Prevalence of Malnutrition among Elderly People Living in a Rural Area of Nepal

Chataut, J; Jonche, Shristi; Ghimire, M; Tamrakar, Dipesh; Bhandari, Mukta Singh

doi:10.31729/jnma.6013

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…Similar findings were found in studies. 8 , 15 , 16 Another study conducted in India too shows high prevalence of at risk of malnourished. 17 However slight differences was observed in a study conducted in another hospital in Nepal.…”

Section: Discussionmentioning

confidence: 99%

Elderly Patients at Risk of Malnutrition Presenting to a Tertiary Hospital in Nepal: A Descriptive Cross-sectional Study

Karki,

Dahal,

Chaulagain

et al. 2024

J Nepal Med Assoc

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Introduction: The nutritional status of elderly people is crucial for healthy aging, enabling them to maintain productive lives and reduce the progression of chronic diseases. Given that the quality of life tends to decline with age, it becomes particularly crucial for elderly individuals. Therefore, this study was aimed to find out the prevalence of elderly patients at risk of malnutrition in a tertiary hospital. Methods: This descriptive cross-sectional study was conducted among 281 elderly patients in a tertiary hospital from 2 January 2023 to 10 February 2023 after obtaining ethical approval. Non-probability purposive sampling technique was used. A face-to-face interview was conducted using a structured interview schedule with the elderly in the absence of their caregiver using a standard Mini-Nutritional Assessment tool for nutritional status, and WHOQOL_OLD quality of life for the elderly to assess the quality of life. Point estimate at 95% Confidence Interval was calculated.Results: Out of 281 elderly patients enrolled in our study, 164 (58.36%) (52.64-64.16, 95% Confidence Interval) were at risk of malnutrition. Conclusions: The study concluded that older people could be at risk of malnutrition, which could impair their quality of life.

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Section: Discussionmentioning

confidence: 99%

Elderly Patients at Risk of Malnutrition Presenting to a Tertiary Hospital in Nepal: A Descriptive Cross-sectional Study

Karki,

Dahal,

Chaulagain

et al. 2024

J Nepal Med Assoc

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“…For example, among older individuals in Nepal, the prevalence of malnutrition and those at risk of malnutrition were determined to be 11.6% and 49.7%, respectively. 34 Additionally, a reported prevalence of malnutrition or being at risk for malnutrition was 71.6% among older Vietnamese patients with dysphagia. 35 The disparity in nutritional status across countries may be influenced by factors such as eating problems, health conditions, poor socioeconomic status, and living and marital status, including living alone or being unmarried, widowed, or divorced.…”

Section: Discussionmentioning

confidence: 99%

Frailty as a Key Predictor of Malnutrition among Older Adults with Swallowing Problems

Sirikul,

Roopsawang,

Aree-Ue

2024

PRIJNR

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Geriatric syndrome—frailty—has a more significant influence on the health of older, pre-frail and frail older adults who tend to have a poor nutritional status or develop severe malnutrition. Investigation of frailty and its association with malnutrition and swallowing problems is limited in older Thais. This cross-sectional study examined the association among frailty and other associated factors with malnutrition in older adults with swallowing problems. A purposive sampling method was employed to recruit 120 participants who met the specified inclusion criteria. Data were obtained from older adults who visited and received medical services at the rehabilitation department of a university hospital in Bangkok, Thailand, from July 2022 to February 2023. The instruments included the Demographic and Health Information Record Form, Mini Nutritional Assessment Short-Form - MNA® Elderly, Reported Edmonton Frail Scale-Thai Version, and Modified Barthel Activities of Daily Living Index. Data were analyzed using descriptive statistics and multiple logistic regression.The findings indicated that 82.5% of participants were frail, and approximately 30% and 80.0% presented with dependence and at-risk or malnutrition, respectively. Frailty, age, comorbidities, a history of aspiration, and activities of daily living could predict malnutrition, accounting for 71.7%. Significantly, frailty demonstrated a 4.47-fold increased risk of malnutrition, while dependence on activities of daily living had a 6.41-fold increased risk of malnutrition among this population. The findings of this study provide valuable insights for healthcare professionals, especially gerontological nurse practitioners, to raise awareness of the early detection of frailty, swallowing problems, and potential risks of malnutrition, together with promoting daily activity in older adults across settings. Implementing comprehensive management to improve swallowing and physical function in older adults at risk of frailty and malnutrition may enable gerontological nurse practitioners to strengthen professional care. By doing so, maintaining nutritional health among these populations can be achieved.

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“… 20 - 23 For example, a study in Nepal in 2021 reported 11.6% with undernutrition and 49.7% at risk of undernutrition. 21 However, the prevalence of undernutrition among hospitalized elderly patients in Egypt in 2013 was 18%, 22 and in Lebanon in 2014, it was 6.1%. 23 These discrepancies are likely linked to variations in the types of diseases and hospitalization conditions.…”

Section: Discussionmentioning

confidence: 99%

Association between nutritional risk status and health related quality of life: An investigation on the aging patients with cardiovascular disease

Faraji Gavgani,

Alipour,

Khabiri

et al. 2023

J Cardiovasc Thorac Res

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Introduction: Acknowledging the considerable influence of undernutrition on health outcomes and HRQOL, this study sought to appraise the nutritional risk status of elderly patients with cardiovascular diseases (CVD) through the utilization of the Nutritional Risk Screening (NRS). Additionally, the investigation aimed to evaluate the correlation between NRS status and HRQOL within the context of patients referred to a cardiac hospital in Tabriz, Iran. Methods: This cross-sectional study was conducted in Tabriz, Iran. The participants were selected randomly from patients referring to Shahid Madani Heart Hospital, a comprehensive university hospital during July to December 2018. A linear regression was used for control of confounding variables (age, gender, education level, marital status, and income levels) and predict the relationship between nutrition risk status and HQRL. Results: Of the 200 patients with CVD participated in this study, 68 (34%) of participants had normal nutrition status, 108 (54%) were at risk for undernutrition, and 24 (12%) had undernutrition. A total of 24 aging patients with undernutrition, 13 (54%) were divorced or widowed. 86% of patients with diabetes were at risk for undernutrition and 13.9% had undernutrition. There were statistically significant relationship between undernutrition and HRQOL dimensions, age, gender, and marital status. Conclusion: The study revealed a correlation between elevated undernutrition scores in patients and factors such as older age, female gender, and marital status of being divorced or widowed. Furthermore, the results imply that a notable elevation in the risk score for undernutrition in patients is significantly linked to impaired HRQOL among elderly individuals with CVD.

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Prevalence of Malnutrition among Elderly People Living in a Rural Area of Nepal

Cited by 8 publications

References 18 publications

Elderly Patients at Risk of Malnutrition Presenting to a Tertiary Hospital in Nepal: A Descriptive Cross-sectional Study

Elderly Patients at Risk of Malnutrition Presenting to a Tertiary Hospital in Nepal: A Descriptive Cross-sectional Study

Frailty as a Key Predictor of Malnutrition among Older Adults with Swallowing Problems

Association between nutritional risk status and health related quality of life: An investigation on the aging patients with cardiovascular disease

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