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The nutritional status of older Rwandan refugees

Published online by Cambridge University Press:  01 December 1998

Simone Pieterse ,
Mary Manandhar  and
Suraiya Ismail
Simone Pieterse*
Affiliation:
Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, 49/51 Bedford Square, London WC1B 3DP, UK
Mary Manandhar
Affiliation:
Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, 49/51 Bedford Square, London WC1B 3DP, UK
Suraiya Ismail
Affiliation:
Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, 49/51 Bedford Square, London WC1B 3DP, UK
*
*Corresponding Author. E-mail rvsp@wxs.nl
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Abstract

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Objective:

To assess the nutritional status of older people in an unstable situation.

Design:

Anthropometric and socioeconomic data were collected cross-sectionally. Body mass index (BMI), arm muscle area (AMA) and arm fat area (AFA) were calculated to evaluate nutritional status. For 41 subjects with kyphosis, height was estimated from arm span using sex-specific regression equations from the non-kyphotic group.

Setting:

The study was carried out in the post-emergency phase in a Rwandan refugee camp in Karagwe district, north-west Tanzania.

Subjects:

Measurements were obtained from 413 men and 415 women aged 50–92 years.

Results:

The prevalence of undernutrition (BMI < 18.5) was 19.5% in men and 13.1% in women and was higher above age 60 years in both sexes: in men the prevalences were 23.2% and 15.0% (P < 0.05) and in women 15.1% and 10.9% for the older and younger age groups respectively. AMA, which is important in relation to the ability to remain active and independent, was also significantly lower in older age groups. No difference was found in AFA. The proportion with low BMI was much higher in the group with kyphosis.

Conclusions:

Even in this population of older Rwandans who managed to reach the camp and survive in exile for more than a year, undernutrition does occur and is more prevalent at an advanced age. The higher prevalence of undernutrition in kyphotic people illustrates the importance of including this group in nutritional status assessments.

Keywords

Nutritional statusBMIMUACKyphosisOlder adultsRefugeesDeveloping countries
Type
Research Article
Information
Public Health Nutrition , Volume 1 , Issue 4 , December 1998 , pp. 259 - 264
Copyright
Copyright © The Nutrition Society 1998

References

1Gorman, M. Older people and development: the last minority? Dev. Pract. 1995; 5: 117–27.CrossRefGoogle Scholar
2Restrepo, HE, Rozental, M. The social impact of aging populations: some major issues. Soc. Sci. Med. 1994; 39: 1323–38.Google Scholar
3Manandhar, MC. Functional ability and nutritional status of free living elderly people. Proc. Nutr. Soc. 1995; 54: 677–91.CrossRefGoogle ScholarPubMed
4WHO. Physical Status: Use and Interpretation of Anthropomety. Technical Report Series 854. Geneva: World Health Organization, 1995.Google Scholar
5de Onis, M, Habicht, J. Anthropometric reference data for international use: recommendations from a WHO Expert Committee. Food Nutr. Bull. 1997; 18: 179–89.Google Scholar
6Toole, MJ, Waldman, RJ. Refugees and displaced persons. War, hunger, and public health. J. Am. Med. Assoc. 1993; 270: 600–5.CrossRefGoogle ScholarPubMed
7Vespa, J, Watson, F. Who are the nutritionally vulnerable in Bosnia-Herzegovina? Br. Med. J. 1995; 311: 652–54.CrossRefGoogle Scholar
8Frisancho, AR. Anthropometric Standards for the Assessment of Growth and Nutritional Status. Ann Arbr: University of Michigan Press, 1990.CrossRefGoogle Scholar
9Lohman, TG, Roche, AF, Martorell, R. Anthropometric Standardization Reference Manual. Champaign, Illinois: Human Kinetics, 1988.Google Scholar
10Chumlea, WC, Roche, AF, Mukherjee, D. Nutritional Assessment of the Elderly through Anthropomety. Ohio: Fells Research Institute, Ross Laboratories, 1987.Google Scholar
11Gibson, RS. Principles of Nutritional Assessment. New York: Oxford University Press, 1990.Google Scholar
12Heymsfield, SB, McManus, C, Smith, J, Stevens, V, Nixon, DW. Anthropometric measurements of muscle mass: revised equations for calculating bone-free arm muscle areas. Am. J. Clin. Nutr. 1982; 36: 680–90.CrossRefGoogle Scholar
13Borkan, G, Hults, D, Glynn, R. Role of longitudinal change and secular trend in age differences in male body dimensions. Hum. Biol. 1983; 55: 629–41.Google ScholarPubMed
14Chumlea, C, Baumgartner, R. Status of anthropometry and body composition data in elderly subjects. Am. J. Clin. Nutr. 1989; 50: 1158–66.CrossRefGoogle ScholarPubMed
15Shetty, P, James, W. BMI. A Measure of Chronic Energy Deficiency in Adults. Rome: Food Agriculture Organisation, 1994.Google Scholar
16James, WPT, Mascie-Taylor, GCN, Norgan, NG, Bistrian, BR, Shetty, PS, Ferro-Luzzi, A. The value of arm circumference measurements in assessing chronic energy deficiency in Third World adults. Eur. J. Clin. Nutr. 1994; 48: 883–94.Google ScholarPubMed
17SPSS Inc. Statistical Package for the Social Sciences, Version 6.0. Chicago, Illinois: SPSS Inc, 1993.Google Scholar
18Norušis, MJ. SPSS 6.1 Guide to Data Analysis. New Jersey: Prentice Hall, 1991.Google Scholar
19Chumlea, WM, Roche, AF, Mukherjee, D. Some anthropometric indices of body composition for elderly adults. J. Gerontol. 1986; 41: 36–9.CrossRefGoogle ScholarPubMed
20Delarue, J, Constans, T, Malvy, D, Pradignac, A, Couet, C, Lamisse, F. Anthropometric values in an elderly French population. Br. J. Nutr. 1994; 71: 295–302.CrossRefGoogle Scholar
21Launer, LJ, Harris, T (on behalf of the Ad Hoc Committee on the Statistics of Anthropometry and Aging). Weight, height and BMI distributions in geographically and ethnically diverse samples of older persons. Age Ageing. 1996; 25: 300–6.CrossRefGoogle ScholarPubMed
22SENECA Investigators. Longitudinal changes in anthropometric characteristics of elderly Europeans. Eur. J. Clin. Nutr. 1996; 50: S9–S15.Google Scholar
23Ethangatta, LK, Gee, MI, Hawrysh, ZJ. Protein-energy malnutrition in low income elderly Nairobi women. Nut. J. Food Sci. Nutr. 1996; 47: 147–57.Google ScholarPubMed
24Aspray, TJ, Prentice, A, James, OFW. The nutritional status of elderly rural Gambians. Age Ageing. 1994; 23: 48.CrossRefGoogle Scholar
25Branca, F (unpublished report). The Nutritional Status and Nutritional Vulnerability of Saharawi Refugees. Instituto Nazionale della Nutrizione, Italy, 1998.Google Scholar
26Chilima, D, Ismail, S. Anthropometric characteristics of older people in rural Malawi. Eur. J. Clin. Nutr. (in press).Google Scholar
27Ndaba, N, O'Keefe, SJD. The nutritional status of black adults in rural districts of Natal and Kwazulu. S. Afr. Med. J. 1985; 68: 588–90.Google ScholarPubMed