Skip to main content Accessibility help
×
Home

Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors

  • Zarina Nahar Kabir (a1), Tamanna Ferdous (a1), Tommy Cederholm (a2), Masuma Akter Khanam (a3), Kim Streatfied (a3) and Åke Wahlin (a4)...
  • Please note a correction has been issued for this article.

Abstract

Objective

In stating the Millennium Development Goals, the United Nations aims to halve malnutrition around the world by 2015. Nutritional status of the elderly population in low-income countries is seldom focused upon. The present study aimed to evaluate the magnitude of malnutrition among an elderly population in rural Bangladesh.

Design and setting

Data collection for a multidimensional cross-sectional study of community-based elderly people aged 60 years and over was conducted in a rural area in Bangladesh.

Subjects

Of 850 randomly selected elderly individuals, 625 participated in home interviews. Complete nutritional information was available for 457 individuals (mean age 69 ± 8 years, 55% female). Nutritional status was assessed using an adapted form of the Mini Nutritional Assessment (MNA) including body mass index (BMI). Age, sex, education, household expenditure on food and self-reported health problems were investigated as potential predictors of nutritional status.

Results

BMI < 18.5 kg m− 2, indicating chronic energy deficiency, was found in 50% of the population. MNA revealed a prevalence of 26% for protein–energy malnutrition and 62% for risk of malnutrition. Health problems rather than age had a negative impact on nutritional status. Level of education and food expenditure were directly associated with nutritional status.

Conclusion

In order to reduce world hunger by half in the coming decade, it is important to recognise that a substantial proportion of the elderly population, particularly in low-income countries, is undernourished.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author: Email zarina.kabir@ki.se

