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老年人营养状况:基于社区的横断面研究。

Nutritional status among elderly: A community-based cross-sectional study.

机构信息

Senior Resident, Department of Community Health, St. Stephen's Hospital, New Delhi, India.

Associate Professor, Department of Community Medicine, University College of Medical Sciences, Delhi, India.

出版信息

Indian J Public Health. 2020 Jul-Sep;64(3):266-270. doi: 10.4103/ijph.IJPH_150_19.

Abstract

BACKGROUND

Malnutrition in the elderly is a significant public health problem and has serious implications on the overall health of the elderly. There are very few community-based studies on malnutrition among the elderly, especially in India.

OBJECTIVES

The objective was to find out the prevalence of malnutrition and its associated risk factors among the elderly in urbanized villages of Delhi.

METHODS

A cross-sectional study was conducted during November 2015 to April 2017 in two urbanized villages of East Delhi among 353 elderly (>60 years) individuals. A semi-structured interview schedule was used to record the sociodemographic and relevant personal details of the elderly. To determine the prevalence of malnutrition, Mini Nutritional Assessment scale was used. Statistical analysis included simple descriptive analysis and tests of significance such as Chi-square test. Multivariable logistic regression was used to identify the predictors of malnutrition.

RESULTS

The prevalence of possible malnutrition was found to be 49.3%. On bivariate analysis, age, gender, education status, marital and residential status, per capita income, financial dependency, and family size were found to be associated with malnutrition (P < 0.05). Age >70 years, being tenant, and financial dependency were observed to be significant predictors of possible malnutrition in multiple logistic regression.

CONCLUSION

Malnutrition needs to be identified at an early stage using appropriate tools so that proper interventions can be directed to those who need it to ensure healthy aging. Social and economic parameters are linked with the occurrence of malnutrition among the elderly and must be considered in the development of preventive strategies.

摘要

背景

老年人营养不良是一个重大的公共卫生问题,对老年人的整体健康有严重影响。针对老年人营养不良的社区研究很少,在印度更是如此。

目的

旨在了解德里市农村老年人营养不良的流行情况及其相关危险因素。

方法

2015 年 11 月至 2017 年 4 月,在东德里的两个城市农村进行了一项横断面研究,纳入了 353 名(>60 岁)老年人。使用半结构式访谈表记录老年人的社会人口学和相关个人信息。采用 Mini Nutritional Assessment 量表评估营养不良的患病率。统计分析包括简单描述性分析和显著性检验,如卡方检验。采用多变量逻辑回归分析确定营养不良的预测因素。

结果

可能营养不良的患病率为 49.3%。在单因素分析中,年龄、性别、教育程度、婚姻和居住状况、人均收入、经济依赖性和家庭规模与营养不良有关(P<0.05)。在多变量逻辑回归中,年龄>70 岁、租户和经济依赖性是可能营养不良的显著预测因素。

结论

需要使用适当的工具早期识别营养不良,以便为需要的人提供适当的干预措施,确保健康老龄化。社会和经济参数与老年人营养不良的发生有关,在制定预防策略时必须加以考虑。

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