Nutritional Vulnerability of Older Persons Living in Urban Areas of Lake Victoria Basin in East Africa: A Cross Sectional Survey

Cheserek, Maureen Jepkorir; Waudo, Judith N.; Tuitoek, Prisca J.; Msuya, John; Kikafunda, Joyce K.

doi:10.1080/21551197.2012.647562

Cited by 10 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other studies also recorded the prevalence of malnutrition in older persons to be 6% [ 5 ] and 25.3% [ 1 , 45 ] and 39% [ 28 ]. Of these studies, 12 provided data on undernutrition, with prevalence ranging from 2.9 to 41% ([ 1 – 4 , 12 , 14 , 15 , 19 , 24 , 30 , 38 , 55 ]). Ten studies provided data on overweight, with the studies recording 54.1% [ 1 ], 21% [ 3 ] and 8.1% [ 38 ] prevalence of overweight.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies provided data on overweight, with the studies recording 54.1% [ 1 ], 21% [ 3 ] and 8.1% [ 38 ] prevalence of overweight. Obesity was assessed in 5 studies, ranging from 2.7 to 44.7% [ 12 , 14 , 15 , 24 , 30 ] (see Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…This study summarises evidence on the factors influencing malnutrition in older persons in SSA (Table 1 ). Seventeen studies reported on the various factors associated with malnutrition; four studies revealed the association between socio-economic status and malnutrition [ 30 , 45 , 48 , 55 ], whereas seven studies were on dietary habits ([ 5 , 15 , 19 , 30 , 38 , 48 , 55 ]). Also, four studies showed a significant association between educational status and malnutrition [ 5 , 44 , 45 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

et al. 2022

View full text Add to dashboard Cite

Background The older person population is rapidly increasing globally, including sub-Saharan Africa (SSA). Concurrently, malnutrition is also increasing among older persons in SSA, with a dearth of empirical evidence on nutritional status and associated factors among the older persons in the region to inform effective interventions to promote healthy ageing. Aim/Objective This review assessed the nutritional status and associated factors among older persons in SSA. Method PubMed, Google Scholar, and Cochrane Library electronic databases were searched for published articles from 2010 to 2021 using keywords and Boolean logic. Also, we carried out a free web-based search to retrieve other relevant evidence that assesses the older persons’ nutritional status. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart was used to appraise the research articles that responded to the study’s research questions. Findings Twenty studies met the inclusion criteria, from which data were extracted as findings. The malnutrition prevalence was between 6 to 54% among older persons in SSA. We found that the prevalence of malnutrition vary and could be as high as 28.4% in a low socio-economic status area. Of these studies, twelve (12) provided data on undernutrition with prevalence ranging from 2.9 to 41%;10 provided data on overweight (8.1–54.1%) and 5 on obesity (2.7–44.7%). Seventeen of the studies evaluated factors associated with malnutrition; 4 studies revealed the association between socioeconomic status and malnutrition, 7 studies reported a significant association between dietary habits and malnutrition. Four studies showed an association between educational status and malnutrition. Disease conditions associated with malnutrition were reported in four of the studies. Conclusion This review shows that malnutrition is a problem among older persons in SSA coupled with many risk factors which should be given critical attention. We recommend nutrition education for older persons as well as the development of nutrition interventions for this vulnerable group.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Despite a global increase in obesity it may be that in such settings, older people are at an increased risk from undernutrition, due to food and income insecurity. A cross-sectional study conducted in urban Kenya, Uganda and Tanzania described the majority of older adults as being “nutritionally vulnerable” due to problems accessing food [ 34 ]. As a consequence, the relationship between frailty and chronic undernutrition is likely to be stronger in rural SSA than might be seen in HICs and warrants further investigation.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and characteristics of frailty by frailty phenotype in rural Tanzania

et al. 2018

View full text Add to dashboard Cite

BackgroundThe frailty phenotype is defined by the presence of three from the following five clinical features: weakness, slow walking speed, unintentional weight loss, exhaustion, and low physical activity. It has been widely applied in different research and clinical contexts, including across many low and middle-income countries. However, there is evidence that the operationalisation of each component of the frailty phenotype significantly alters its characteristics and predictive validity, and care is needed when applying the phenotype across settings. The study’s objective was to operationalise the frailty phenotype in a rural Tanzanian population of older community-dwelling adults.MethodsConsenting adults aged ≥60 years, and resident in five randomly selected villages of Hai district Demographic Surveillance Site, were eligible to participate in this cross-sectional study. From a screened sample of 1207 older adults, 235 were randomised and consented to an assessment of their frailty status by the frailty phenotype. Trained research fieldworkers (Tanzanian medical doctors and nurses) carried out measurements and questionnaires at local village centres or at participants’ homes.ResultsThe prevalence of the frailty phenotype, calculated from complete data for 196 participants, was 9.25% (95% CI 4.39–14.12) When missing data were counted as meeting frailty criterion (i.e. missing due to inability to perform an assessment), the prevalence increased to 11.22% (95% CI 7.11–15.32). Frailty by phenotype criteria was more common in older age groups, and was associated with self-assessed poor health and depression symptoms.ConclusionsFrailty can be successfully estimated using the frailty phenotype, however there are challenges in its operationalisation cross-culturally. Further work is needed to explore the potential clinical application of the frailty phenotype in such settings.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0967-0) contains supplementary material, which is available to authorized users.

show abstract

“…Undernutrition is also present in older persons residing in urban areas. Underweight prevalence in the urban areas of Lake Victoria Basin in East Africa was 24·1 % among older men and 12·3 % among older women ( 17 ) . Only 22 % of older men and 28 % of older women met their daily energy requirements; This was attributed to inadequate access to food, improper eating patterns and poor health and living arrangements.…”

Section: Nutritional Statusmentioning

confidence: 99%

Exploring the health status of older persons in Sub-Saharan Africa

et al. 2017

View full text Add to dashboard Cite

Sub-Saharan Africa (SSA) has traditionally had a low life expectancy due to the onslaught of the HIV epidemic, high levels of chronic diseases, injuries, conflict and undernutrition. Therefore, research into public health concerns of older persons has largely been overlooked. With a growing population, the roll-out of antiretroviral treatment, and the effects of globalisation, SSA is experiencing an increase in the number of people over 50 years of age as well as an increase in the prevalence of non-communicable diseases (NCD). The aim of this review is to highlight available research on the health status of older persons in SSA, and to identify the current gaps that warrant further investigation. A literature search was conducted across multiple databases to identify studies in SSA on older persons (aged 50 years and older) related to health indicators including nutritional status, NCD and HIV burden. While it was concluded that older persons are at an increased risk of poor health, it was also determined that significant gaps exist in this particular area of research; namely nutrient deficiency prevalence. Resources should be directed towards identifying the health concerns of older persons and developing appropriate interventions.

show abstract

Nutritional Vulnerability of Older Persons Living in Urban Areas of Lake Victoria Basin in East Africa: A Cross Sectional Survey

Cited by 10 publications

References 14 publications

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review

The prevalence and characteristics of frailty by frailty phenotype in rural Tanzania

Exploring the health status of older persons in Sub-Saharan Africa

Contact Info

Product

Resources

About