Nutrition status and its associated factors among the elderly in a Vietnam rural medical center: A cross-sectional study
DOI:
https://doi.org/10.62992/zadpqp12Keywords:
Associated factors, Elderly, Nutrition status, RuralAbstract
Background: Malnutrition is one of countless health risks for the elderly, especially in areas with difficult economic conditions.
Objectives: The purpose of this study was to describe the nutritional status of senior citizens visiting the district health center and identify the associated factors.
Methods: A cross-sectional study was conducted at Ea H'leo District Medical Centre, Dak Lak Province in 2023. A total of 251 participants who visited the district medical centre for examination were interviewed. The nutritional status of the elderly was evaluated using the Mini Nutritional Assessment (MNA) scale. Logistic regression was used to identify factors associated with their nutritional status.
Results: Among 251 elderly, 12% suffered from malnutrition, and 41.4% were at risk. Protective factors included having a university or postgraduate education level (Adjusted Odds Ratio (AOR) = 0.08, 95% Confidence Interval (CI): 0.01-0.7), poor economic status (AOR= 0.13, 95% CI: 0.03-0.6), married (AOR= 0.48, 95% CI: 0.2-0.9), good dental status (AOR= 0.33, 95% CI:0.1-0.8), and engaging in a regular exercise (AOR= 0.47, 95% CI: 0.3-0.8), whereas heavy physical activity was identified as a risk factor (AOR= 6.0, 95% CI: 1.1-32.3).
Conclusion: There is a significant number of participants at risk of malnutrition. Providing support to improve difficult economic conditions and increasing access to nutritional healthcare knowledge are measures that help to reduce the risk of malnutrition and disease in the elderly.
References
Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49-64.
Bardon LA, Corish CA, Lane M, Bizzaro MG, Loayza Villarroel K, Clarke M, et al. Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis. BMC Geriatr. 2021;21(1):676.
Tiraphat S, Kasemsup V, Buntup D, Munisamy M, Nguyen TH, Hpone Myint A. Active Aging in ASEAN Countries: Influences from Age-Friendly Environments, Lifestyles, and Socio-Demographic Factors. Int J Environ Res Public Health. 2021;18(16).
Bellanti F, Lo Buglio A, Quiete S, Vendemiale G. Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management. Nutrients. 2022;14(4).
Olawumi AL, Grema BA, Suleiman AK, Omeiza YS, Michael GC, Shuaibu A. Nutritional status and morbidity patterns of the elderly in a Northwestern Nigerian hospital: A cross-sectional study. Niger Postgrad Med J. 2021;28(3):160-8.
Lai X, Zhu H, Du H, Huo X, Yu K. Nutritional status of Chinese oldest-old adults (≥80 years of age): a cross-sectional study in Beijing. European journal of clinical nutrition. 2021;75(7):1040-6.
Bellanti F, Lo Buglio A, Quiete S, Pellegrino G, Dobrakowski M, Kasperczyk A, et al. Comparison of Three Nutritional Screening Tools with the New Glim Criteria for Malnutrition and Association with Sarcopenia in Hospitalized Older Patients. Journal of clinical medicine. 2020;9(6).
Vedantam A, Subramanian V, Rao NV, John KR. Malnutrition in free-living elderly in rural south India: prevalence and risk factors. Public Health Nutr. 2010;13(9):1328-32.
Y Guigoz BV, P J Garry. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. 1996.
Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners. 2017;29(S1):S3-s14.
Tiffany M. Powell-Wiley PP, Lora E. Burke, Jean-Pierre Després, Penny Gordon-Larsen, Carl J. Lavie, Scott A. Lear, Chiadi E. Ndumele, Ian J. Neeland, Prashanthan Sanders, Marie-Pierre St-Onge. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021;143(21).
Thoai Dang Nguyen TTHN, Pol Van Nguyen, Khang Kim Huynh, Hiep Tung Bui. Evaluation of malnutrition among elderly people above 75 years of age. Journal of Critical Reviews. 2020;7(4).
Nhung Thi Hong Huynh TTTN, Huy Kien Tai Pham, Ngoc Thi Hong Huynh, Ngoan Thi Nguyen, Ngoc Thanh Cao, Do Van Dung. Malnutrition, Frailty, and Health-Related Quality of Life Among Rural Older Adults in Vietnam: A Cross-Sectional Study. 2023.
