MNA questionnaire.
BMC Geriatrics, 2020
Background Although malnutrition risk is well documented in elderly care institutions, few studies have been conducted to address concerns regarding community-dwelling elderly people. This study has been aimed to describe the nutritional status and its related socioeconomic and geriatric factors in community-dwelling elders with malnutrition. Method For this study, a randomized sampling among people aged 60 has been done (n = 326). Information on nutrition status (full MNA) and health information, like cognitive status (MMSE), daily functional status (ADL and IADL scales) and frailty was obtained. Multiple logistic regression analyses have been carried out, in order to identify the association of demographical and clinical factors with malnutrition. Results 28.1% of the participants suffered from poor nutrition. In the binary analysis, low MNA scores were associated with increasing age, female gender, lower education level, financial dependence, solitary life, poor self-rated health...
BMC Geriatrics, 2021
Background: Few data are available on the nutritional status of Iranian geriatric population. The present study aimed to determine the nutritional status of older adults' population in Birjand, East of Iran. Methods: The community-based cohort study was performed on older adults population (60 years and older) living in urban and rural areas of Birjand. The mini nutritional assessment (MNA) questionnaire was used to assess nutritional status. Anthropometric and biochemical evaluation were also performed for all of the participants. Results: A total of 1417 geriatric person were enrolled in this study, which, most of them were female (51.9 %). According to MNA tool, most of the participants (73.3 %) had normal nutrition (MNA score ≥ 24). Malnourished (MNA score < 17) and at high risk of malnutrition (MNA score: 17-23.5) were constituted 0.9 % and 25.8 % of the participants, respectively. Marital status, occupation, period of education and family member were associated with nutritional status. Multiple logistic regression showed that with increase of body mass index (BMI) (OR = 0.96), education years (OR = 0.95), hemoglobin (OR = 0.86) and lymphocyte (OR = 0.98), the odds of malnutrition decreased, but with increase of age the odds (1.03) of malnutrition is also elevated. Conclusions: MNA could successfully forecast the risk of malnutrition and malnourished people. Sociodemographic factors are associated with the nutritional status.
Assessment of the nutritional status of elderly people living at nursing homes in northwest Iran
IJAR, 2011
Background: Health promotion encourages people to control and improve their own health. Goals of increasing the healthy life expantancy, improving the quality of life for all, reducing mortality and morbidity rates, and increasing life expectancy are emphasized in all regions of the world. Average life expectancy throughout the world increases year by year, leading to an increase in the overall proportion of elderly people. There are many tools for identifying the nutritional risks, but the most extensively evaluated tool is the Mini Nutritional Assessment (MNA) test. Aims: The primary aim was to determine the prevalence of malnutrition and the risk factors among elderly people living at nursing home in Urmia, Iran. A further aim was to assess the energy and nutrient intake of elderly nursing home residents. A final objective was to determine physical activity patterns of elderly people living at nursing home. Methods: This study was carried out on elderly people, living at all which are 6 nursing homes in Urmia, Iran. Subjects who were over 65 years were selected to the study. All together 106 persons, 30 males 76 females, were participated. In this study, data of 106 elderly people were collected with a structured questionnaire that was divided into four parts: 1) Mini Nutritional Assessment (MNA) questionnaire, 2) 24-hours food recall and food frequency questionnaire (FFQ), 3) Physical activity questionnaire. Results and Conclusion:: Among the elderly people living at nursing home, 12.26% were well nourished, 49.06% malnourished and 38.68% at risk of malnutrition. Malnutrition affected significantly more frequently the subjects eating fruits, vegetables, meat and bread groups 2-3 times a week (p<0.05).There weren't significant differences between MNA scores and milk group consumption by elderly people. According to results, 61.8% female and 60% male are in sedentary category. The risk of malnutrition and risk of malnutrition are observed significantly more frequently in the group of older people who are in sedentary category. The mean BMI was 19.14(±4,7)in women and 17.80(±2,9) in men. Differences in realationship MNA score and BMI between male and female group were statistically significant.Also the findings revealed that the intake of all nutrients except for iron and carbohydrate have been less than DRI (Dietary Recommended Intake) Standards.
