Malnutrition and its associated factors among elderly Chinese with physical functional dependency

To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physi...

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Published inPublic health nutrition Vol. 24; no. 6; pp. 1404 - 1414
Main Authors Ning, Hongting, Du, Yan, Ellis, Donna, Deng, Hong-Wen, Hu, Hengyu, Zhao, Yinan, Chen, Huijing, Liao, Lulu, Li, Mengqi, Peng, Linlin, Feng, Hui
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.04.2021
Subjects
Adults
Age
Aged
Aging
At risk populations
at-risk population
China
China - epidemiology
Cross-Sectional Studies
Data collection
Demographics
Dependence
Design standards
educational status
elderly
Female
females
functional status
Geriatric Assessment
Health promotion
Health services
Humans
Interviews
Malnutrition
Malnutrition - epidemiology
Metabolism
Nutrition
Nutrition Assessment
Nutritional epidemiology
Nutritional Status
Older people
Parenteral nutrition
participation (behavior)
Provinces
Quality of life
Questionnaires
regression analysis
Research paper
Risk analysis
Risk Factors
Rural areas
Social interactions
social support
Urban areas
China
Hong Kong China
Physical functional dependency
Prevalence
Malnutrition
Older adults
Factors
Online AccessGet full text
ISSN1368-9800
1475-2727
1475-2727
DOI10.1017/S1368980019005299

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Abstract To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment-Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition. China. A total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme. The prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82). The findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.
AbstractList To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency.OBJECTIVETo assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency.Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment-Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition.DESIGNFace-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment-Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition.China.SETTINGChina.A total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme.PARTICIPANTSA total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme.The prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82).RESULTSThe prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82).The findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.CONCLUSIONSThe findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.
To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment-Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition. China. A total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme. The prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82). The findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.
To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment–Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition. China. A total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme. The prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82). The findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.
Objective:To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency.Design:Face-to-face interviews using standardised questionnaires were conducted to collect demographic information, health-related issues and psychosocial status. Physical function was measured by the Barthel Index (BI), and nutrition status was assessed by the Mini Nutritional Assessment–Short Form. Multivariate binary logistic regression was used to assess associated factors of malnutrition.Setting:China.Participants:A total of 2323 participants (aged ≥ 60 years) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme.Results:The prevalence of malnutrition was 17·9 % (95 % CI 16·3, 19·4). Multivariable binary logistic regression revealed the independent risk factors of poor nutrition status were being female, older age, lower educational status, poor hearing, poor physical functional status, lack of hobbies, low religious participation, poor social support, lack of social participation and changes in social participation. The study found that the most significant independent risk factor for malnutrition was complete physical functional dependence (OR 4·46, 95 % CI 2·92, 6·82).Conclusions:The findings of the study confirm that malnutrition and the risk of malnutrition are prevalent in Chinese older adults with physical functional dependency. In addition to demographic and physical health-related factors, psychosocial factors, which are often overlooked, are independently associated with nutrition status in Chinese older adults with physical functional dependency. A holistic approach should be adopted to screen for malnutrition and develop health promotion interventions in this vulnerable population.
Author Ning, Hongting
Liao, Lulu
Deng, Hong-Wen
Ellis, Donna
Li, Mengqi
Zhao, Yinan
Feng, Hui
Hu, Hengyu
Chen, Huijing
Du, Yan
Peng, Linlin
AuthorAffiliation 3 RN School of Nursing, Loyola University New Orleans, New Orleans, LA 70118, USA
4 School of Basic Medical Sciences, Central South University, Changsha, Hunan 410013, China
5 National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China
6 Xiangya School of Nursing, Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, Hunan 410013, China
2 School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
1 Xiangya School of Nursing, Central South University, Changsha, Hunan 410013, China
AuthorAffiliation_xml – name: 4 School of Basic Medical Sciences, Central South University, Changsha, Hunan 410013, China
– name: 3 RN School of Nursing, Loyola University New Orleans, New Orleans, LA 70118, USA
– name: 2 School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
– name: 6 Xiangya School of Nursing, Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, Hunan 410013, China
– name: 1 Xiangya School of Nursing, Central South University, Changsha, Hunan 410013, China
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32389160$$D View this record in MEDLINE/PubMed
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Thu Apr 24 22:59:53 EDT 2025
Tue Jan 21 06:24:04 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 6
Keywords Physical functional dependency
Prevalence
Malnutrition
Older adults
Factors
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c504t-f22c8073f1e8ec59b10ce88469756080658bc859e53175248c97ba7401a7f6d93
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
Authorship
H.N. formulated the research question, collected data, performed statistical analyses and wrote the paper. Y.D. performed statistical analyses, contributed to revising the article. D.E. and H.-W.D. contributed to revising the article. H.H. helped to plan the study, including the instrumentation. Y.Z., H.C., L.L. and M.L. collected data. L.P. supervised the data analysis. H.F. planned the study and supervised the data analysis.
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/7864553
PMID 32389160
PQID 2508899157
PQPubID 26856
PageCount 11
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PublicationDate 2021-04-01
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  text: 2021-04-01
  day: 01
PublicationDecade 2020
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PublicationTitle Public health nutrition
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SSID ssj0005777
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Snippet To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face...
Objective:To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional...
To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency.OBJECTIVETo assess...
To assess the prevalence and to identify the associated factors of malnutrition among elderly Chinese with physical functional dependency. Face-to-face...
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proquest
pubmed
crossref
cambridge
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Index Database
Enrichment Source
Publisher
StartPage 1404
SubjectTerms Adults
Age
Aged
Aging
At risk populations
at-risk population
China
China - epidemiology
Cross-Sectional Studies
Data collection
Demographics
Dependence
Design standards
educational status
elderly
Female
females
functional status
Geriatric Assessment
Health promotion
Health services
Humans
Interviews
Malnutrition
Malnutrition - epidemiology
Metabolism
Nutrition
Nutrition Assessment
Nutritional epidemiology
Nutritional Status
Older people
Parenteral nutrition
participation (behavior)
Provinces
Quality of life
Questionnaires
regression analysis
Research paper
Risk analysis
Risk Factors
Rural areas
Social interactions
social support
Urban areas
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Title Malnutrition and its associated factors among elderly Chinese with physical functional dependency
URI https://www.cambridge.org/core/product/identifier/S1368980019005299/type/journal_article
https://www.ncbi.nlm.nih.gov/pubmed/32389160
https://www.proquest.com/docview/2508899157
https://www.proquest.com/docview/2401125311
https://www.proquest.com/docview/2636427386
https://pubmed.ncbi.nlm.nih.gov/PMC7864553
Volume 24
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