Repercussion of Covid-19 on Health and Nutritional Status of Elderly: Current Scenario





Nutritional Status, Malnutrition, Functional Ability, Physical Activity, Elderly

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Review Article


  • Preetika Khenduja Lady Irwin College, University of Delhi, Delhi
  • Manisha Sabharwal Lady Irwin College, University of Delhi, Delhi


Ageing is an inevitable process with numerous changes in a physiological, biological, cognitive, and social environment. The COVID-19 pandemic has posed an unprecedented public health crisis globally. Both the problems adversely affect the nutritional and health status of the elderly. Malnutrition, increase risk of chronic morbidities, low socioeconomic status along with social deprivations influence the health and well-being of old age. Lack of physical activity is common due to loss of skeletal muscle mass and an increase of fat mass eventually causes functional inability. The review aimed to report the impact of Covid-19 on the health and nutritional status of the elderly. A thorough recent literature search was conducted using PubMed, Science Direct, and Google Scholar databases using specific keywords related to the aims. All related articles published on COVID-19 during 2020 and their effect on health and nutrition in the elderly were retrieved. The study found that nutritional status influences mortality and co-morbidities among the elderly during the COVID-19 situation. Furthermore, the study found that though nutritional indicators, that is, overweight or obese, significantly increase the risk of co-morbid conditions among older adults, good nutrition reduces the risk of all-cause mortality. Although ageing is an irreversible process, it is never too late to start practicing a healthy behavioral lifestyle for achieving healthy ageing.

How to Cite

Khenduja P, Sabharwal M. Repercussion of Covid-19 on Health and Nutritional Status of Elderly: Current Scenario. Indian J Community Health [Internet]. 2022 Jun. 30 [cited 2022 Aug. 16];34(2):161-6. Available from:


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Dziechciaz M, Filip R. Biological psychological and social determinants of old age: Bio-psycho-social aspects of human aging. Annals of Agricultural and Environmental Medicine. 2014;21(4): 835-38.

Sujaya CP. National policy on older persons. InSEMINAR-NEW DELHI- 2000 Apr (pp. 14-20).

Desa UN. World population prospects 2019: Highlights. New York (US): United Nations Department for Economic and Social Affairs. 2019;11(1):125.

Elderly in India 2021, Government of India, Ministry of Statistics and Programme Implementation, National Statistical Office, Social Statistics Division. Available at: (Accessed 25.06.22).

Ladusingh L, Mohanty SK, Thangjam M. Triple burden of disease and out of pocket healthcare expenditure of women in India. Plos one. 2018; 13(5):e0196835.

Norman K, Haß U, Pirlich M. Malnutrition in Older Adults—Recent Advances and Remaining Challenges. Nutrients. 2021; 13(8):2764.

Director-General WHO. WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19. Geneva, Switzerland: World Health Organization; 2020.

Bonanad C, García-Blas S, Tarazona-Santabalbina F, Sanchis J, Bertomeu-González V, Fácila L, Ariza A, Nunez J, Cordero A. The effect of age on mortality in patients with COVID-19: a meta-analysis with 611,583 subjects. Journal of the American Medical Directors Association. 2020; 21(7):915-8.

Fedele D, De Francesco A, Riso S, Collo A. Obesity, malnutrition, and trace element deficiency in the coronavirus disease (COVID-19) pandemic: an overview. Nutrition. 2021; 81:111016.

Ngadiarti I, Nurkolis F, Gunawan WB. Malnutrition during pandemic among home-nursed and community-dwelling elderly. Clinical Nutrition and Hospital Dietetics Journal. 2022; 42(01): 134-45.

Turkson RK. The impact of a nutrition and physical activity intervention programme on frailty syndrome in elderly citizens in Lesotho (Doctoral dissertation, University of the Free State). 2018.

Kucukerdonmez O, NavruzVarli S, Koksal E. Comparison of nutritional status in the elderly according to living situations. The Journal of Nutrition, Health & Aging. 2017; 21(1):25-30.

Govind R, Rajeev J, Bhatt AN. Malnutrition among community dwelling older adults in a rural block area of South India. Journal of Family Medicine and Primary Care. 2020; 9(12):5982.

Gupta A, Khandelwal R, Kapil U. Interrelationship between dental health status and nutritional status among elderly subjects in India. Journal of Family Medicine and Primary Care. 2019; 8(2):477.

Khole CV, Soletti A. Nutritional status of elderly in the old age homes: A study in Pune city. Current Research in Nutrition and Food Science Journal. 2018; 6(1):234-40.

Goswami AK, Nongkynrih B, Kalaivani M, Gupta SK, Pandav CS. Double burden of malnutrition among elderly population of Delhi. Indian Journal of Community Health. 2016; 28(4).

Lankarani KB, Peymani P, Zare S, Tabrizi R, Kazemi MH, Omrani GR. Prevalence of vitamin b12 and folate deficiencies and homocysteinemia in elderly population of Shiraz, southern Iran. Tropical Journal of Pharmaceutical Research. 2015;14(10):1907-12.

Soenen S, Rayner CK, Jones KL, Horowitz M. The ageing gastrointestinal tract. Current Opinion in Clinical Nutrition & Metabolic Care. 2016; 19(1):12-8.

Gallagher JC. Vitamin D and aging. Endocrinology and Metabolism Clinics. 2013; 42(2):319-32.

Manual A. Dietary guidelines for Indians. Nat Inst Nutrition. 2011; 2:89-117.

Milanovi? Z, Panteli? S, Trajkovi? N, Sporiš G, Kosti? R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical interventions in aging. 2013; 8:549.

