A multidimensional assessment of nutritional and health status of rural elderly Malays

Suzana Shahar, Zuriati Ibrahim, Afaf Ruhi Abdul Fatah, Suriah Abdul Rahman, Noor Aini Mohd Yusoff, Fatimah Arshad, Zaitun Yassin, Siti Nur Asyura Adznam

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

A multidimensional assessment of nutritional and health status comprised of subjective global assessment (SGA), anthropometry function, biochemistry, dietary intake, social and health aspects was carried out on 820 older people (52.8% men and 47.2% women) from four rural areas of Peninsular Malaysia. A proportion of the subjects had been classified as either overweight (25.7%) or chronic energy deficient (20.3%). Although 49% of subjects had normal body weight, 68.4% have been classified as having mild to moderate malnutrition according to the SGA. Only 1.1% and 2.3% had low serum albumin and ferritin, respectively. Almost 80% of subjects, especially men, were at high risk of cardiovascular diseases on the basis of the assessment of total cholesterol and LDL-cholesterol. The majority of the subjects (87.2%) were fully independent in performing daily tasks, with men having a significantly higher score compared to women (p<0.001). However, men were less likely to be able to perform a flexibility test (50.7%) than were women (27.0%) (p<0.05). The mean energy intake for men (1412 ± 461 kcal/d) and women (1201 ± 392 kcal/d) were below the Recommended Nutrient Intake (RNI) for Malaysia, although this is a difficult assertion to make in an age-group which generally experiences declining energy expenditure. Moreover, 52.5% of men and 47.5% of women might have underreported their food intake. Dietary micronutrients most likely to be deficient were thiamin, riboflavin and calcium. It is concluded that a substantial proportion of rural elderly Malays had problems related to both undernutrition and overnutrition. An appropriate nutrition intervention program is needed to improve the nutritional status of rural elderly Malays.

Original languageEnglish
Pages (from-to)346-353
Number of pages8
JournalAsia Pacific Journal of Clinical Nutrition
Volume16
Issue number2
Publication statusPublished - Jun 2007

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Nutritional Status
Health Status
Malaysia
Malnutrition
Overnutrition
Ideal Body Weight
Anthropometry
Riboflavin
Micronutrients
Thiamine
Ferritins
Energy Intake
Serum Albumin
Biochemistry
LDL Cholesterol
Energy Metabolism
Cardiovascular Diseases
Age Groups
Eating
Cholesterol

Keywords

  • Anthropometry
  • Food intake
  • Functional status
  • Nutritional status
  • Older people

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Shahar, S., Ibrahim, Z., Fatah, A. R. A., Rahman, S. A., Yusoff, N. A. M., Arshad, F., ... Adznam, S. N. A. (2007). A multidimensional assessment of nutritional and health status of rural elderly Malays. Asia Pacific Journal of Clinical Nutrition, 16(2), 346-353.

A multidimensional assessment of nutritional and health status of rural elderly Malays. / Shahar, Suzana; Ibrahim, Zuriati; Fatah, Afaf Ruhi Abdul; Rahman, Suriah Abdul; Yusoff, Noor Aini Mohd; Arshad, Fatimah; Yassin, Zaitun; Adznam, Siti Nur Asyura.

In: Asia Pacific Journal of Clinical Nutrition, Vol. 16, No. 2, 06.2007, p. 346-353.

Research output: Contribution to journalArticle

Shahar, S, Ibrahim, Z, Fatah, ARA, Rahman, SA, Yusoff, NAM, Arshad, F, Yassin, Z & Adznam, SNA 2007, 'A multidimensional assessment of nutritional and health status of rural elderly Malays', Asia Pacific Journal of Clinical Nutrition, vol. 16, no. 2, pp. 346-353.
Shahar, Suzana ; Ibrahim, Zuriati ; Fatah, Afaf Ruhi Abdul ; Rahman, Suriah Abdul ; Yusoff, Noor Aini Mohd ; Arshad, Fatimah ; Yassin, Zaitun ; Adznam, Siti Nur Asyura. / A multidimensional assessment of nutritional and health status of rural elderly Malays. In: Asia Pacific Journal of Clinical Nutrition. 2007 ; Vol. 16, No. 2. pp. 346-353.
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