Background: Malnutrition is present in both Chronic Obstructive Pulmonary Disease (COPD) and elderly patients. The occurrence of malnutrition in the elderly together with COPD could lead to mortality. Therefore, this study was conducted to determine factors that are associated with malnutrition risk among the elderly with COPD. Materials and Methods: A cross-sectional study involving 108 elderly patients diagnosed with COPD was conducted at Respiratory Clinic of Institut Perubatan Respiratori and Hospital Serdang. Data collection comprised Body Mass Index (BMI), Fat-Free Mass Index (FFMI), body fat, handgrip strength and dietary intake. For Health-Related Quality of Life (HRQOL), COPD Assessment Test (CAT) was used. Malnutrition risk was determined using Mini Nutritional Assessment-Short Form (MNA-SF). A higher MNA-SF score would indicate a lower malnutrition risk. Result: A small number of of the patients (12%) were classified as malnourished while the majority of them (53%) were identified as at risk of malnutrition. Lower BMI, FFMI, body fat and handgrip strength were found to be related with malnutrition. A low HRQOL was associated with malnutrition. However, no association was found for dietary intake. Conclusion: Malnutrition was an area of concern in COPD patients especially when they are elderly. An in-depth nutrition assessment in COPD patients at primary settings is needed to improve their overall health status

Background:In Malaysia, the number of patients on dialysis increased from 59 to almost 15,000 patients and the largest new population is older patients' age 55 years. Most of the hemodialysis (HD) patient's (69%) intake fall behind the recommendations which was lower than 35 kcal/kg energy and 50% lower than 1.2 gram protein/kg. This study aimed to determine the association between socio-demographic factors, medical history, anthropometry data, dietary intake and QOL with malnutrition among HD elderly. Materials and Methods:A total of 112 HD elderly (aged 60 years and above) were recruited from selected HD centers. Interview-based questionnaires were used to measure patients' socio-demographic, medical history, anthropometry data, dietary intake and QOL. The dietary intake was measured using 24-hour diet recall (non-HD day) and one day food record (HD day). KDQOL-36 consists of 3 parts with 36 questions to assess respondents QOL. The nutritional status was assessed by using SGA-DMS which divided into medical history and physical examination.Result: Majority (45.5%) of the respondent had moderate malnourished, 30.4% were well nourished and 24.1% had severe malnutrition. The HD duration (p< 0.001), phosphate level (p= 0.010) and the BMI (p= 0.010) were significantly associated with SGA-DMS. The energy and protein intake (p< 0.005) and QOL (p< 0.001) had negative correlation with malnutrition. Conclusion:Malnutrition among HD elderly had correlation with BMI, dietary intake (energy and protein) and QOL. An intervention towards diet and lifestyle is recommended to improve the nutritional status and the QOL of the HD elderly.

Background: Older adults are at risk of nutrient deficiencies. They face many barriers to have an adequate intake that leads to malnutrition Among Malaysian institutionalized elderly aged 60 years and above, the prevalence of malnutrition was 17.4% and it was associated with eating half of the food served in the institution. Materials and Methods: This cross-sectional study aimed to determine the association between adequacy of nutrition provision and plate wastage with risk of malnutrition among elderly aged ≥ 60 years in Rumah Seri Kenangan, Cheras (RSK) (N=46). The study used Mini Nutritional Assessment (MNA) to assess malnutrition risk, weighing method for adequacy and plate waste study. Mean of energy and protein (served, consumed and wasted) were compared with the Malaysian Recommended Nutrient Intake (RNI). Results: Majority of the subjects were male (65%; n=30) and 35% were females (n=16). Mean age of the subjects was 71.35±7.21 years. Majority of the subjects were classified as well-nourished (50%) and 13% as malnourished. Total energy served in one-lunch time was inadequate (82.67±12.93% of RNI) but total protein served was adequate (108.59±19.63 % of RNI). Total energy and protein consumption were inadequate with the mean percentage of RNI for energy and protein was 47.09±26.39% and 73.50±32.07% respectively. Surprisingly, energy and protein served, consumed and wasted were not associated with risk of malnutrition. Conclusion: Energy provision and intake and protein intake did not meet the RNI for Malaysians among older adults in RSK Cheras, Selangor. However, the adequacy of nutrition provision and plate wastage during the one-lunch time were not associated with the risk of malnutrition..