Ohri P, Gupta SK, Upadhyai N. A study of daily living dependency status among elderly in an urban slum area of Dehradun. Indian Journal of Community Health. 2014; 26(4):417-22.

J?drzejczyk M, Fory? W, Czapla M, Uchmanowicz I. Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome. International Journal of Environmental Research and Public Health. 2022; 19(6):3461.

Alhalafi A, Al-Amoud M, Aldahman R, Abd-Ellatif E, Omar D. The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City. Open Access Macedonian Journal of Medical Sciences. 2021; 9(B):975-82.

Chalise HN, Khanal B. Functional disability on instrumental/activities of daily livings among rural older people in Nepal. Journal of Karnali Academy of Health Sciences. 2020; 3(3).

Araújo GK, Souto RQ, Alves FA, Sousa RC, Ceballos AG, Santos RD, Lyra ÉV, Nogueira RT. Functional capability and associated factors in the elderly living in the community. ActaPaulista de Enfermagem. 2019; 32:312-8.

Abd Allah ES, Abd Allah MG, Abdel-Aziz HR. Functional Disability and Its Influencing Factors among Elderly with Chronic Low Back Pain. Zagazig Nursing Journal. 2021;17(2):56-69.

Chauhan S, Kumar S, Bharti R, Patel R. Prevalence and determinants of activity of daily living and instrumental activity of daily living among elderly in India. BMC geriatrics. 2022; 22(1):1-0.

Salagre, Santosh, AmeyKundawar, Prarthna Srivastava, TejasSaha, AkashMantri, Shaurya Jain, Shruti Deshpande, ShubhaangiDhanjitaa, AmeyaMachave, and AmeyaDandekar. "Comprehensive Geriatric Assessment (CGA) Screening of Geriatric Patients in a Tertiary Care Hospital: a Cross-sectional Study in India." The Journal of the Association of Physicians of India; 2022; 70(1): 11-12.

Patel R, Srivastava S, Kumar P, Chauhan S, Govindu MD, Jean Simon D. Socio-economic inequality in functional disability and impairments with focus on instrumental activity of daily living: a study on older adults in India. BMC public health. 2021; 21(1):1-3.

Sharma D, Parashar A, Mazta S. Functional status and its predictor among elderly population in a hilly state of North India. International Journal of Health & Allied Sciences. 2014; 3(3):159.

Baumgartner RN, Wayne SJ, Waters DL, Janssen I, Gallagher D, Morley JE. Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obesity research. 2004;12(12):1995-04.

WHO 2010, ‘Global recommendations on physical activity for health’, Geneva: World Health Organization, p. 60. Available at Accessed on 25/06/2022.

Haley C, Andel R. Correlates of physical activity participation in community-dwelling older adults. Journal of aging and physical activity. 2010; 18(4):375-89.

Hubert HB, Bloch DA, Oehlert JW, Fries JF. Lifestyle habits and compression of morbidity. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2002;57(6):M347-51.

Jonker JT, De Laet C, Franco OH, Peeters A, Mackenbach J, Nusselder WJ. Physical activity and life expectancy with and without diabetes: life table analysis of the Framingham Heart Study. Diabetes care. 2006; 29(1):38-43.

Costa AC, Duarte YA, Andrade FB. Metabolic syndrome: physical inactivity and socioeconomic inequalities among non-institutionalized Brazilian elderly. RevistaBrasileira de Epidemiologia. 2020;23.

Kleinke F, Penndorf P, Ulbricht S, Dörr M, Hoffmann W, van den Berg N. Levels of and determinants for physical activity and physical inactivity in a group of healthy elderly people in Germany: Baseline results of the MOVING-study. PloS one. 2020; 15(8):e0237495.

Hanif AA, Hasan M, Khan MS, Hossain MM, Shamim AA, Mitra DK, Hossaine M, Ullah MA, Sarker SK, Rahman SM, Bulbul MM. Prevalence and associated factors of insufficient physical activity among elderly people in Bangladesh: a nationally representative cross-sectional study. BMJ open sport & exercise medicine. 2021;7(3):e001135.

Wang Q, Zhang X, Fang L, Guan Q, Gao L, Li Q. Physical activity patterns and risk of type 2 diabetes and metabolic syndrome in middle-aged and elderly northern Chinese adults. Journal of diabetes research. 2018;2018.

Low ST, Balaraman T. Physical activity level and fall risk among community-dwelling older adults. Journal of physical therapy science. 2017; 29(7):1121-4.

Prasad L, Fredrick J, Aruna R. The relationship between physical performance and quality of life and the level of physical activity among the elderly. Journal of Education and Health Promotion. 2021;10.

Kaur G, Bansal R, Anand T, Kumar A, Singh J. Morbidity profile of noncommunicable diseases among elderly in a city in North India. Clinical Epidemiology and Global Health. 2019;7(1):29-34.

De S, Roy R, Mitra K, Das D, Dan A. Physical activities and quality of life among elderly population in urban slum of Bardhaman Municipality, West Bengal. Journal of Dental and Medical Sciences (IOSR-JDMS). 2018;17(12):67-73.

Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC public health. 2013;13(1):1-7.

Joseph A, Kumar D, Bagavandas M. A review of epidemiology of fall among elderly in India. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2019;44(2):166.

Droomers M, Schrijvers CT, Mackenbach JP. Educational level and decreases in leisure time physical activity: predictors from the longitudinal GLOBE study. Journal of Epidemiology & Community Health. 2001;55(8):562-8.

McAuley E, Morris KS, Motl RW, Hu L, Konopack JF, Elavsky S. Long-term follow-up of physical activity behavior in older adults. Health Psychology. 2007; 26(3):375