References

Hide All
1United Nations. What are the Millennium Development Goals? [online], 2005. Available at http://www.un.org/millenniumgoals/. Accessed 5 January 2005
2United Nations. Millennium Summit Roadmap: goals and targets. UN Chronicle Online Edition 2001;XXXVIII(4). Also available at http://www.un.org/Pubs/chronicle/2001/issue4/0401cont.htm
3Svedberg, P. Poverty and Undernutrition: Theory, Measurement and Policy. Oxford: Oxford University Press, 2000
4Food and Agricultural Organization of the United Nations (FAO). The State of Food Insecurity in the World 2004. Rome: FAO 2004
5Pirlich, M, Lochs, H. Nutrition in the elderly. Best Practice & Research. Clinical Gastroenterology 2001; 15: 869–84
6Whitney, EN, Rolfes, SR, eds. Life cycle nutrition: adulthood and the later years. Understanding Nutrition 9th ed. Belmont, CA: Wadsworth/Thomson Learning, 2002; 576–93
7Griep, MI, Mets, TF, Collys, K, Ponjaert-Kristoffersen, I, Massart, DL. Risk of malnutrition in retirement homes elderly persons measured by the ‘Mini-Nutritional Assessment’. Journal of Gerontology. Series A, Biological Science and Medical Sciences 2000; 55A: M57M63
8Rubenstein, LZ, Harker, JO, Salvá, A, Guigoz, Y, Vellas, B. Screening for undernutrition in geriatric practice: developing the Short-Form Mini-Nutritional Assessment (MNA-SF). Journal of Gerontology. Series A, Biological Science and Medical Sciences 2001; 56A: M366–72
9Suzana, S, Earland, J, Suriah, AR, Warnes, AM. Social and health factors influencing poor nutritional status among rural elderly Malays. Journal of Nutrition, Health & Aging 2002; 6: 363–9
10Omran, ML, Morley, JE. Assessment of protein energy malnutrition in older persons, Part I. History, examination, body composition, and screening tools. Nutrition 2000; 16: 5063
11Akner, G, Cederholm, T. Treatment of protein–energy malnutrition in chronic nonmalignant disorders. American Journal of Clinical Nutrition 2001; 74: 624
12Flodin, L, Svensson, S, Cederholm, T. Body mass index as a predictor of 1 year mortality in geriatric patients. Clinical Nutrition 2000; 19: 121–5
13Vellas, BJ, Hunt, WC, Romero, LJ, Koehler, KM, Baumgartner, RN, Garry, PJ. Changes in nutritional status and patterns of morbidity among free-living elderly persons: a 10-year longitudinal study. Nutrition 1997; 13: 515–9
14United Nations (UN). World Population Prospects: The 2002 Revision. Highlights. New York: UN, 2003
15World Health Organization. The World Health Report 2004 – Changing History [online], 2004. Available at http://www.who.int/whr/2004. Accessed 4 January 2005
16Solomons, NW. Health and ageing. In: Flores, R, Gillepsie, S, eds. Health and Nutrition: Emerging and Remerging Issues in Developing Countries. Washington, DC: International Food Policy Research Institute, 2001
17World Health Organization (WHO). Keep Fit for Life: Meeting the Nutritional Needs of Older Persons. Geneva: WHO and Tufts University School of Nutrition Science and Policy, 2002
18Islam, MZ, Lamberg-Allardt, C, Kärkkäinen, M, Ali, SMK. Dietary calcium intake in premenopausal Bangladeshi women: do socio-economic or physiological factors play a role? European Journal of Clinical Nutrition 2003; 57: 674–80
19Pryer, JA, Rogers, S, Rahman, A. The epidemiology of good nutritional status among children from a population with a high prevalence of malnutrition. Public Health Nutrition 2003; 7: 311–7
20Guigoz, Y, Vellas, B, Garry, PJ. Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation. Nutrition Reviews 1996; 54: S59–65
21Vellas, B, Lauque, S, Andrieu, S, Nourhashemi, F, Rolland, Y, Baumgartner, R, et al. . Nutrition assessment in the elderly. Current Opinion in Clinical Nutrition and Metabolic Care 2001; 4: 58
22Kuzuya, M, Kanda, S, Koike, T, Suzuki, Y, Shosuke, S, Iguchi, A. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition 2005; 21: 498503
23Visvanathan, R, Zaiton, A, Sherina, MS, Muhammad, YA. The nutritional status of 1081 elderly people residing in publicly funded shelter homes in Peninsular Malaysia. European Journal of Clinical Nutrition 2005; 59: 318–24
24Chilima, DM, Ismail, SJ. Anthropometric characteristics of older people in rural Malawi. European Journal of Clinical Nutrition 1998; 52: 643–9
25Kikafunda, JK, Lukwago, FB. Nutritional status and functional ability of the elderly aged 60 to 90 years in the Mpigi district of central Uganda. Nutrition 2005; 21: 5966
26Hels, O, Hassan, N, Tetens, I, Thilsted, SH. Food consumption, energy and nutrient intake and nutritional status in rural Bangladesh: changes from 1981–1982 to 1995–96. European Journal of Clinical Nutrition 2003; 57: 586–94
27Ahmed, F. Vitamin A deficiency in Bangladesh: a review and recommendations for improvement. Public Health Nutrition 1999; 2: 114
28Ahmed, F. Anaemia in Bangladesh: a review of prevalence and aetiology. Public Health Nutrition 2000; 3: 385–93
29Cederholm, T, Hellstrom, K. Nutritional status in recently hospitalized and free-living elderly subjects. Gerontology 1992; 38: 105–10
30Saletti, A, Lindgren, EY, Johansson, L, Cederholm, T. Nutritional status according to Mini Nutritional Assessment in an institutionalized elderly population in Sweden. Gerontology 2000; 46: 139–45
31Persson, MD, Brismar, KE, Katzarski, KS, Nordenström, J, Cederholm, TE. Nutritional status using Mini Nutritional Assessment and Subjective Global Assessment predict mortality in geriatric patients. Journal of the American Geriatric Society 2002; 50: 19962002
32Thomas, DR, Zdrowski, CK, Wilson, M-M, Conright, KC, Lewis, C, Tariq, S, et al. . Malnutrition in subacute care. American Journal of Clinical Nutrition 2002; 75: 308–13
33Beck, AM, Ovesen, L, Osler, M. The ‘Mini Nutritional Assessment’ (MNA) and the Determine Your Nutritional Health Checklist (NSI) as predictors of morbidity and mortality in an elderly Danish population. British Journal of Nutrition 1999; 81: 31–6
34Guigoz, Y, Vellas, B, Garry, PJ. Mini Nutritional Assessment: a practical tool for grading the nutritional state of elderly patients. Facts and Research in Gerontology 1994; (Suppl. 2): 1581
35Saletti, A, Johansson, L, Yifter-Lindgren, E, Wissing, U, Österberg, K, Cederholm, T. Nutritional status and a 3-year follow-up in elderly receiving support at home. Gerontology 2005; 51: 192–8
36Tsai, AC, Chang, JMC, Lin, H, Chuang, Y-L, Lin, S-H, Lin, Y-H. Assessment of the nutritional risk of >53-year-old men and women in Taiwan. Public Health Nutrition 2004; 7: 6976

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

A correction has been issued for this article: