Assessment of nutritional status of elderly population living at high altitude regions of India utilizing Mini Nutritional Assessment (MNA) methodology

Authors

  • Aakriti Gupta All India Institute of Medical Sciences New Delhi https://orcid.org/0000-0002-2390-0437
  • Umesh Kapil All India Institute of Medical Sciences New Delhi
  • Ravi Belwal All India Institute of Medical Sciences New Delhi

DOI:

https://doi.org/10.47203/IJCH.2022.v34i01.010

Keywords:

Aged, Anthropometry, Geriatrics, Malnutrition, Nutritional Status, Nutritional assessment

Abstract

Background: Malnutrition is associated with increased risk of morbidity and mortality amongst elderly population. There is lack of scientific evidence on the staus of malnutrition amongst elderly population residing at high altitude regions of Uttarakhand, India.

Background: Malnutrition is associated with increased risk of morbidity and mortality amongst elderly population. Lack of scientific evidence exists on the status of malnutrition amongst elderly population residing at high altitude regions of Uttarakhand, India. Materials and methods: A community based cross-sectional study was conducted in high altitude regions of District Nainital. A total of 980 elderly subjects were selected from 30 clusters identified using population proportionate to size sampling method. Nutritional status of the elderly population was assessed using Mini Nutritional Assessment (MNA) tool. Data was entered in MS Excel 2007 and analyzed using SPSS version 20.0. Results: The results of MNA revealed that 14.3% of the elderly subjects were malnourished. High prevalence of malnutrition was found among subjects who were illiterate (74.5%), financially dependent (75.2%), belonged to low monthly income (43.3%) had poor appetite (71.6%) and chewing problems (63.1%); (p<0.0001). Conclusions: High prevalence of malnutrition was present amongst the elderly population in India. There is a need for timely assessment of malnutrition for maintenance of nutritional status and prevention of chronic diseases.

Materials and methods: A community based cross-sectional study was conducted in high altitude regions of District Nainital. A total of 980 elderly subjects were selected from 30 clusters identified using population proportionate to size sampling method. Nutritional status of the elderly population was assessed using Mini Nutritional Assessment (MNA) tool. Data was entered in MS Excel 2007 and analyzed using SPSS version 20.0.

 

Results: The results of MNA revealed that 14.3% of the elderly subjects were malnourished. High prevalence of malnutrition was found among subjects who were illiterate (74.5%), financially dependent (75.2%), belonged to low monthly income (43.3%) had poor appetite (71.6%) and chewing problems (63.1%); (p<0.0001).

 

Conclusions: High prevalence of malnutrition was present amongst the elderly population in India. There is a need for timely assessment of malnutrition for maintenance of nutritional status and prevention of chronic diseases.

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References

Government of India. Sample Registration System Statistical Report 2010. Report No. 1 of 2012. New Delhi: Office of the Registrar General and Census Commissioner India, Ministry of Home Affairs, 2012.

Lahiri S, Biswas A, Santra S and Lahiri SK. Assessment of nutritional status among elderly population in rural area of West Bengal, India. Int J Med Sci Public Health. 2015; 4(4): 569-572

https://doi.org/10.5455/ijmsph.2015.20122014117

Vedantam A, Subramanian V, Rao NV, John KR. Malnutrition in free-living elderly in rural south India: prevalence and risk factors. Public Health Nutr. 2009; 13(9):1328–32.

https://doi.org/10.1017/s1368980009991674

Agarwalla R, Saikia AM, Baruah R. Assessment of the nutritional status of the elderly and its correlates. Journal of Family and Community Medicine. 2015; 22 (1): 39-43.

https://doi.org/10.4103/2230-8229.149588

Mathew AC, Das D, Sampath S, Vijayakumar M, Ramakrishnan N, Ravishankar SL. Prevalence and correlates of malnutrition among elderly in an urban area in Coimbatore. Indian J Public Health. 2016; 60: 112-117.

https://doi.org/10.4103/0019-557x.184542

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: 1496-1499.

https://doi.org/10.5455/ijmsph.2016.15122015298

Jamir L, Kalaivani M, Nongkynrih B, Misra P, Gupta SK. Anthropometric Characteristics and Undernutrition Among Older Persons in a Rural Area of Northern India. Asia-Pacific Journal of Public Health. 2015; 27(2): NP2246–NP2258

https://doi.org/10.1177/1010539513490191

Jain A, Jain A, Mangal S, Agarwal L and Rai P. Assessment of Nutritional Status of Elderly by Mini Nutrition Assessment Scale in Old Age Homes of Jaipur. Indian Journal of Gerontology. 2010;24 (3):290 -298.

