Volume 18, Issue 1 (5-2021)                   J Res Dev Nurs Midw 2021, 18(1): 53-57 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Seyed Ghasemi N, Dazi M, Nikrad B, khorsha H, Sharifi A, Honarvar M R. Nutritional Status and the Affecting Factors in the Elderly in Gonbad Kavus, Iran. J Res Dev Nurs Midw 2021; 18 (1) :53-57
URL: http://nmj.goums.ac.ir/article-1-1288-en.html
1- School of Health, Golestan University of Medical Sciences, Gorgan, Iran
2- Health Management and Social Development research Center, Golestan University of Medical Sciences, Gorgan, Iran
3- Department of Nutritional Sciences, School of Health, Golestan University of Medical Sciences, Gorgan, Iran
4- Health Management and Social Development research Center, Golestan University of Medical Sciences, Gorgan, Iran , mrhonarvar@goums.ac.ir
Abstract:   (2461 Views)
Background: The elderly population is projected to increase in Iran and the world. A large number of chronic diseases observed in the elderly could be prevented or treated by improving their lifestyle, including nutrition. The present study aimed to determine nutritional status and the affecting factors in the elderly in Gonbad Kavus, Iran. 
Methods: This descriptive-analytical study was performed on 139 elderlies aged more than 60 years who resided in Gonbad (northeast of Iran) in 2013. The subjects were selected via two-stage cluster sampling, and each health center was considered as a cluster. Data were collected using a demographic questionnaire and mini nutritional assessment (MNA) questionnaire. Moreover, anthropometric indices (e.g., weight and height) were measured using a fabric meter, stadiometer, and Seca scale. Data was analyzed in SPSS version 11.5 using Chi-square and ordinal logistic regression model. 
Results: In total, 36% of the elderlies had a normal nutritional status, whereas 59% and 5% were at the risk of malnutrition and malnourished, respectively. Among the subgroups, the female elderlies (78.6%) and single participants (87.1%) were at the risk of malnutrition or malnourished. Gender was the only independent variable affecting malnutrition. In addition, malnutritional status and marital status were the only variables affecting the body mass index even in the presence of other variables. 
Conclusion: Based on the nutritional assessment of the elderly, special attention must be paid to elderly women with lower education levels and financial dependence. It is also recommended that periodic assessments be carried out in the elderly population using the MNA questionnaire.Background: The elderly population is projected to increase in Iran and the world. A large number of chronic diseases observed in the elderly could be prevented or treated by improving their lifestyle, including nutrition. The present study aimed to determine nutritional status and the affecting factors in the elderly in Gonbad Kavus, Iran. 
Methods: This descriptive-analytical study was performed on 139 elderlies aged more than 60 years who resided in Gonbad (northeast of Iran) in 2013. The subjects were selected via two-stage cluster sampling, and each health center was considered as a cluster. Data were collected using a demographic questionnaire and mini nutritional assessment (MNA) questionnaire. Moreover, anthropometric indices (e.g., weight and height) were measured using a fabric meter, stadiometer, and Seca scale. Data was analyzed in SPSS version 11.5 using Chi-square and ordinal logistic regression model. 
Results: In total, 36% of the elderlies had a normal nutritional status, whereas 59% and 5% were at the risk of malnutrition and malnourished, respectively. Among the subgroups, the female elderlies (78.6%) and single participants (87.1%) were at the risk of malnutrition or malnourished. Gender was the only independent variable affecting malnutrition. In addition, malnutritional status and marital status were the only variables affecting the body mass index even in the presence of other variables. 
Conclusion: Based on the nutritional assessment of the elderly, special attention must be paid to elderly women with lower education levels and financial dependence. It is also recommended that periodic assessments be carried out in the elderly population using the MNA questionnaire.
