Prevalence of malnutrition and associated factors among older adults from urban and rural residences of Metu district, Southwest Ethiopia

Abstract

Background In Ethiopia, the proportion of older adults is steadily increasing. This rapidly growing older adult population may increase the burden of malnutrition. However, malnutrition among older adults, particularly those living in rural areas, is regularly underrecognized and/or ignored. There have been no studies among older adults in the Metu district that have used the Min nutritional assessment (MNA). As a result, the purpose of this study is to determine the prevalence of malnutrition and its associated factors among older adults in Metu district, Southwest Ethiopia. Methods A community-based comparative cross-sectional study was conducted from May to June 2021 in Metu district. A multi-stage stratified sampling technique was employed. The nutritional status of the older adults was measured by MNA. Data from 616 older adults (308 from urban and 308 from rural residences) was collected through face-to-face interviews using a structured questionnaire. Bivariable and multivariable logistic regression analyses were done to identify factors associated with malnutrition. Results According to this study, the overall prevalence of malnutrition in Metu district was 17.5% (95% CI: 14.4%–20.7%). The prevalence of malnutrition in urban and rural residences was 9.9% and 25.2%, respectively. In the overall study, insomnia (AOR: 2.0, 95%CI: 1.1–3.7), residence (AOR: 3.47, 95%CI: 1.8–6.5), and smoking (AOR: 3.7, 95%CI: 2.1–6.7) were associated with malnutrition. In urban residences, depression (AOR: 3.4, 95%CI: 1.2–9.5), dietary diversity score (DDS) (AOR: 3.5, 95%CI: 1.2–10.0), and eating problems (AOR: 2.8, 95%CI: 1.1–7.3) were associated with malnutrition. In rural residence, age (AOR:3.8; 95%CI: 1.2–11), sex (AOR:2.2,95%CI:1.0–4.8), DDS (AOR:5.4,95%CI:2.2–13.3), depression (AOR: 4.6,95%CI:2.2–9.2), and chronic disease (AOR: 3.8 95%CI: 1.8–8.2) were associated with malnutrition. Conclusions and recommendations Malnutrition was more prevalent among older adults living in rural areas than in urban areas. In the overall study, insomnia, residence, and smoking were significantly associated with malnutrition. DDS, depression, and eating difficulties were significantly associated with malnutrition among older adults living in urban areas, whereas sex, age, depression, chronic disease, and dietary diversity were factors influencing malnutrition in rural areas. Strengthening strategies aimed at addressing nutrition policy, as well as paying attention to the nutritional needs of the older adult population, can help to improve the health and quality of life of older adults.

Malnutrition, Frailty, and Health-Related Quality of Life Among Rural Older Adults in Vietnam: A Cross-Sectional Study

“…Several reports have shown that the prevalence of malnutrition in rural communities is approximately double that in urban communities because rural older adults have less access to healthcare services, family support, and diverse food options. 41,42 Therefore, our results indicate the need for screening and early interventions for malnutrition and the risk of malnutrition among rural older Vietnamese adults.…”

Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023

“…(8)(9)(10) In Ethiopia, undernutrition among the elderly population is a common health problem and its magnitude range from 15⋅7 to 40⋅2 %. (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) Nutritional deficiencies in older persons have serious negative consequences which can increase morbidity and mortality, hospitalisation, development of ulcers, and infections. (12) Involuntary weight loss can result in a reduction in the ability to care for oneself, loss of mobility and independence, and a poorer quality of life.…”

Effect of nutrition education intervention to improve dietary diversity practice and nutritional status of the older people: A cluster randomized controlled trial

“…The prevalence of malnutrition among elderly people in different countries of the world varies between 10% and 60% (Abate et al, 2020; Konda et al, 2018; Tessfamichael et al, 2014). Malnutrition among older persons is common in Ethiopia, and it remains one of the country's significant public health issues (Abate et al, 2020; Ferede et al, 2022; Kushwaha et al, 2020; Tessfamichael et al, 2014; Wondiye et al, 2019). Studies recommended that further nutrition education intervention is the best strategy to prevent and manage malnutrition among the elderly so that they can achieve a better quality of life and health as they age (Bandura, 1986; Gezahegn et al, 2016; Paul et al, 2022; Poda et al, 2019).…”