Malnutrition, Prevalence and Relation to Some Risk Factors among Elderly Residents of Nursing Homes in Tehran, Iran
Identifieur interne : 000F88 ( Main/Exploration ); précédent : 000F87; suivant : 000F89Malnutrition, Prevalence and Relation to Some Risk Factors among Elderly Residents of Nursing Homes in Tehran, Iran
Auteurs : Lyly Nazemi [Iran] ; Ingmar Skoog [Suède] ; Ingvar Karlsson [Suède] ; Saeed Hosseini [Iran] ; Mohammad Reza Mohammadi [Iran] ; Mostafa Hosseini [Iran] ; Mohammad Javad Hosseinzade [Iran] ; Seyed Alireza Mesbah-Namin [Iran] ; Masoud Baikpour [Iran]Source :
- Iranian Journal of Public Health [ 2251-6085 ] ; 2015.
Abstract
Malnutrition and dehydration are two most common types of ailments residents of nursing homes (NH) prone to. It is very important to assess these problems because they can predispose the residents to severe illnesses. The aim of this study was to gather information on nutritional status and its associated risk factors in elderly residents of NHs in Tehran, Iran.
From 16 NHs in Tehran, 263 residents were randomly selected. Data were collected via questionnaires, including demographic characteristics, past medical history, present health problems and daily routines. The MNA questionnaire was used to gather information regarding their nutritional status.
The present study showed that 10.3% of the elderly residents in nursing homes were malnourished. 66.4% of males and 70.8% of females were at risk of malnutrition. Multivariate analysis showed that after adjusting for confounders the following elderly-related factors were the independent risk factors of malnutrition: consuming half or less than of the food (OR=8.0, 95%CI=3.7–17.7), having no teeth or good prosthesis (OR=1.7, 95%CI=1.1–2.7), diabetes (OR=1.6, 95%CI=1.1–2.4), smoking (OR=0.6, 95%CI=0.3–1.2), studying (OR=0.4 95%CI=0.2–0.9) and praying in their free time (OR=1.8 95%CI=1.2–2.6).
The subjects’ health-related factors and their free-time activities and nutritional behavior are the most important factors associated with poor nutrition among elderly residents of NHs; however, further investigation is needed to clarify the role of other factors in maintaining a suitable nutritional plan for them.
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PubMed: 25905056
PubMed Central: 4401880
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University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Mesbah Namin, Seyed Alireza" sort="Mesbah Namin, Seyed Alireza" uniqKey="Mesbah Namin S" first="Seyed Alireza" last="Mesbah-Namin">Seyed Alireza Mesbah-Namin</name><affiliation wicri:level="1"><nlm:aff id="AFF7">Dept. of Clinical Biochemistry, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Clinical Biochemistry, Faculty of Medical Sciences, Tarbiat Modares University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Baikpour, Masoud" sort="Baikpour, Masoud" uniqKey="Baikpour M" first="Masoud" last="Baikpour">Masoud Baikpour</name><affiliation wicri:level="1"><nlm:aff id="AFF8">Dept. of Neurology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country 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Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AFF2">Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AFF3">Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Skoog, Ingmar" sort="Skoog, Ingmar" uniqKey="Skoog I" first="Ingmar" last="Skoog">Ingmar Skoog</name><affiliation wicri:level="1"><nlm:aff id="AFF4">Dept. of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unite, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Dept. of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unite, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg</wicri:regionArea><wicri:noRegion>University of Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Karlsson, Ingvar" sort="Karlsson, Ingvar" uniqKey="Karlsson I" first="Ingvar" last="Karlsson">Ingvar Karlsson</name><affiliation wicri:level="1"><nlm:aff id="AFF4">Dept. of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unite, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Dept. of Psychiatry and Neurochemistry, Neuropsychiatric Epidemiology Unite, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg</wicri:regionArea><wicri:noRegion>University of Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Hosseini, Saeed" sort="Hosseini, Saeed" uniqKey="Hosseini S" first="Saeed" last="Hosseini">Saeed Hosseini</name><affiliation wicri:level="1"><nlm:aff id="AFF2">Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AFF3">Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Mohammadi, Mohammad Reza" sort="Mohammadi, Mohammad Reza" uniqKey="Mohammadi M" first="Mohammad Reza" last="Mohammadi">Mohammad Reza Mohammadi</name><affiliation wicri:level="1"><nlm:aff id="AFF5">Psychiatry Research Center, Rozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Psychiatry Research Center, Rozbeh Hospital, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Hosseini, Mostafa" sort="Hosseini, Mostafa" uniqKey="Hosseini M" first="Mostafa" last="Hosseini">Mostafa Hosseini</name><affiliation wicri:level="1"><nlm:aff id="AFF6">Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Hosseinzade, Mohammad Javad" sort="Hosseinzade, Mohammad Javad" uniqKey="Hosseinzade M" first="Mohammad Javad" last="Hosseinzade">Mohammad Javad Hosseinzade</name><affiliation wicri:level="1"><nlm:aff