Abraham J, Navaneetha N, Johns F, Aiyappan R, Mili M, Shibu P and Mathew E. Nutritional status of older adults in a community in Pathanamthitta district of Kerala. International Journal of Research in Medical Sciences. 2018;6(1):210-215.

https://doi.org/10.18203/2320-6012.ijrms20175721

Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999 Feb;15(2):116-22.

https://doi.org/10.1016/s0899-9007(98)00171-3

Gupta A, Kapil U, Khandelwal R, Khenduja P, Sareen N, Pandey RM and Upadhyay AD. Prevalence and risk factors of underweight, overweight and obesity among geriatric population living in a high-altitude region of rural Uttarakhand, India. Public Health Nutrition.2018; 21(10):1904-1911.

https://doi.org/10.1017/s1368980018000447

Kapil U, Khandelwal R, Ramakrishnan L, Khenduja P, Gupta A, Sareen N, Pandey RM, Sati HC and Belwal RS. Prevalence of metabolic syndrome and associated risk factors among geriatric population living in a high altitude region of rural Uttarakhand, India. 2018;7(4): 709-7016.

https://doi.org/10.4103/jfmpc.jfmpc_261_17

Kalyan G, Sarin J, Gulia R, Rani R, Malik R, Panicker RR and Ramanjot. Diet Associated Problems and Nutritional Status of Elderly of Selected Community of District Ambala, Haryana. Nursing and Midwifery Research Journal.2015;11(2):78-86.

Rashmi Agarwalla R,Saikia AM, Baruah R. Assessment of the nutritional status of the elderly and its correlates. Journal of Family and Community Medicine. 2015; 22(1).

https://doi.org/10.4103/2230-8229.149588

Saikia A, Mahanta N. A study on nutritional status of elderly in terms of body mass index in Urban Slums of Guwahati City. J Indian Acad Geriatr. 2013; 9:11-4.

Baweja S, Agarwal H, Mathur A, Haldiya KR, Mathur A. Assessment of nutritional status and related risk factors in community dwelling elderly in western Rajasthan. J Indian Acad Geriatr. 2008; 1: 5-13.

Cuervo M, Garcia A, Ansorena D, Sanchez-Villegas A, Martinez-Gonzalez M, Astiasaran I. Nutritional assessment interpretation on 22,007 Spanish community dwelling elders through the Mini Nutritional Assessment test. Public Health Nutr. 2009; 12: 82–90.

https://doi.org/10.1017/s136898000800195x

Kabir ZN, Ferdous T, Cederholm T, Khanam MA, Streatfied K, Wahlin A. Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors. Public Health Nutr. 2006; 9: 968–7.

https://doi.org/10.1017/phn2006990

Han Y, Li S, Zheng Y. Predictors of nutritional status among community-dwelling older adults in Wuhan, China. Public Health Nutr. 2009;12:1189-96.

https://doi.org/10.1017/s1368980008003686

Mokhber N, Majdi M, Ali-Abadi M, Shakeri M, Kimiagar M, Salek R, et al. Association between Malnutrition and Depression in Elderly People in Razavi Khorasan: A Population Based-Study in Iran. Iran J Public Health. 2011; 40: 67-74.

Baker DP, Leon J, Smith Greenaway EG, Collins J, Movit M. The education effect on population health: a reassessment. Popul Dev Rev. 2011; 37(2): 307-32.

https://doi.org/10.1111/j.1728-4457.2011.00412.x

Natarajan VS, Shanthi R, Sivashanmugam, Thyagarajan, Kailash K, Krishnaswamy B, et al. Assessment of nutrient intake and associated factors in an Indian elderly population. Age Ageing 1993;22:103–8.

https://doi.org/10.1093/ageing/22.2.103

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):3125-3129.

https://doi.org/10.18203/2394-6040.ijcmph20182660

Shivraj M, Singh VB, Meena B L, Singh K, Dayal MNS and Beniwal S. Study of nutritional status in elderly in Indian population. International Journal of current Research. 2014;6(11):10253-10257.

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Published

2022-03-31

How to Cite

1.
Gupta A, Kapil U, Belwal R. Assessment of nutritional status of elderly population living at high altitude regions of India utilizing Mini Nutritional Assessment (MNA) methodology. Indian J Community Health [Internet]. 2022 Mar. 31 [cited 2024 Nov. 22];34(1):49-53. Available from: http://iapsmupuk.org/journal/index.php/IJCH/article/view/2083

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