Full-Text [PDF 634 kb]   (961 Downloads) |   |   Full-Text (HTML)  (801 Views)  

References
1. Sadrossadat J, Hooshyari Z, Sadrossadat L. The construction and norm-finding of rating scale in elderly stressors. Iranian Journal of Ageing. 2013; 8(1):24-32. [Persian] [View at paplisher] [Google Scholar]
2. Parpaee R, Kakaberaei K. The effectiveness of logotherapy on decreasing depression and anxiety in the elderly women with empty nest syndrome. Aging Psychology. 2018; 4(1):51-9. [View at paplisher] [Google Scholar]
3. Khaledian M, Sohrabi F. Effectiveness of group logotherapy on reducing depression and increasing hope in elderly with empty nest syndrome. Clinical Psychology Studies. 2014; 4(15):79-104. [View at paplisher] [Google Scholar]
4. Wada H. Problems and strategies in the treatment of mental disorders in elderly patients with physical illness. Nihon Ronen Igakkai Zasshi. Japanese Journal Of Geriatrics. 2000;37(11):885-8. [View at paplisher] [DOI] [Google Scholar]
5. Ageing and health [Internet]. [cited 2020 Oct 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.
6. Bakhtiari A, Omidvar Sh, Pourali M . Nutrition assessment and geriatric associated conditions among community dwelling Iranian elderly people. BMC Geriatrics. 2020; 20(1):1-0. [View at paplisher] [DOI] [Google Scholar]
7. Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clinical Interventions in Aging. 2010; 5:207-2016. [View at paplisher] [DOI] [Google Scholar]
8. Gorji HA, Alikhani M, Mohseni M, Moradi-Joo M, Ziaiifar H, Moosavi A. The prevalence of malnutrition in Iranian elderly: a review article. Iranian Journal of Public Health. 2017;46(12):1603. [View at paplisher] [Google Scholar]
9. Burman M, Säätelä S, Carlsson M, Olofsson B, Gustafson Y, Hörnsten C. Body mass index, Mini Nutritional Assessment, and their association with five-year mortality in very old people. The Journal of Nutrition, Health & Aging. 2015;19(4):461-7. [View at paplisher] [DOI] [Google Scholar]
10. Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons, part I: History, examination, body composition, and screening tools. Nutrition. 2000; 16(1):50-63. . [View at paplisher] [DOI] [Google Scholar]
11. Dwyer JT, Gahche JJ, Weiler M, Arensberg MB. Screening community-living older adults for protein energy malnutrition and frailty: update and next steps. Journal of Community Health. 2020; 45(3):640-60. [View at paplisher] [DOI] [Google Scholar]
12. Feldblum I, German L, Bilenko N, Shahar A, Enten R, Greenberg D, et al. Nutritional risk and health care use before and after an acute hospitalization among the elderly. Nutrition. 2009; 25(4):415-20. [View at paplisher] [DOI] [Google Scholar]
13. Ji L, Meng H, Dong B. Factors associated with poor nutritional status among the oldest-old. Clinical Nutrition. 2012; 31(6):922-6 [View at paplisher] [DOI] [Google Scholar]
14. August KJ, Sorkin DH. Racial/ethnic disparities in exercise and dietary behaviors of middle-aged and older adults. Journal of General Internal Medicine. 2011; 26(3):245-50. [View at paplisher] [DOI] [Google Scholar]
15. Storey M, Anderson P. Income and race/ethnicity influence dietary fiber intake and vegetable consumption. Nutrition Research. 2014; 34(10):844-50. [View at paplisher] [DOI] [Google Scholar]
16. Heinrich M, Prieto JM. Diet and healthy ageing 2100: will we globalise local knowledge systems?. Ageing Research Reviews. 2008; 7(3):249-74. [View at paplisher] [DOI] [Google Scholar]
17. Lashkarboloki F, Aryaei M, Djazayery A, Eftekhar-Ardebily H, Minaei M. Association of demographic, socio-economic features and some health problems with nutritional status in elderly. Iranian J Nutr Sci Food Technol. 2015; 9 (4):27-34. [View at paplisher] [Google Scholar]
18. Molavi Vardanjani M, Shadi D, Maghsoudi Z, Aghamohamadi M, Kalvandi N. Evaluation of malnutrition status and its related factors in the elderly living in nursing homes of Hamedan province in 1397. Journal of Geriatric Nursing. 2018; 4 (4).[Persian] [View at paplisher] [Google Scholar]
19. Mirarefin M, Sharifi F, Fakhrzadeh H, Nazari N, Ghaderpanahi M, Badamchizade Z, et al. Predicting the value of the Mini Nutritional Assessment (MNA) as an indicator of functional ability in older Iranian adults (Kahrizak elderly study). The Journal of Nutrition, Health & Aging. 2011; 15(3):175-80.. [View at paplisher] [DOI] [Google Scholar]
20. Payvar B, Abbaszadeh A, Estaki T, Talebi Ghane E, Safavibayat Z. Nutritional statusand associated factorsinelderly hospitalized incardiac care unit. Journal of Geriatric Nursing. 2016; 2 (4):49-60. [View at paplisher] [DOI] [Google Scholar]
21. Body mass index - BMI [Internet]. [cited 2021 Feb 26]. Available from: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi.
