EC Nutrition

The percentage of older adults increased dramatically over the past years. The aging process is accompanied by many physiolo- gical, physical and psychological changes that could have adverse effect on the old person’s nutritional status. Hence, the assessment of their nutritional status becomes important for the prevention of many diseases. The main aim of the study was to assess the nutritional status of older adults and determine the factors that might affect their nutritional status. An epidemiological, cross sectional, community-based study was conducted. Participants were selected from different places in Al Madinah Al Munawarah, Saudi Arabia including religious schools and Mosques.

Nutritional screening was carried out using the Mini Nutritional Assessment-Short Form. Weight, height and the mid upper arm circumference were measured twice. Body composition of lean and fat mass percent was analyzed. The psychologic and physiolo- gical status, activities of daily living and quality of life were assessed. Two 24-hour recall records were collected for the estimation of energy and selected nutrients. Dietary data was analyzed by Diet Organizer version 3.1. Statistical analysis was conducted using SPSS version 20.

A total of 114 older people aged between 65 - 100 years (Mean age: 69 ± 6.1 years) were included; of these 82 (72%) were women. Participants (28.9%) were at risk of malnutrition and 3.5% were malnourished. Overweight and obesity were common among the study group. Older people consumed lower energy, calcium, fibre and water compared to their recommended daily allowances. Age, educational level, psychological and physiological status and sleeping status affected their nutritional status. Large number of the older adults in this study were not malnourished. Nutritional education campaigns are needed for them and their families targeting their dietary intake, body weight and physical activity levels.

Keywords: Old People; Nutritional Status; Associated Factors; Quality of Life; Al Madinah Al Munawarah

1. World Health Organization. “Proposed working definition of an older person in Africa for the MDS Project” (2018).
2. The Elderly Survey (2018).
3. Agarwalla R., et al. “Assessment of the nutritional status of the elderly and its correlates”. Journal of Family and Community Medicine1 (2015): 39-43.
4. “Introduction to malnutrition” (2018).
5. Ahmed T and Haboubi N. “Assessment and management of nutrition in older people and its importance to health”. Clinical Interventions in Aging 5 (2010): 207-216.
6. Ministry of health Kingdom of Saudi Arabia (2018).
7. Amarya S., et al. “Changes during aging and their association with malnutrition”. Journal of Clinical Gerontology and Geriatrics3 (2015): 78-84.
8. Win AZ., et al. “High prevalence of malnutrition among elderly veterans in home based primary care”. Journal of Nutrition, Health and Aging6 (2017): 610-613.
9. Bowling A. “Measuring disease: A review of quality of life measurement scales”. 2nd edition Buckingham, Open University Press (2001).
10. Leslie W and Hankey C. “Aging, nutritional status and health”. Healthcare Journal3 (2015): 648-658.
11. Lin WQ., et al. “The unhealthy lifestyle factors associated with an increased risk of poor nutrition among the elderly population in China”. Journal of Nutrition, Health and Aging9 (2017): 943-953.
12. Volkert D., et al. “Prevalence of Malnutrition in Orally and Tube-Fed Elderly Nursing Home Residents in Germany and Its Relation to Health Complaints and Dietary Intake”. Gastroenterology Research and Practice (2011): 247315.
13. Lee R and Nieman D. “Nutritional assessment”. New York, Estados Unidos: McGraw Hill (2013).
14. Kaiser M., et al. “Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status”. The Journal of Nutrition, Health and Aging9 (2009): 782-788.
15. Shelkey M and Wallace M. “Katz index of independence in activities of daily living (ADL)”. The Gerontologist 10.1 (1998): 20-30.
16. S. Department of Health and Human Services and U.S. Department of Agriculture. “2015-2020 Dietary Guidelines for Americans”. 8th Edition (2015).
17. Ribeiro RS., et al. “Malnutrition and associated variables in an elderly population of Criciúma, SC”. Revista da Associação Médica Brasileira 57.1 (2011): 56-61.
18. Selvaraj K., et al. “Can mid-upper arm circumference and calf circumference be the proxy measures to detect undernutrition among elderly? Findings of a community-based survey in rural Puducherry, India”. Journal of Family Medicine and Primary Care 2 (2017): 356-359.
19. Wadhwa A., et al. “Nutritional status of the elderly”. Indian Journal of Medical Research 106 (1997): 340-348.
20. Shimoda T., et al. “Nutritional Status and Body Composition of Independently Living Older Adults in a Snowy Region of Japan”. Gerontology and Geriatric Medicine (2017).
21. Wyka J., et al. “Assessment of dietary intake and nutritional status (MNA) in Polish free-living elderly people from rural environments”. Archives of Gerontology and Geriatrics 1 (2012): 44-49.
22. Zizza CA., et al. “Total water intakes of community-living middle-old and oldest-old adults”. Journals of Gerontology Series A 64A.4 (2009): 481-486.
23. Sugiura Y., et al. “Association between functional capacity decline and nutritional status based on the nutrition screening initiative checklist: A 2-year cohort study of Japanese Community-Dwelling Elderly”. PloS one11 (2016): e0166037.
24. Boulos C., et al. “Nutritional Status of the Elderly in an Arab Country in Social Transition: the Case of Lebanon” (2017).