Objectives: Elderly nursing homes residents are at an increased risk of malnutrition due to a variety of factors. We aimed at investigating the prevalence of malnutrition and its correlation with elderly subjects using Mini Nutritional Assessment (MNA) questionnaire. Methods: This cross-sectional study was conducted on elderly individuals (N=56; female=28) dwelling in the Sedigh Nursing Home in Khorramabad, Iran, in 2015. Nutritional status was assessed using MNA, which consisted of anthropometric measurements, global assessment, dietary questionnaire and subjective assessment. Results: The participants' mean age was 74.86 (SD=±11.82) years. The mean MNA-score of the subjects was 19.46 (SD=±3.23). The prevalence of malnutrition and at risk of malnutrition were 20% and 70%, respectively. No significant difference (P>0.05) was observed between male and female, age subgroups, marital status, education levels and different cutoff points of the Body Mass Index (BMI), Mid-Arm Circumferences (MACs) and Calf Circumferences (CCs) regarding the nutritional status of subjects. Malnutrition and risk of malnutrition were observed significantly and more frequently in elderly who had weight loss greater than 3 kg, took more than three prescription drugs per day and had low/moderate protein intake (P<0.05). The MNA-score was independently associated with age, weight, BMI, MACs, CCs and food intake during last 3 months (P<0.05). Discussion: According to high prevalence of malnutrition and risk of malnutrition among the subjects, proper nutritional interventions are required. Longitudinal studies on elderly and primary prevention by lifestyle interventions according to the culture and habits of the region are recommended.
The Prevalence of Malnutrition in Iranian Elderly: A Review Article
Iranian journal of public health, 2017
The elderly population following the improvement in health status and life expectancy in developing countries is increasing. Malnutrition causes decreased quality of life and increased mortality in elderly. This study aimed to review systematically and meta-analysis of studies assessing the prevalence of malnutrition among Iranian elderly people over 60 yr of age using Mini Nutritional Assessment (MNA). This systematic review and meta-analysis was conducted in 2016 to estimate the overall malnutrition prevalence. Data were collected using the following keywords: prevalence, elderly, aging, malnutrition, nutrition, nutritional assessment, nutritional status, health status, mini nutritional assessment, MNA and Iran in PubMed, Scopus, Google Scholar, Iranmedex, Magiran, and SID. Computer software CMA: Two were applied to estimate the overall prevalence of malnutrition. Seventeen of 811 articles were included in our analyses. The overall estimated prevalence of malnutrition among elderl...
Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly
Health Promotion Perspectives, 2015
This study was aimed to assess agreement and diagnostic accuracy of the Iranian version of Mini Nutritional Assessment short-form (MNA-SF) against the original MNA, as a gold standard in community-dwelling elderly. Methods: The full MNA and 9-item MNA-SF comprising questions regarding clinical status, dietary assessment and self-perception of health status and nutrition together with mid-arm and calf circumference measurements without including the body mass index (BMI) were completed for 205 volunteers aged 65 or older recruited from all over Markazi Province (Iran). Correlation, diagnostic accuracy and agreement between the MNA-SF and full MNA were calculated. Results: The MNA and the MNA-SF classified 45.4% and 64.4% of the subjects as malnourished or at risk of malnutrition, respectively. Substantial agreement between the MNA-SF and full MNA was observed (Kappa=0.633). The MNA-SF correlated strongly with the full MNA (r=0.868, P<0.001). The MNA-SF showed high sensitivity (96.77%) and negative predictive values (95.89%), relatively high specificity (62.5%) and positive predictive values (68.18%) and fair accuracy (Area under curve =0.796). Conclusion: Iranian MNA-SF seems to be an applicable screening tool for quick detection of malnutrition or at risk of malnutrition in community-dwelling elderly especially when BMI is unavailable.
Nutritional Status of the Elderly Living in Nursing Homes in Sabzevar, Iran
Background and objectives: Despite the importance of physiological changes that occur in the aging process, monitoring the nutritional status of the elderly has been neglected in developing countries. Nutrition has a significant impact on the quality of life and risk of morbidity and mortality among the elderly. In this study, we evaluated nutritional status of older people living in nursing homes in Sabzevar, Iran. Methods: This descriptive cross-sectional study was conducted on 120 randomly selected elderly men (n=60) and women (n=60) living in nursing homes in Sabzevar, Iran. Data were collected using a demographic survey and the standard Mini Nutritional Assessment (MNA) questionnaire. The collected data were analyzed using SPSS16 software at significance level of 0.05. Results: Mean age of men and women was 65.4 ± 7.4 and 73 ± 7.3 years, respectively. There was a positive correlation between age and malnutrition in the elderly (P=0.013). Moreover, malnutrition was associated with gender in a way that women were more likely to suffer from malnutrition. Conclusion: Our results indicate that the nutritional status of the studied population of the elderly is poor, which needs to be urgently addressed by healthcare policymakers.