id="AFF2">Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AFF3">Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Mesbah Namin, Seyed Alireza" sort="Mesbah Namin, Seyed Alireza" uniqKey="Mesbah Namin S" first="Seyed Alireza" last="Mesbah-Namin">Seyed Alireza Mesbah-Namin</name><affiliation wicri:level="1"><nlm:aff id="AFF7">Dept. of Clinical Biochemistry, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Clinical Biochemistry, Faculty of Medical Sciences, Tarbiat Modares University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Baikpour, Masoud" sort="Baikpour, Masoud" uniqKey="Baikpour M" first="Masoud" last="Baikpour">Masoud Baikpour</name><affiliation wicri:level="1"><nlm:aff id="AFF8">Dept. of Neurology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Dept. of Neurology, School of Medicine, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Iranian Journal of Public Health</title><idno type="ISSN">2251-6085</idno><idno type="eISSN">2251-6093</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Malnutrition and dehydration are two most common types of ailments residents of nursing homes (NH) prone to. It is very important to assess these problems because they can predispose the residents to severe illnesses. The aim of this study was to gather information on nutritional status and its associated risk factors in elderly residents of NHs in Tehran, Iran.</p></sec><sec><title>Methods:</title><p> From 16 NHs in Tehran, 263 residents were randomly selected. Data were collected via questionnaires, including demographic characteristics, past medical history, present health problems and daily routines. The MNA questionnaire was used to gather information regarding their nutritional status.</p></sec><sec><title>Results:</title><p> The present study showed that 10.3% of the elderly residents in nursing homes were malnourished. 66.4% of males and 70.8% of females were at risk of malnutrition. Multivariate analysis showed that after adjusting for confounders the following elderly-related factors were the independent risk factors of malnutrition: consuming half or less than of the food (OR=8.0, 95%CI=3.7–17.7), having no teeth or good prosthesis (OR=1.7, 95%CI=1.1–2.7), diabetes (OR=1.6, 95%CI=1.1–2.4), smoking (OR=0.6, 95%CI=0.3–1.2), studying (OR=0.4 95%CI=0.2–0.9) and praying in their free time (OR=1.8 95%CI=1.2–2.6).</p></sec><sec><title>Conclusion:</title><p>The subjects’ health-related factors and their free-time activities and nutritional behavior are the most important factors associated with poor nutrition among elderly residents of NHs; however, further investigation is needed to clarify the role of other factors in maintaining a suitable nutritional plan for them.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stratton, Rj" uniqKey="Stratton R">RJ Stratton</name></author><author><name sortKey="Green, 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Bari</name></author><author><name sortKey="Visser, M" uniqKey="Visser M">M Visser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chevalier, S" uniqKey="Chevalier S">S Chevalier</name></author><author><name sortKey="Saoud, F" uniqKey="Saoud F">F Saoud</name></author><author><name sortKey="Gray Donald, K" uniqKey="Gray Donald K">K Gray-Donald</name></author><author><name sortKey="Morais, Ja" uniqKey="Morais J">JA Morais</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li><li>Suède</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Nazemi, Lyly" sort="Nazemi, Lyly" uniqKey="Nazemi L" first="Lyly" last="Nazemi">Lyly Nazemi</name></noRegion><name sortKey="Baikpour, Masoud" sort="Baikpour, Masoud" uniqKey="Baikpour M" first="Masoud" last="Baikpour">Masoud Baikpour</name><name sortKey="Hosseini, Mostafa" sort="Hosseini, Mostafa" uniqKey="Hosseini M" first="Mostafa" last="Hosseini">Mostafa Hosseini</name><name sortKey="Hosseini, Saeed" sort="Hosseini, Saeed" uniqKey="Hosseini S" first="Saeed" last="Hosseini">Saeed Hosseini</name><name sortKey="Hosseini, Saeed" sort="Hosseini, Saeed" uniqKey="Hosseini S" first="Saeed" last="Hosseini">Saeed Hosseini</name><name sortKey="Hosseinzade, Mohammad Javad" sort="Hosseinzade, Mohammad Javad" uniqKey="Hosseinzade M" first="Mohammad Javad" last="Hosseinzade">Mohammad Javad Hosseinzade</name><name sortKey="Hosseinzade, Mohammad Javad" sort="Hosseinzade, Mohammad Javad" uniqKey="Hosseinzade M" first="Mohammad Javad" last="Hosseinzade">Mohammad Javad Hosseinzade</name><name sortKey="Mesbah Namin, Seyed Alireza" sort="Mesbah Namin, Seyed Alireza" uniqKey="Mesbah Namin S" first="Seyed Alireza" last="Mesbah-Namin">Seyed Alireza Mesbah-Namin</name><name sortKey="Mohammadi, Mohammad Reza" sort="Mohammadi, Mohammad Reza" uniqKey="Mohammadi M" first="Mohammad Reza" last="Mohammadi">Mohammad Reza Mohammadi</name><name sortKey="Nazemi, Lyly" sort="Nazemi, Lyly" uniqKey="Nazemi L" first="Lyly" last="Nazemi">Lyly Nazemi</name><name sortKey="Nazemi, Lyly" sort="Nazemi, Lyly" uniqKey="Nazemi L" first="Lyly" last="Nazemi">Lyly Nazemi</name></country><country name="Suède"><noRegion><name sortKey="Skoog, Ingmar" sort="Skoog, Ingmar" uniqKey="Skoog I" first="Ingmar" last="Skoog">Ingmar Skoog</name></noRegion><name sortKey="Karlsson, Ingvar" sort="Karlsson, Ingvar" uniqKey="Karlsson I" first="Ingvar" last="Karlsson">Ingvar Karlsson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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