Hongpeng Liu JJ, Chen Zhu, Minglei Zhu, Xianxiu Wen, Jingfen Jin, Hui Wang, Dongmei Lv, Shengxiu Zhao, Xinjuan Wu, Tao Xu. Associations Between Nutritional Status, Sociodemographic Characteristics, and Health-Related Variables and Health-Related Quality of Life Among Chinese Elderly Patients: A Multicenter Prospective Study. 2020.
Savitesh Kushwaha PK, Rachana Srivastava, Rachita Jain, Tarundeep Singh, Tanvi Kiran. Estimates of malnutrition and risk of malnutrition among the elderly (≥60 years) in India: A systematic review and meta-analysis. 2020.
Wojciech Tański JW, Beata Jankowska-Polańska Association between Malnutrition and Quality of Life in Elderly Patients with Rheumatoid Arthritis. 2021.
Nguyen TTH, Vu HTT, Nguyen TN, Dao HT, Nguyen TX, Nguyen HTT, et al. Assessment of nutritional status in older diabetic outpatients and related factors in Hanoi, Vietnam. J Multidiscip Healthc. 2019;12:601-6.
Shi R, Duan J, Deng Y, Tu Q, Cao Y, Zhang M, et al. Nutritional status of an elderly population in Southwest China: a cross-sectional study based on comprehensive geriatric assessment. The journal of nutrition, health & aging. 2015;19(1):26-32.
Kaur D, Rasane P, Singh J, Kaur S, Kumar V, Mahato DK, et al. Nutritional Interventions for Elderly and Considerations for the Development of Geriatric Foods. Current aging science. 2019;12(1):15-27.
Rémond D, Shahar DR, Gille D, Pinto P, Kachal J, Peyron MA, et al. Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition. Oncotarget. 2015;6(16):13858-98.
Yuqing Mao YX, Yihong Fan, Bin Lv, Xuan Huang, Xu Liang. Advancements in malnutrition in elderly inflammatory bowel disease patients. Gastroenterology & Endoscopy. 2023;1(4):199-206.
Klein S, Iber FL. Alcoholism and associated malnutrition in the elderly. Nutrition. 1991;7(2):75-9.
MulunehShuremu TB, Kalkidan Hassen. Nutritional status and its associated factors among elderly people in Ilu Aba Bor Zone, Southwest Ethiopia: a community-based cross-sectional study. 2023.
Ashok Jadhao RD. Assessment of nutritional status of the geriatric patients attending the outpatient department of an urban health training centre: a cross-sectional study. 2020.
Shailesh M Gondivkar ARG, Rima S Gondivkar, Sachin C Sarode, Gargi S Sarode, Shankargouda Patil, Kamran H Awan 6. Nutrition and oral health. 2019.
Yne Algra EH, Wilhelmina Kok, Faridi van Etten-Jamaludin, Liedeke van Schoot, Vanessa Hollaar, Elke Naumann, Marian de van der Schueren, Katarina Jerković-Ćosić. The Association between Malnutrition and Oral Health in Older People: A Systematic Review. 2021.
Sousana K Papadopoulou MM, Gavriela Voulgaridou, Eleni Pavlidou, Konstantinos Vadikolias, Georgios Antasouras, Theofanis Vorvolakos, Evmorfia Psara, Georgios K Vasios, Aspasia Serdari, Efthymios Poulios, Constantinos Giaginis. Nutritional Status Is Associated with Health-Related Quality of Life, Physical Activity, and Sleep Quality: A Cross-Sectional Study in an Elderly Greek Population. 2023.
Man Kumar Tamang UNY, Hassan Hosseinzadeh, Bharat Kafle, Girish Paudel, Saroj Khatiwada, Varalakshmi Chandra Sekaran. Nutritional assessment and factors associated with malnutrition among the elderly population of Nepal: a cross-sectional study. 2019.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2024 International Journal of Public Health Asia Pacific

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
International Journal of Public Health Asia Pacific (IJPHAP) is licensed under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 international (CC BY-NC-ND 4.0) license, unless otherwise stated. Please read our Policies page for more information on Open Access, copyright, and permissions.