22. Pasdar Y, Gharetapeh A, Pashaie T, Alghasi S, Niazi P, Haghnazari L. Nutritional status using multidimensional assessment in Iranian elderly. J Kermanshah Univ Med Sci. 2011; 15(3):e79356. [View at paplisher] [Google Scholar]
23. Nazan S, Buket K. Evaluation of nutritional status of elderly patients presenting to the family health center. Pakistan Journal of Medical Sciences. 2018; 34(2):446. [View at paplisher] [DOI] [Google Scholar]
24. Engelheart S, Brummer R. Assessment of nutritional status in the elderly: a proposed function-driven model. Food & Nutrition Research. 2018; 62. [View at paplisher] [DOI] [Google Scholar]
25. Vaish K, Patra S, Chhabra P. Nutritional status among elderly: a community-based cross-sectional study. Indian Journal of Public Health. 2020; 64(3):266-270. [View at paplisher] [DOI] [Google Scholar]
26. Krishnamoorthy Y, Vijayageetha M, Kumar SG, Rajaa S, Rehman T. Prevalence of malnutrition and its associated factors among elderly population in rural Puducherry using mini-nutritional assessment questionnaire. Journal of Family Medicine And Primary Care. 2018; 7(6):1429. [View at paplisher] [DOI] [Google Scholar]
27. Joymati O, Ningombam M, Rajkumari B, Gangmei A. Assessment of nutritional status among elderly population in a rural area in manipur: community-based cross-sectional study. International Journal Of Community Medicine And Public Health. 2018; 5(7):3125-9. [View at paplisher] [DOI] [Google Scholar]
28. Serrano-Urrea R, Garcia-Meseguer MJ. Malnutrition in an elderly population without cognitive impairment living in nursing homes in Spain: study of prevalence using the mini nutritional assessment test. Gerontology. 2013; 59(6):490-8. [View at paplisher] [DOI] [Google Scholar]
29. Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clinical Nutrition. 2010; 29(6):745-8. [View at paplisher] [DOI] [Google Scholar]
30. Lahiri S, Biswas A, Santra S, Lahiri SK. Assessment of nutritional status among elderly population in a rural area of west bengal, india. Int J Med Sci Public Health. 2015; 4(4):569-72. [View at paplisher] [DOI] [Google Scholar]
31. Agarwalla R, Saikia AM, Baruah R. Assessment of the nutritional status of the elderly and its correlates. J Family Community Med. 2015; 22(1):39. [View at paplisher] [DOI] [Google Scholar]
32. Kansal D, Baliga SS, Kruthika K, Mallapur MD. Nutritional assessment among elderly population of rural Belagavi: a cross-sectional study. Int J Med Sci Public Health. 2016; 5(7). [View at paplisher] [DOI] [Google Scholar]
33. Aliabadi M, Kimiagar M, Mobarhan M.Gh, IlityFaizabadi A.A. Prevalence of malnutrition and factors related to it in the elderly subjects in khorasan razavi province, iran, 2006. Iranian J Nutr Sci Food Technol. 2007; 2 (3):45-56. [Persian] [View at paplisher] [Google Scholar]
34. Eshaghi S R, Babak A, Manzori L, Marasi M R. The nutritional status of the elderly and their associated factors in isfahan. Salmand: Iranian Journal of Ageing. 2007; 2 (3):340-345. [Persian] [View at paplisher] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb