Association between Nutritional Status, Food Insecurity and Frailty among Elderly with Low Income

Zainuddin, NurZetty Sofia; Husin, Muhammmad Hazrin; Ahmad, Nur Sufiza; Hua, Wong Yun; Chien, Han Wan; Shahar, Suzana; Ismail, Munirah; Singh, Devinder Kaur Ajit

doi:10.17576/jskm-2017-1501-07

Cited by 13 publications

(15 citation statements)

References 23 publications

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“…This study finds a direct relationship where the frailty score increases when depressive symptoms increase. However, after being adjusted for the model, depressive symptoms are no longer significant in predicting frailty status, which is in line with the literature that has reported similar results [33,34]. Nonetheless, a growing number of studies are showing that there is a close relationship between both, with observed higher probabilities of depression in frail and pre-frail [35,36].…”

Section: Discussionsupporting

confidence: 86%

Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Norazman

Adznam

Jamaluddin

2020

IJERPH

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Frailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dwelling elderly in Malaysia. A cross-sectional study was conducted among 301 community-dwelling elders. Frailty status was assessed using the Fried phenotype criteria. Depressive symptoms were assessed using the Geriatric Depression Scale (M-GDS-14), whereas the functional abilities and cognitive status were measured using the Lawton Instrumental Activities of Daily Living (Lawton IADL) scale and the Mini-Mental State Examination (MMSE-M), respectively. Malnutrition risk was observed through the abridged version (Short Form) of the Mini Nutritional Assessment (MNA-SF). Multinomial logistic regression analysis was employed to determine the significant predictors of the frailty syndrome. Three hundred and one elderly persons engaged in this study, with a mean age of 67.08 ± 5.536 ranging between 60 to 84 years old. The prevalence values of frailty and pre-frail were 15.9% and 72.8%, respectively, in which women appeared to be at a higher risk of frailty. The multivariate model revealed that frailty could be predicted from an increase in age, lower household income, being at risk of malnutrition, wasting (low skeletal muscle mass), and high serum C-reactive protein (CRP) level. A holistic approach is suggested for managing the frailty syndrome as it involves a decline in the multiple components of the geriatric syndrome.

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Section: Discussionsupporting

confidence: 86%

Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Norazman

Adznam

Jamaluddin

2020

IJERPH

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“…8,9 The lowest prevalence of food insecurity (6.9%) was reported among older adults living in Klang Valley, Malaysia. 10 Based on these pocket epidemiological studies, it is apparent that older persons in Malaysia have been experiencing food insecurity, and its prevalence is higher in rural areas than that of in urban areas.…”

Section: Introductionmentioning

confidence: 99%

Factors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2018

Salleh

Man

Ahmad

et al. 2020

Geriatrics Gerontology Int

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Aim Older persons are vulnerable to food insecurity. Therefore, this study aimed to determine the prevalence of food insecurity and associated factors among older persons in Malaysia. Methods This is a cross‐sectional study with two‐stage stratified random sampling. In total, 3977 older persons participated in this study. Face‐to‐face interviews were conducted using a mobile device to obtain information about socio‐demographic background, food insecurity, non‐communicable diseases, social support and living arrangements. Descriptive and multiple complex sample logistic regression analyses were performed for data analysis. Results The overall prevalence of food insecurity among older persons was 10.4%. Older persons from rural areas with no or only primary and secondary education, income less than RM 2000 (USD 477.57), at risk of malnutrition and not receiving very high social support were more likely to be food‐insecure. Conclusion Approximately, one‐tenth of Malaysian older adults were classified as food‐insecure; particularly those living in rural areas from lower socio‐economic status, not receiving very high social support and malnourished were more likely to be at risk. A specific nutrition program, such as meals on wheels and food vouchers, should be targeted toward older persons who are at risk to improve their malnutrition status. Geriatr Gerontol Int 2020; 20: 73–78.

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“…Fernandes et al (2018) state in this regard" In older populations, food insecurity results from more than financial resource constraints. Functional impairment, not owning a home, isolation, gender, financial vulnerability, and poor health have statistically significant associations with food insecurity" Studies since 1996 highlighted the negative consequences on health of food insecurity amongst the elderly (Zainuddin et al, 2017: Wolfe et al, 1996. In a recent study it was found that food insecurity affects the health and well-being of individuals (Bhargava et al, 2012).…”

Section: Literature Reviewmentioning

confidence: 99%

Analysis of Food Security Status Among the Elderly in South Africa

Grobler¹,

Dunga²

2019

Proceedings of the 50th International Academic Conference, Paris

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Food security remain an important measure of a households wellbeing or welfare. Poverty rates at household level has been deduced from food security status in many instances. Statistics South Africa uses food poverty line as one measure of poverty. The amount of food a household needs for survival is considered based on different measures, including the tradition calories approach. Food insecurity measure have evolved overtime and have become stronger and more encompassing taking into account all aspects of food security including, availability, access and dietary diversity. Poverty studies have identified women children and the old age people as the most vulnerable groups of people and at risk of poverty and food insecurity specifically. This study focuses of the Old aged people to analyse their food security status taking into account their sources of income. Special attention is given to those on old age grant and those excluded from the grant to assess the impact of the grant on food security status. Also a gender component is included since different age categories apply to the different gender categories. The paper uses data from the general Household survey collected by STATSSA in 2017. The paper also employs both univariate and multivariate analysis and a regression model to determine the statistical significance of age, gender and marital status on food security status.

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Association between Nutritional Status, Food Insecurity and Frailty among Elderly with Low Income

Cited by 13 publications

References 23 publications

Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Factors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2018

Analysis of Food Security Status Among the Elderly in South Africa

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