Cargando…

Malnutrition among community dwelling older adults in a rural block area of South India

BACKGROUND: Kerala state has highest proportion of older adults in India. There is paucity of information on burden of malnutrition (under-nutrition) among them in the state. This study aimed to measure prevalence and associated factors of malnutrition among older adults in a rural community of Kera...

Descripción completa

Detalles Bibliográficos
Autores principales: Govind, Ragasree, Rajeev, Jayalakshmi, Bhatt, Arun N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928154/
https://www.ncbi.nlm.nih.gov/pubmed/33681030
http://dx.doi.org/10.4103/jfmpc.jfmpc_1248_20
_version_ 1783659804090171392
author Govind, Ragasree
Rajeev, Jayalakshmi
Bhatt, Arun N.
author_facet Govind, Ragasree
Rajeev, Jayalakshmi
Bhatt, Arun N.
author_sort Govind, Ragasree
collection PubMed
description BACKGROUND: Kerala state has highest proportion of older adults in India. There is paucity of information on burden of malnutrition (under-nutrition) among them in the state. This study aimed to measure prevalence and associated factors of malnutrition among older adults in a rural community of Kerala. METHODS: A community based cross-sectional study was conducted in 2018, among randomly selected 245 older persons (age ≥ 60 years) across rural area of Nemom block panchayath in Thiruvananthapuram district of Kerala. Nutritional status was determined by Mini Nutritional Assessment tool. Other components of the interviewer-administered questionnaire were Barthel Index, Geriatric Depression Scale-15, socio-demography, morbidity and substance abuse details. Chi Square test and binary logistic regression were done appropriately. RESULTS: Prevalence of malnutrition was 14.3% (95% CI – 9.9% to 18.7%) and 44.1% (95% CI – 37.9% to 50.3%) were at risk of malnutrition. Older-old (70-79 years), oldest-old (≥80 years), unmarried or widowed, those with chewing and swallowing difficulties, those who screened positive for depression and those who had higher grade of dependency in any activities of daily living were more likely to be malnourished (p < 0.05). Older-old age (aOR – 3.358), depression (aOR – 4.859) and higher grade of dependency in activities of daily living (aOR – 2.940) were the attributes independently associated with malnutrition after adjusting for other factors. CONCLUSIONS: The older persons in the rural area of Kerala had high burden of malnutrition. Older-old, dependent and depressed individuals are more likely to be affected.
format Online
Article
Text
id pubmed-7928154
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-79281542021-03-05 Malnutrition among community dwelling older adults in a rural block area of South India Govind, Ragasree Rajeev, Jayalakshmi Bhatt, Arun N. J Family Med Prim Care Original Article BACKGROUND: Kerala state has highest proportion of older adults in India. There is paucity of information on burden of malnutrition (under-nutrition) among them in the state. This study aimed to measure prevalence and associated factors of malnutrition among older adults in a rural community of Kerala. METHODS: A community based cross-sectional study was conducted in 2018, among randomly selected 245 older persons (age ≥ 60 years) across rural area of Nemom block panchayath in Thiruvananthapuram district of Kerala. Nutritional status was determined by Mini Nutritional Assessment tool. Other components of the interviewer-administered questionnaire were Barthel Index, Geriatric Depression Scale-15, socio-demography, morbidity and substance abuse details. Chi Square test and binary logistic regression were done appropriately. RESULTS: Prevalence of malnutrition was 14.3% (95% CI – 9.9% to 18.7%) and 44.1% (95% CI – 37.9% to 50.3%) were at risk of malnutrition. Older-old (70-79 years), oldest-old (≥80 years), unmarried or widowed, those with chewing and swallowing difficulties, those who screened positive for depression and those who had higher grade of dependency in any activities of daily living were more likely to be malnourished (p < 0.05). Older-old age (aOR – 3.358), depression (aOR – 4.859) and higher grade of dependency in activities of daily living (aOR – 2.940) were the attributes independently associated with malnutrition after adjusting for other factors. CONCLUSIONS: The older persons in the rural area of Kerala had high burden of malnutrition. Older-old, dependent and depressed individuals are more likely to be affected. Wolters Kluwer - Medknow 2020-12-31 /pmc/articles/PMC7928154/ /pubmed/33681030 http://dx.doi.org/10.4103/jfmpc.jfmpc_1248_20 Text en Copyright: © 2020 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Govind, Ragasree
Rajeev, Jayalakshmi
Bhatt, Arun N.
Malnutrition among community dwelling older adults in a rural block area of South India
title Malnutrition among community dwelling older adults in a rural block area of South India
title_full Malnutrition among community dwelling older adults in a rural block area of South India
title_fullStr Malnutrition among community dwelling older adults in a rural block area of South India
title_full_unstemmed Malnutrition among community dwelling older adults in a rural block area of South India
title_short Malnutrition among community dwelling older adults in a rural block area of South India
title_sort malnutrition among community dwelling older adults in a rural block area of south india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928154/
https://www.ncbi.nlm.nih.gov/pubmed/33681030
http://dx.doi.org/10.4103/jfmpc.jfmpc_1248_20
work_keys_str_mv AT govindragasree malnutritionamongcommunitydwellingolderadultsinaruralblockareaofsouthindia
AT rajeevjayalakshmi malnutritionamongcommunitydwellingolderadultsinaruralblockareaofsouthindia
AT bhattarunn malnutritionamongcommunitydwellingolderadultsinaruralblockareaofsouthindia