Factors associated with nutrition risk among community-dwelling older adults in Thailand

Nawai, Ampicha; Phongphanngam, Sutthida; Khumrungsee, Montri; Leveille, Suzanne G.

doi:10.1016/j.gerinurse.2021.06.005

Cited by 13 publications

(9 citation statements)

References 39 publications

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“…Our finding that loneliness is associated with nutrition risk when adjusting for other covariates is aligned with previous literature, which shows that greater loneliness is linked to less engagement in healthy behaviours (Losada-Baltar et al, 2020). Similarly, living with others and greater participation in social activities are associated with less nutrition risk (Haakma and Wham, 2015;Nawai et al, 2021;Ramage-Morin and Garriguet, 2013). While a New Zealand study found that low ratings of perceived health and loneliness are factors that contribute to nutrition risk (Tkatch et al, 2021), some have 21 suggested loneliness is not associated with malnutrition in older adults (van der Pols-Vijlbrief et al, 2014).…”

Section: Factors Usedsupporting

confidence: 90%

“…Future research examining the effect of loneliness on nutrition across subsequent waves of the pandemic could help elucidate this relationship. Aside from loneliness, prior research, either with association analyses and/or multivariable analyses, confirms the multivariable associations found in this sample; higher education (Nawai et al, 2021;Ramage-Morin and Garriguet, 2013), better health markers (Nawai et al, 2021;Ramage-Morin and Garriguet, 2013) and self-reported health (Nawai et al, 2021) are associated with less nutrition risk and smoking with increased nutrition risk in community living seniors (Nawai et al, 2021). Importantly, this is the first study to our knowledge to measure resilience with a valid and reliable tool (i.e., BRS) and determine associations with nutrition risk.…”

Section: Factors Usedsupporting

confidence: 75%

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Loneliness and resilience are associated with nutrition risk after the first wave of COVID-19 in community-dwelling older Canadians

Wei

Beauchamp

Vrkljan

et al. 2023

Appl. Physiol. Nutr. Metab.

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Nutrition risk is linked to hospitalization, frailty, depression, and death. Loneliness during the COVID-19 pandemic may have heightened nutrition risk. We sought to determine prevalence of high nutrition risk and if loneliness, mental health, and assistance with meal preparation/delivery were associated with risk in community-dwelling older adults (65+ years) after the first wave of COVID-19, in association analyses and when adjusting for meaningful covariates. Data were collected from May 12 to August 19, 2020. Descriptive statistics, association analyses, and linear regression analyses were conducted. For our total sample of 272 participants (78±7.3 years old, 70% female), the median SCREEN-8 score (nutrition risk) was 35 [1st Quartile, 3rd Quartile: 29, 40] and 64% were at high risk (SCREEN-8 < 38). Fifteen percent felt lonely two or more days a week. Loneliness and meal assistance were associated with high nutrition risk in association analyses. In multivariable analyses controlling for other lifestyle factors, loneliness was negatively associated with SCREEN-8 scores (-2.92, 95% CI [-5.51, -0.34]), as was smoking (-3.63, [-7.07, -0.19]). Higher SCREEN-8 scores were associated with higher education (2.71, [0.76, 4.66]), living with others (3.17, [1.35, 4.99]), higher self-reported health (0.11, [0.05, 0.16]), and resilience (1.28, [0.04, 2.52]). Loneliness was associated with nutrition risk in older adults after the first wave of COVID-19, but not mental health and meal assistance. Future research should consider longitudinal associations between loneliness, nutrition, and resilience.

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Section: Factors Usedsupporting

confidence: 90%

Section: Factors Usedsupporting

confidence: 75%

Loneliness and resilience are associated with nutrition risk after the first wave of COVID-19 in community-dwelling older Canadians

Wei

Beauchamp

Vrkljan

et al. 2023

Appl. Physiol. Nutr. Metab.

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“…Although the prevalence of malnutrition among the elderly identified in this study agreed with a related study of hospitalized elderly patients, (23) i.e., 4.4% and 6.1%, respectively, the total population was limited and did not include bedridden and other patients unable to visit hospitals which could have affected the accuracy of malnutrition prevalence. The prevalence of the at risk of malnutrition group was 18.7%.…”

Section: Discussionsupporting

confidence: 80%

Prevalence and Associated Factors of Malnutrition Among Elderly Patients at an Outpatient Clinic, Community Hospital in Thailand: A Cross-Sectional Study

Praneetvatakul,

Larpjit,

Jongcherdchootrakul

et al. 2023

J Southeast Asian Med Res

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Background: The number of Thais aged 60 and older has increased dramatically, and this trend will continue, making Thailand an increasingly aging society in the coming decades. The nutritional state of the elderly should be a major priority because it harms mortality and quality of life. Methods: From August to September 2022, the prevalence and associated determinants of malnutrition were determined based on a survey and hospital records using the Mini Nutritional Assessment (MNA®) as a screening tool for malnutrition among the elderly attending the outpatient department at Bangkhla Hospital. Multinomial regression analysis accounted for any confounding factors yielding an adjusted odds ratio (aOR) and 95% confidence intervals (95%CI). Results: This study enrolled a total of 91 individuals. Of these, 4.40% (95%CI= 0.01-0.11) of the participants were malnourished, while 18.70% (95%CI=0.11-0.28) were at risk of malnutrition. After controlling for potential confounding factors, a history of Covid-19 was associated with malnutrition (aOR=55.00, 95%CI= 2.70 to 1110.30), cancer (aOR= 25.80, 95%CI= 1.60-409.40) and gouty arthritis (aOR= 8.80, 95%CI= 1.20-59.60) was similarly associated with at risk of malnutrition. However, the protective effect of exercise was associated with malnutrition and risk of malnutrition, respectively (aOR= 0.04, 0.13, 95%CI= 0.00-0.80, 0.00-0.50). Conclusion: Overall, the study emphasized the significance of addressing malnutrition which was on the rise among the elderly in community hospitals in Thailand, especially in light of the aging population. Health professionals and policymakers should be aware of the various factors associated with malnutrition and strive to implement appropriate interventions to improve the nutritional status and quality of life of the elderly.

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“…Several studies in different regions are in line with female older adults being more likely to be malnourished [ 28 , 31 , 32 , 33 ]. Women have higher rates of depression and widowhood and a lower subjective health status, which are known risk factors for malnutrition [ 31 ].…”

Section: Discussionmentioning

confidence: 86%

Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics

et al. 2023

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Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.

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Factors associated with nutrition risk among community-dwelling older adults in Thailand

Cited by 13 publications

References 39 publications

Loneliness and resilience are associated with nutrition risk after the first wave of COVID-19 in community-dwelling older Canadians

Loneliness and resilience are associated with nutrition risk after the first wave of COVID-19 in community-dwelling older Canadians

Prevalence and Associated Factors of Malnutrition Among Elderly Patients at an Outpatient Clinic, Community Hospital in Thailand: A Cross-Sectional Study

Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics

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