study of nutritional status of elderly in different

8/2/2019 Study of Nutritional Status of Elderly in Different

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STUDY OF NUTRITIONAL STATUS OF ELDERLY IN

DIFFERENT LIVING ENVIRONMENT THROUGH MINI

NUTRITIONAL ASSESSMENT

BY

R.Gajalakshmi M.Sc, M.Phil,Vellalar College for Women, Erode-9


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INTRODUCTION

Nutritional assessment is crucial in elderly

population because progressive undernutrition

occurs, often without being diagnosed. Itsprevention requires the identification and

implementation of optimal nutritional

intervention.


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OBJECTIVE

To study the nutritional status of the elderlyin three living environment i.e., living with

family, independently and in old age homes.Correlating dietary pattern and physical

activity with there health status.


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METHODS

A total number of 225 elderly men and

women who were equally divided depending on

their THREE different living environment(with Family, Independently & Old age homes)

in age group 65-89 years were selected from

Chennai city


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RESULTS

According to MNA40.4% were malnourished (MNA23.5points).

Weight loss, psychological stress, nutritional status,decline in food intake, self-perceived health status andMAC showed the strongest significant correlations to

total MNA score. Regular medical check ups, cleanliness, sound sleep,

proper diet showed the strongest significant correlation(p=0.001) to their nutritional status


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GENERAL INFORMATION OF

SELECTED ELDERLY

General Information Percentage (%)

(N=225)

Age Group

65-6970-79

80-89

28.547.5

24.0

Educational Status

IlliterateHigh school

Higher secondary

Graduate

38.739.5

18.2

03.6


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LIFE STYLE PATTERN OF

SELECTED ELDERLY

General Information Percentage (%)

(N=225)

Regular Medical Checkup

YesNo

Only on conduction

13.833.3

52.9

Physical Exercise

Daily

Alternate Days

Weekly

Never

24.4

00.5

36.9

38.2


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DIETARY PATTERN OF THE

SELECTED ELDERLYDietary pattern Percentage (%) (N=225)

Type of diet VegetarianNon-vegetarian

25.8

74.2

Food allergy YesNo

08.0

92.0

Food restriction YesNo

03.1

96.9

Frequency of meals taken per dayFour timesMore than 4 times

60.439.6

Regular meal timings YesNo

56.4

43.6


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RELATIONSHIP B/W PHYSICAL

EXERCISES & TYPE OF LIVING AMONG

THE SELECTED ELDERLY

PhysicalexerciseType of living Chi - squareWith family Independent Orphanage

Daily 17.8 6.7 -

0.000**

Alternate

days0.4 - -

Weekly 10.7 14.6 11.6

Never 5.8 10.6 21.8

** Significant at 1% level


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RELATIONSHIP B/W MNA & REGULAR

MEDICAL CHECK-UPS AMONG THE

SELECTED ELDERLYMiniNutritionalAssessment

Regular medical check-upsChi - squareYes No Only inconditionsRisk/Indication ofmalnutrition 02.5 60.0 37.5

0.000**

Malnourished 04.4 40.7 54.9Well nourished 27.7 14.9 57.4


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PREVALENCE OF HEALTHY DIETARY &

LIFESTYLE HABITS OF ELDERLY IN

DIFFERENT LIVING ENVIRONMENT

HabitsTYPE OF LIVING

WithFamily (%) Independent(%) Old AgeHome(%)Physical Exercise 28.9 21.3 11.6Small Frequent

Meals20.0 21.0 -

Regular Meal Timing 30.7 04.4 31.3Sound Sleep 27.6 21.8 13.8


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PREVALENCE OF HEALTHY DIETARY &

LIFESTYLE HABITS OF ELDERLY IN

VARYING NUTRITIONAL STATUSHABITS RISK / INDICATIONOF MALNUTRITION(%)

MALNOURISHED(%) WELL NOURISHED(%)Food Allergy 02.5 13.2 05.3

Small Frequent meals 25.0 34.1 51.1Regular Meal Timing 47.5 47.3 69.1Consumption of Milk,Fruits & Vegetables

Regularly30.0 29.6 57.4

Regular MedicalCheckups 02.5 04.4 27.7Cleanliness 15.0 02.2 98.0Sound sleep 40.0 62.6 73.4


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RELATIONSHIP B/W TYPE OF LIVING &

NUTRITIONAL STATUS

MiniNutritionalAssessment

TYPE OF LIVINGChi squareWithFamily(%)

Independent(%)

Old AgeHome (%)

Risk/Indicationof malnutrition 10.0 27.4 52.10.000**Malnourished 42.5 28.6 30.9

Well nourished 47.5 44.0 17.0


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MINI NUTRITIONAL ASSESSMENT & TYPE

OF LIVING OF THE SELECTED ELDERLY

10

27.4

52.1

42.5

28.6 30.9

47.544

17

010

20

30

40

50

60

With family Independent Old age home

TYPE OF LIVING

MNA

Risk/Indication of malnutrition Malnourished Well nourished


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CONCLUSIONS

Prevalence of malnutrition is high in people living in old agehomes.

Most of the selected elderly had poor appetite, physical activityand dietary pattern modification in these would preventmalnutrition among them.

There is a significant relation between dietary habit, physicalactivity, life style with nutritional status

MNA is a useful tool in identification of nutritional status ofelderly.

Corrective intervention helps to lower mortality, improves qualityof life and save health care costs.

MNA is easy to use and inexpensive. Modification with physicalactivity, dietary pattern, and lifestyle will pave way for healthylife.


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study of nutritional status of elderly in different

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