Malnutrition risk and its association with appetite, functional and psychosocial status among elderly malays in an agricultural settlement

Suzana Shahar, P. C. Boon, P. P. Chan, Normah Che Din

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction: Malnutrition is a common phenomenon among the elderly and quite often related to psychosocial problems. The objective of this study was to determine malnutrition risk and its association with appetite, functional and psychosocial status among elderlyMalays in an agricultural settlement, i.e. FELDA Sungai Tengi, Selangor. Methods: A cross-sectional study was conducted among 160 subjects (men=36.2%), with a mean age of 65.0 ± 3.9 years, who were interviewed to obtain information on malnutrition risk and appetite using Mini Nutritional Assessment Short Form and Simplified Nutritional Appetite Questionnaire, respectively. Functional status was determined using Instrumental Activities of Daily Living (IADL), Elderly Mobility Scale (EMS) and handgrip strength. Mini Mental Status Examination (MMSE), Geriatric Depression Scale and De Jong Gierveld Loneliness Scale were used to identify cognitive impairment, depressive symptoms and loneliness status of subjects respectively. A total of 42.5% of subjects were at risk of malnutrition and 61.2% had poor appetite. The mean scores of IADL and EMS were lower in subjects at risk of malnutrition, compared to those who were not at high risk (p<0.05 for both parameters). Multiple linear regression showed that 19.8% of malnutrition risk was predicted by poor appetite, decreased functional status (IADL) and depression. Conclusion: Malnutrition risk was prevalent and associated with poor appetite, functional status and psychosocial problems among the elderly subjects. The psychosocial aspect should also be incorporated in nutrition intervention programmes in order to improve mental well-being and functional independancy.

Original languageEnglish
Pages (from-to)65-76
Number of pages12
JournalMalaysian Journal of Nutrition
Volume19
Issue number1
Publication statusPublished - 2013

Fingerprint

Appetite
appetite
Malnutrition
malnutrition
functional status
Activities of Daily Living
Loneliness
Depression
Nutrition Assessment
nutrition assessment
nutritional intervention
cross-sectional studies
Geriatrics
signs and symptoms (animals and humans)
Linear Models
questionnaires
Cross-Sectional Studies

Keywords

  • Elderly
  • Functional
  • Malaysia
  • Malnutrition
  • Psychosocial aspects

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

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title = "Malnutrition risk and its association with appetite, functional and psychosocial status among elderly malays in an agricultural settlement",
abstract = "Introduction: Malnutrition is a common phenomenon among the elderly and quite often related to psychosocial problems. The objective of this study was to determine malnutrition risk and its association with appetite, functional and psychosocial status among elderlyMalays in an agricultural settlement, i.e. FELDA Sungai Tengi, Selangor. Methods: A cross-sectional study was conducted among 160 subjects (men=36.2{\%}), with a mean age of 65.0 ± 3.9 years, who were interviewed to obtain information on malnutrition risk and appetite using Mini Nutritional Assessment Short Form and Simplified Nutritional Appetite Questionnaire, respectively. Functional status was determined using Instrumental Activities of Daily Living (IADL), Elderly Mobility Scale (EMS) and handgrip strength. Mini Mental Status Examination (MMSE), Geriatric Depression Scale and De Jong Gierveld Loneliness Scale were used to identify cognitive impairment, depressive symptoms and loneliness status of subjects respectively. A total of 42.5{\%} of subjects were at risk of malnutrition and 61.2{\%} had poor appetite. The mean scores of IADL and EMS were lower in subjects at risk of malnutrition, compared to those who were not at high risk (p<0.05 for both parameters). Multiple linear regression showed that 19.8{\%} of malnutrition risk was predicted by poor appetite, decreased functional status (IADL) and depression. Conclusion: Malnutrition risk was prevalent and associated with poor appetite, functional status and psychosocial problems among the elderly subjects. The psychosocial aspect should also be incorporated in nutrition intervention programmes in order to improve mental well-being and functional independancy.",
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T1 - Malnutrition risk and its association with appetite, functional and psychosocial status among elderly malays in an agricultural settlement

AU - Shahar, Suzana

AU - Boon, P. C.

AU - Chan, P. P.

AU - Che Din, Normah

PY - 2013

Y1 - 2013

N2 - Introduction: Malnutrition is a common phenomenon among the elderly and quite often related to psychosocial problems. The objective of this study was to determine malnutrition risk and its association with appetite, functional and psychosocial status among elderlyMalays in an agricultural settlement, i.e. FELDA Sungai Tengi, Selangor. Methods: A cross-sectional study was conducted among 160 subjects (men=36.2%), with a mean age of 65.0 ± 3.9 years, who were interviewed to obtain information on malnutrition risk and appetite using Mini Nutritional Assessment Short Form and Simplified Nutritional Appetite Questionnaire, respectively. Functional status was determined using Instrumental Activities of Daily Living (IADL), Elderly Mobility Scale (EMS) and handgrip strength. Mini Mental Status Examination (MMSE), Geriatric Depression Scale and De Jong Gierveld Loneliness Scale were used to identify cognitive impairment, depressive symptoms and loneliness status of subjects respectively. A total of 42.5% of subjects were at risk of malnutrition and 61.2% had poor appetite. The mean scores of IADL and EMS were lower in subjects at risk of malnutrition, compared to those who were not at high risk (p<0.05 for both parameters). Multiple linear regression showed that 19.8% of malnutrition risk was predicted by poor appetite, decreased functional status (IADL) and depression. Conclusion: Malnutrition risk was prevalent and associated with poor appetite, functional status and psychosocial problems among the elderly subjects. The psychosocial aspect should also be incorporated in nutrition intervention programmes in order to improve mental well-being and functional independancy.

AB - Introduction: Malnutrition is a common phenomenon among the elderly and quite often related to psychosocial problems. The objective of this study was to determine malnutrition risk and its association with appetite, functional and psychosocial status among elderlyMalays in an agricultural settlement, i.e. FELDA Sungai Tengi, Selangor. Methods: A cross-sectional study was conducted among 160 subjects (men=36.2%), with a mean age of 65.0 ± 3.9 years, who were interviewed to obtain information on malnutrition risk and appetite using Mini Nutritional Assessment Short Form and Simplified Nutritional Appetite Questionnaire, respectively. Functional status was determined using Instrumental Activities of Daily Living (IADL), Elderly Mobility Scale (EMS) and handgrip strength. Mini Mental Status Examination (MMSE), Geriatric Depression Scale and De Jong Gierveld Loneliness Scale were used to identify cognitive impairment, depressive symptoms and loneliness status of subjects respectively. A total of 42.5% of subjects were at risk of malnutrition and 61.2% had poor appetite. The mean scores of IADL and EMS were lower in subjects at risk of malnutrition, compared to those who were not at high risk (p<0.05 for both parameters). Multiple linear regression showed that 19.8% of malnutrition risk was predicted by poor appetite, decreased functional status (IADL) and depression. Conclusion: Malnutrition risk was prevalent and associated with poor appetite, functional status and psychosocial problems among the elderly subjects. The psychosocial aspect should also be incorporated in nutrition intervention programmes in order to improve mental well-being and functional independancy.

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