Assessment of Risk of Malnutrition in Elderly Hypertensive Patients with or without Associated Cardiovascular Risk Factors Living at Home (West Algeria) Sidi-Bel-Abbès

Abstract

Undernutrition is frequently underestimated in the elderly, because clinical manifestations are non-specific. For the francophone Club geriatrics and nutrition, poly medication is one of the warning signs to be the possibility of malnutrition in an elderly person. To do this, it is particularly interesting to verify what the profiles of hypertensive patients who are at risk of malnutrition are. This component remains very little explored and studies are lacking. The authors conducted a descriptive cross-sectional study whose objective is to evaluate the prevalence of undernutrition in hypertensive patients with or without associated cardiovascular risk factors, in a population of consultants of liberal medical offices, determine the profiles of hypertensive patients who are at risk of undernutrition and describe their eating habits and their anthropometric parameters as well as the link between the number of supported antihypertensives and risk of undernutrition. 1144 patients with an average age of 65 years old have been collected during the period of recruitment. The data collection was done using a questionnaire: the MNA. Sensitive and specific, it is validated method which has international sacle. The percentage of the risk of malnutrition was estimated at 36.7%. Thus the number of associated cardiovascular risk factors becomes larger, and the risk of malnutrition is increased. The risk of malnutrition was three times higher in patients who take more than three medications per day compared with those who consumed less (75.8% vs. 24.2%). As a monotherapy, an increased risk of malnutrition is associated with diuretics. For these older hypertensives, the risk of malnutrition was linked to the type of used dual. The percentage of hypertension risk of malnutrition treated with free dual was significantly higher H. N. Merad-Boudia, K. Bereksi-Reguig 145 compared to hypertensive treated dual handset. Some associations have proved to be more favorable than others in terms of nutritional risk. Finally, a third of hypertension patients who were treated with quadruple therapy were at risk of malnutrition. This work was also designed to present an argument to a doctor to detect the risk of undernutrition in elderly hypertensives. The use of the MNA is a simple, effective and quick way for pressure balance rhymes with nutritional balance.

Malnutrition is associated with increased disease risk in older people in the Makkah region of Saudi Arabia: A cross-sectional study

“…Our study reported that older adults with peripheral vascular disease, asthma, and hypertension had a significant risk of malnutrition. We also found that 55% of older Saudis were malnourished and diagnosed with hypertension, whereas studies in Algeria ( 60 ) and Bangladesh ( 19 ) reported that 39.8 and 88.9% of older people, respectively, were malnourished and diagnosed with hypertension. On the other hand, our study showed that 19.8% of the participants who were at risk of malnutrition had been diagnosed with asthma or chronic lung disease, significantly less than that reported in Bangladesh (79%) ( 19 ).…”

“…However, appetite and nutrient requirements remain the same or increase, which can further lead to weight gain during this age period ( 58 ). The frequency of obesity, which is associated with several chronic diseases, such as diabetes, hypertension, and cardiovascular disease, increases in older people aged between 60 and 70 years, particularly in women ( 59 , 60 ). A high percentage of our study participants were obese (38.7%) and overweight (36.2%), and obesity was more prevalent in women (45.9%) than in men (31.9%), while more men were overweight (41.3%) than were women (30.8%).…”

Obesity amongst Medical Students - A Cross-Sectional Comparative Study from Lahore, Pakistan, 2022

“…Operational Definitions: Height: distance from the ground to the highest point of standing person. Weight: measured with a minimum of clothing using an electronic scale (34). BMI Body mass index (BMI) which is weight in kg/ height in m2 index used to calculate nutritional status of an individual 35 .…”