Factors associated with nutritional status of elderly in Ubon Ratchathani, Thailand
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Published:
Nov 2, 2018
Keywords:
elderly malnutrition underweight overweight body mass index aging health Thailand
Main Article Content
Abstract
The prevalence of elderly population is increasing among Asian countries including Thailand during the present. Aging can affect not only the physical and mental health by causing deteriorative changes but also can lead to the problem of malnutrition in elderly. This study aimed to investigate the nutritional status of elderly individuals from Northeastern Thailand and to determine the association between nutritional status of the elderly and socio-demographic factors, lifestyle, and health conditions. A cross-sectional study was conducted in urban and rural areas of Ubon Ratchathani province. Anthropometric measurement, health practices questionnaire, and mental health self-assessment tool were applied to 398 elderly participants aged 60 years or more. Multiple logistic regression was performed to identify factors associated with nutritional status. Several variables regarding socio-demographic characteristics, health-related lifestyle, and health status were included in the analysis. Results showed that the underweight in the elderly was associated with elderly age ≥70 years (OR = 5.5, 95% CI 2.3-13.0), non-married status (single, OR = 12.9, 95% CI 2.4-69.5; other non-married situation, OR = 3.5, 95% CI 1.5-8.2), teeth or gum diseases (OR = 8.0, 95% CI 2.2-28.9), and appetite disorder (OR = 3.0, 95% CI 1.4-6.5). The overweight was positively associated with the elderly having hypertension (OR = 1.7, 95% CI 1.0-2.8) and unfavorable health status (OR = 2.0, 95% CI 1.1-3.5). In conclusion, these findings highlight the importance of nutrition and physical health problem among Thai elderly. There is a need for primary health care personals to provide nutritional knowledge and self-health care to improve the nutritional status of the elderly.
Article Details
How to Cite
Churak, P., Praditsorn, P., Meenongwah, J., & Wimonpeerapattana, W. (2018). Factors associated with nutritional status of elderly in Ubon Ratchathani, Thailand. Asia-Pacific Journal of Science and Technology, 24(1), APST–24. https://doi.org/10.14456/apst.2019.5
Section
Research Articles
References
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[27] World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Melbourne; 2000.
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[30] Joshi Veena D, Mooppil N, Lim J. Prevalence and risk factors of undetected proteinuria in an elderly South‐East Asian population. Nephrolo. 2006;11(4):347-54.
[31] Setiati S, Istanti R, Andayani R, Kuswardhani RAT, Aryana IGPS, Putu ID, et al. Cut-off of anthropometry measurement and nutritional status among elderly outpatient in Indonesia: multi-centre study. Acta Med Indones. 2010;42(4):224-30.
[32] Stookey JD, Zhai FY, Zohoori N, Popkin BM. Nutrition of elderly people in China. Asia Pac J Clin Nutr. 2000;9(4):243-51.
[33] Ledikwe JH, Smiciklas-Wright H, Mitchell DC, Jensen GL, Friedmann JM, Still CD. Nutritional risk assessment and obesity in rural older adults: a sex difference. Am J Clin Nutr. 2003;77(3):551-8.
[34] Coqueiro RD, Barbosa AR, Borgatto A. Nutritional Status, Health Conditions and Socio-Demographic Factors in the Elderly of Havana, Cuba: Data from Sabe Survey. J Nutr Health Aging. 2010;14(10):803-8.
[35] Fares D, Barbosa AR, Borgatto AF, Coqueiro RD, Fernandes MH. Factors associated with nutritional status of the elderly in two regions of Brazil. Rev Assoc Med Bras. 2012;58(4):434-41.
[36] Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr. 2015;6(3):78-84.
[37] de Morais C, Oliveira B, Afonso C, Lumbers M, Raats M, de Almeida MDV. Nutritional risk of European elderly. Eur J Clin Nutr. 2013;67(11):1215-9.
[38] Sawicka-Gutaj N, Gutaj P, Sowinski J, Wender-Ozegowska E, Czarnywojtek A, Brazert J, et al. Influence of cigarette smoking on thyroid gland - an update. Endokrynol Po. 2014;65(1):54-62.
[39] Preston AM. Cigarette smoking-nutritional implications. Prog Food Nutr Sci. 1991;15(4):183-217.
[40] Lytsy P, Ingelsson E, Lind L, Ärnlöv J, Sundström J. Interplay of overweight and insulin resistance on hypertension development. J Hypertens. 2014;32(4):834-9.
[41] Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity-induced hypertension: interaction of neurohumoral and renal mechanisms. Circ Res. 2015;116(6):991-1006.
[42] Nagai M, Ohkubo T, Murakami Y, Takashima N, Kadota A, Miyagawa N, et al. Secular trends of the impact of overweight and obesity on hypertension in Japan, 1980–2010. Hypertens Res. 2015;38(11):790.
[43] Patel SA, Ali MK, Alam D, Yan LL, Levitt NS, Bernabe-Ortiz A, et al. Obesity and its relation with diabetes and hypertension: a cross-sectional study across 4 geographical regions. Global heart. 2016;11(1):71-9. e4.
[44] Hall JE, Granger JP, do Carmo JM, da Silva AA, Dubinion J, George E, et al. Hypertension: physiology and pathophysiology. Compr Physiol. 2012;2(4):2393-442.
[45] Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, et al. Eating alone among community-dwelling Japanese elderly: Association with depression and food diversity. J Nutr Health Aging. 2012;16(8):728-31.
[46] Tsubota-Utsugi M, Kikuya M, Satoh M, Inoue R, Hosaka M, Metoki H, et al. Living situations associated with poor dietary intake among healthy japanese elderly: The ohasama study. J Nutr Health Aging. 2015;19(4):375-82.
[47] Sobal J. Marriage, obesity and dieting. Marriage Fam Rev. 1984;7(1-2):115-39.
[48] Lennon MC, Rosenfield S. Relative fairness and the division of housework: The importance of options. Am J Sociol. 1994;100(2):506-31.
[49] Williams K, Umberson D. Marital status, marital transitions, and health: A gendered life course perspective. J Health Soc Behav. 2004;45(1):81-98.
[2] Foundation of Thai Gerontology Research and Development Institute. Situation of the thai elderly 2014. Bangkok: Amarin Printing & Publishing; 2016.
[3] Visvanathan R, Newbury JW, Chapman I. Malnutrition in older people. Geriatric Medicine: An Introduction. 2014;4(20):216.
[4] Development Initiatives. Global Nutrition Report 2017: Nourishing the SDGs. UK:Bristol; 2017.
[5] Mann T, Heuberger R, Wong H. The association between chewing and swallowing difficulties and nutritional status in older adults. Aust Dent J. 2013;58(2):200-6.
[6] Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, et al. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. Geriatr Gerontol Int. 2012;13(3):718-25. [7] Hickson M. Malnutrition and ageing. Postgrad Med J. 2006;82(963):2-8.
[8] Suzana S, Boon P, Chan P, Normah C. Malnutrition risk and its association with appetite, functional and psychosocial status among elderly Malays in an agricultural settlement. Malays. J Nutr. 2013;19(1).
[9] Vanderwee K, Clays E, Bocquaert I, Gobert M, Folens B, Defloor T. Malnutrition and associated factors in elderly hospital patients: a Belgian cross-sectional, multi-centre study. Clin Nutr. 2010;29(4):469-76.
[10] Collins PF, Stratton RJ, Elia M. The influence of smoking status on malnutrition risk and 1‐year mortality in outpatients with chronic obstructive pulmonary disease. J. Hum. Nutr. Diet. 2011;24(4):382-3.
[11] van Bokhorst-de van der Schueren MAE, Lonterman-Monasch S, de Vries OJ, Danner SA, Kramer MHH, Muller M. Prevalence and determinants for malnutrition in geriatric outpatients. Clin Nutr. 2013;32(6):1007-11.
[12] Dorner T, Luger E, Tschinderle J, Stein K, Haider S, Kapan A, et al. Association between nutritional status (MNA®-SF) and frailty (SHARE-FI) in acute hospitalised elderly patients. J Nutr Health Aging. 2014;18(3):264-9.
[13] Lin W-Q, Wang H, Yuan L-X, Li B, Jing M-J, Luo J-L, et al. The unhealthy lifestyle factors associated with an increased risk of poor nutrition among the elderly population in China. J Nutr Health Aging. 2017;21(9):943-53.
[14] Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005;33(2):81-92.
[15] Isaia G, Mondino S, Germinara C, Cappa G, Aimonino-Ricauda N, Bo M, et al. Malnutrition in an elderly demented population living at home. Arch Gerontol Geriatr. 2011;53(3):249-51.
[16] Vafaei Z, Mokhtari H, Sadooghi Z, Meamar R, Chitsaz A, Moeini M. Malnutrition is associated with depression in rural elderly population. J Res Med Sci 2013;18:S15-S9.
[17] Wang Y, Beydoun MA. The Obesity Epidemic in the United States—Gender, Age, Socioeconomic, Racial/Ethnic, and Geographic Characteristics: A Systematic Review and Meta-Regression Analysis. Epidemiol Rev. 2007;29(1):6-28.
[18] Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes. 2008;32:1431.
[19] Vieira C, Gentil P, Campos M, Santos W, Costa G, de Lira C, et al. Prevalence of Overweight and Obesity in a Primary Healthcare Center in Goiania City. J Funct Morphol Kinesiol. 2018;3(2):27.
[20] Hu L, Huang X, You C, Li J, Hong K, Li P, et al. Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in southern China. PLoS ONE. 2017;12(9):e0183934.
[21] Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FAC, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr. 2011;30(3):291-304.
[22] Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FAC, Kawaguchi Y. Association of hyposalivation with oral function, nutrition and oral health in community-dwelling elderly Thai. Community Dent Health. 2012;29(1):117-23.
[23] Ubon Ratchathani Provincial Public Health Office. The strategic Plan for Public Health Service Development 2015: Ubon Ratchathani. Thailand: Ubon Ratchathani; 2015.
[24] Phumsawat W. Elderly Health Status Survey in 4 Regions of Thailand. Bangkok: Institute of Geriatric medicine Department of Medical Services; 2006.
[25] Mongkol A, Tangseree T, Srichanla E, Rungreangkulkij S. Thai mental health. J Psychiatr Assoc Thailand. 2007a;17(2):104–17.
[26] Mongkol A, Vongpiromsan Y, Tangseree T, Huttapanom W, Romsai P, Chutha W. The Development and Testing of Thai Mental Health Indicator Version 2007. J Psychiatr Assoc Thailand. 2009;54(3):299-316.
[27] World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Melbourne; 2000.
[28] WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63.
[29] Aekplakorn W, Nitiyanant W, Sornpaisan B, Kananurak P. The Thai National Health Examination Survey: NHES V. Nonthaburi, Thailand: Bureau of Non Communicable Diseases; 2016.
[30] Joshi Veena D, Mooppil N, Lim J. Prevalence and risk factors of undetected proteinuria in an elderly South‐East Asian population. Nephrolo. 2006;11(4):347-54.
[31] Setiati S, Istanti R, Andayani R, Kuswardhani RAT, Aryana IGPS, Putu ID, et al. Cut-off of anthropometry measurement and nutritional status among elderly outpatient in Indonesia: multi-centre study. Acta Med Indones. 2010;42(4):224-30.
[32] Stookey JD, Zhai FY, Zohoori N, Popkin BM. Nutrition of elderly people in China. Asia Pac J Clin Nutr. 2000;9(4):243-51.
[33] Ledikwe JH, Smiciklas-Wright H, Mitchell DC, Jensen GL, Friedmann JM, Still CD. Nutritional risk assessment and obesity in rural older adults: a sex difference. Am J Clin Nutr. 2003;77(3):551-8.
[34] Coqueiro RD, Barbosa AR, Borgatto A. Nutritional Status, Health Conditions and Socio-Demographic Factors in the Elderly of Havana, Cuba: Data from Sabe Survey. J Nutr Health Aging. 2010;14(10):803-8.
[35] Fares D, Barbosa AR, Borgatto AF, Coqueiro RD, Fernandes MH. Factors associated with nutritional status of the elderly in two regions of Brazil. Rev Assoc Med Bras. 2012;58(4):434-41.
[36] Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr. 2015;6(3):78-84.
[37] de Morais C, Oliveira B, Afonso C, Lumbers M, Raats M, de Almeida MDV. Nutritional risk of European elderly. Eur J Clin Nutr. 2013;67(11):1215-9.
[38] Sawicka-Gutaj N, Gutaj P, Sowinski J, Wender-Ozegowska E, Czarnywojtek A, Brazert J, et al. Influence of cigarette smoking on thyroid gland - an update. Endokrynol Po. 2014;65(1):54-62.
[39] Preston AM. Cigarette smoking-nutritional implications. Prog Food Nutr Sci. 1991;15(4):183-217.
[40] Lytsy P, Ingelsson E, Lind L, Ärnlöv J, Sundström J. Interplay of overweight and insulin resistance on hypertension development. J Hypertens. 2014;32(4):834-9.
[41] Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity-induced hypertension: interaction of neurohumoral and renal mechanisms. Circ Res. 2015;116(6):991-1006.
[42] Nagai M, Ohkubo T, Murakami Y, Takashima N, Kadota A, Miyagawa N, et al. Secular trends of the impact of overweight and obesity on hypertension in Japan, 1980–2010. Hypertens Res. 2015;38(11):790.
[43] Patel SA, Ali MK, Alam D, Yan LL, Levitt NS, Bernabe-Ortiz A, et al. Obesity and its relation with diabetes and hypertension: a cross-sectional study across 4 geographical regions. Global heart. 2016;11(1):71-9. e4.
[44] Hall JE, Granger JP, do Carmo JM, da Silva AA, Dubinion J, George E, et al. Hypertension: physiology and pathophysiology. Compr Physiol. 2012;2(4):2393-442.
[45] Kimura Y, Wada T, Okumiya K, Ishimoto Y, Fukutomi E, Kasahara Y, et al. Eating alone among community-dwelling Japanese elderly: Association with depression and food diversity. J Nutr Health Aging. 2012;16(8):728-31.
[46] Tsubota-Utsugi M, Kikuya M, Satoh M, Inoue R, Hosaka M, Metoki H, et al. Living situations associated with poor dietary intake among healthy japanese elderly: The ohasama study. J Nutr Health Aging. 2015;19(4):375-82.
[47] Sobal J. Marriage, obesity and dieting. Marriage Fam Rev. 1984;7(1-2):115-39.
[48] Lennon MC, Rosenfield S. Relative fairness and the division of housework: The importance of options. Am J Sociol. 1994;100(2):506-31.
[49] Williams K, Umberson D. Marital status, marital transitions, and health: A gendered life course perspective. J Health Soc Behav. 2004;45(1):81-98.