ASSESSMENT OF MALNUTRITION AND ITS DETERMINANTS AMONG THE ELDERLY POPULATION OF KEMARI, PAKISTAN
Main Article Content
Keywords
Elderly population, Nutritional status, Dietary habits, Rural health centers
Abstract
Objectives: To determine the prevalence and contributing factors of malnutrition among the elderly population of Kemari visiting the rural health centers (RHC).
Methods: A cross-sectional study was conducted at RHC Kemari from 2019 to 2020. A total of 472 elderly population (60 years of age and older) were recruited through consecutive non-probability sampling. The Mini Nutritional Assessment (MNA) tool and Body Mass Index (BMI) were used to evaluate nutritional status. Descriptive statistics, chi-square tests, and odds ratio computations using SPSS version 24 were all included in the statistical analysis. P-values less than 0.05 were regarded as statistically significant.
Results: The results revealed that 46% of the 472 participants (63% male) were undernourished, and 41% were at risk. Malnutrition was substantially correlated with economic dependency, which was seen in 53% of cases (p=0.01). Poor nutritional outcomes were associated with 10% of cases of diabetes and 19% of cases of hypertension (p=0.00 and p=0.01, respectively).
Conclusion: The results show Community-based nutritional screening, targeted health education, and integrated dietary and socioeconomic interventions are urgently recommended to improve elderly health outcomes."
References
2. World Health Organization. Health situation and trend assessment: Elderly population. World Health Organ. 2019 Aug.
3. Watch P. Country Fact File: Pakistan. Retrieved August. 2016; 5:2019.
4. Harris D, Haboubi N. Malnutrition screening in the elderly population. Journal of the royal society of medicine. 2005 Sep;98(9):411-4. http://doi:10.1177/014107680509800906. PMID: 16140852; PMCID: PMC1199636.
5. World Health Organization. Global Health and Aging (NIH publication no. 11-7737). World Health Organization: Geneva. 2011.
6. Ahmad AM, Ronis KA. Nutritional status of Pakistan's elderly population: A comparative review with low to middle-income countries. Pak J Publ Health. 2015 Jun 1.
7. Ahmad AM, Ronis KA. A public health nutritional assessment of the elderly in Islamabad: a mixed-method study.
8. Kaleem SA, Parveen SA, Mashori AB, Bilal A, Aleem K, Tazeen A, Ayub A. Malnutrition and its risk factors, particularly family system in elderly population of Karachi. J Med Heal Sci. 2014;8(1):72-5.
9. Ghani A, Hussain S, Muhammad Z. Assessment of nutritional status of geriatric population in Sargodha city. International Journal of Medicine and Public Health. 2013;1(1).
10. Hailemariam H, Singh P, Fekadu T. Evaluation of mini nutrition assessment (MNA) tool among community-dwelling elderly in urban community of Hawassa city, Southern Ethiopia. BMC Nutrition. 2016 Dec; 2:1-6.
11. Flegal KM, Graubard BI, Williamson DF, Gail MH. Excess Deaths Associated with Underweight, Overweight, and Obesity: An Evaluation of Potential Bias. Vital & Health Statistics. Series 3, Analytical and Epidemiological Studies. 2018 Jun 1(42):1-21. PMID: 30216148.
12. Gu D, Andreev K, Dupre ME. Major trends in population growth around the world. China CDC weekly. 2021 Jul 9;3(28):604. http://doi:10.46234/ccdcw2021.160. PMID: 34594946; PMCID: PMC8393076.
13. Alam I, Larbi A, Pawelec G, Paracha PI. Relationship between anthropometric variables and nutrient intake in apparently healthy male elderly individuals: a study from Pakistan. Nutrition journal. 2011 Dec;10:1-9. http://doi:10.1186/1475-2891-10-111. PMID: 21992515; PMCID: PMC3207878.
14. Legesse M, Abebe Z, Woldie H. Chronic energy deficiency and associated factors among the older population in Ethiopia: A community-based study. PLOS ONE. 2019 Apr 10;14(4):e0214861. http://doi:10.1371/journal.pone.0214861. PMID: 30969978; PMCID: PMC6457535.
15. Donini LM, Scardella P, Piombo L, Neri B, Asprino R, Proietti AR, Carcaterra S, Cava E, Cataldi S, Cucinotta D, Di Bella G. Malnutrition in the elderly: social and economic determinants. The journal of nutrition, health & aging. 2013 Jan; 17:9-15. http://doi:10.1007/s12603-012-0374-8. PMID: 23299371.
16. Woo J, Yu R, Cheung K, Lai ET. How much money is enough? Poverty and health in older people. The journal of nutrition, health & aging. 2020 Dec; 24:1111-5. http://doi:10.1007/s12603-020-1444-y. PMID: 33244569.
17. De Almeida Mello J, Schoebrechts E, Vandenbulcke PA, Declercq A, De Lepeleire J, Matthys C, Declerck D, Duyck J. Insights into the associated risk factors of malnutrition among nursing home residents: A longitudinal study. Clinical Nutrition. 2024 Nov 1;43(11):166-73. http://doi:10.1016/j.clnu.2024.09.024. Epub 2024 Sep 14. PMID: 39393202.
18. Abdu AO, Dagne I, Ali A. Predictors of malnutrition among elderly people above 65 Years in East Ethiopia: Neglected public health concern.
19. O'Keeffe M, Kelly M, O'Herlihy E, O'Toole PW, Kearney PM, Timmons S, O'Shea E, Stanton C, Hickson M, Rolland Y, Rossé CS. Potentially modifiable determinants of malnutrition in older adults: A systematic review. Clinical Nutrition. 2019 Dec 1;38(6):2477-98. http://doi:10.1016/j.clnu.2018.12.007. Epub 2018 Dec 11. PMID: 30685297.
20. Ranjha MM, Shafique B, Batool M, Kowalczewski PŁ, Shehzad Q, Usman M, Manzoor MF, Zahra SM, Yaqub S, Aadil RM. Nutritional and health potential of probiotics: a review. Applied Sciences. 2021 Nov 25;11(23):11204.