Cent Eur J Public Health 2021, 29(1):68-75 | DOI: 10.21101/cejph.a5925

Nutritional status of the free-living elderly

İsmail Özkaya
Department of Nutrition and Dietetics, School of Health, Kirklareli University, Kirklareli, Turkey

Objectives: Measuring malnutrition is difficult in all settings and confused with the signs of aging. Mini nutritional assessment is an effective tool designed to identify older adults who have a risk of developing malnutrition.

Methods: Three hundred and one free-living elderly who lived with their family or alone were included in the study. Nutritional screening was performed with mini nutritional assessment and mini nutritional assessment short form. Dietary intake was assessed by a 3-days weighted food record.

Results: According to mini nutritional assessment in the 65-74 years young-old group, malnutrition, risk of malnutrition, and normal nutrition was 2.4%, 39.5%, 58.2%, respectively, and in the 75-84 years old-old group it was 10.2%, 48.7%, 41.0%, respectively, and in the older than 85 years oldest-old group 92.3%, 7.7%, 0%, respectively. The lowest nutritional intake by recommended dietary allowance was zinc and the highest intake was sodium. Neither young-old group nor old-old group nor oldest-old group met the B12 and zinc requirements.

Conclusions: The free-living elderly at an age of 85 years and above are, accompanied by the existence of factors which may mask their weight losses, under a severe risk of malnutrition unless they receive adequate medical care and attention.

Keywords: elderly, nutritional status, nutritional assessment, nutritional intakes, MNA, malnutrition

Received: August 22, 2019; Revised: January 6, 2021; Accepted: January 6, 2021; Published: March 31, 2021  Show citation

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Özkaya İ. Nutritional status of the free-living elderly. Cent Eur J Public Health. 2021;29(1):68-75. doi: 10.21101/cejph.a5925. PubMed PMID: 33831289.
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References

  1. Volkert D. Malnutrition in older adults - urgent need for action: a plea for improving the nutritional situation of older adults. Gerontology. 2013;59(4):328-33. Go to original source... Go to PubMed...
  2. Yoshimura K, Yamada M, Kajiwara Y, Nishiguchi S, Aoyama T. Relationship between depression and risk of malnutrition among community-dwelling young-old and old-old elderly people. Aging Ment Health. 2013;17(4):456-60. Go to original source... Go to PubMed...
  3. Li PF, Chen JS, Chang JB, Chang HW, Wu CZ, Chuang TJ, et al. Association of complete blood cell counts with metabolic syndrome in an elderly population. BMC geriatrics 2016; 16:1. doi: 10.1186/s12877-016-0182-9. Go to original source... Go to PubMed...
  4. Yoshinaka M, Ikebe K, Uota M, Ogawa T, Okada T, Inomata C, et al. Age and sex differences in the taste sensitivity of young adult, young-old and old-old Japanese. Geriatr Gerontol Int. 2016.16(12):1281-8. Go to original source... Go to PubMed...
  5. Sorokowska A, Schriever VA, Gudziol V, Hummel C, Hähner A, Iannilli E, et al. Changes of olfactory abilities in relation to age: odor identification in more than 1400 people aged 4 to 80 years. Eur Arch Otorhinolaryngol. 2015;272(8):1937-44. Go to original source... Go to PubMed...
  6. Ordonez AM, Madalozzo Schieferdecker ME, Cestonaro T, Cardoso Neto J, Ligocki Campos AC. Nutritional status influences the length of stay and clinical outcomes in patients hospitalized in internal medicine wards. Nutr Hosp. 2013;28(4):1313-20. Go to PubMed...
  7. Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev. 1996;54(1 Pt 2):S59-65. Go to original source... Go to PubMed...
  8. Starr KNP, McDonald SR, Bales CW. Nutritional vulnerability in older adults: a continuum of concerns. Curr Nutr Rep. 2015;4(2):176-84. Go to original source... Go to PubMed...
  9. DiMaria-Ghalili RA, Guenter PA. The mini nutritional assessment. Am J Nurs. 2008;108(2):50-9. Go to original source... Go to PubMed...
  10. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med. 2002;18(4):737-57. Go to original source... Go to PubMed...
  11. Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61(1):56-60. Go to original source... Go to PubMed...
  12. Transgenerational Design Matters. The demographics of aging: characteristics of our aging population [Internet]. 2009 [cited 2018 Jun 1]. Available from: http://transgenerational.org/aging/demographics.htm.
  13. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature -- what does it tell us? J Nutr Health Aging. 2006;10(6):466-85; discussion 485-7.
  14. Van Nes MC, Herrmann FR, Gold G, Michel JP, Rizzoli R. Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing. 2001;30(3):221-6. Go to original source... Go to PubMed...
  15. Dietary Guidelines for Turkey. Recommended safe level of intake of energy and nutrients for Turkey [Internet]. Ankara: The Ministry of Health of Turkey, The General Directorate of Primary Health Care; 2006 [cited 2021 Jan 1]. Available from: http://www.bdb.hacettepe.edu.tr/dokumanlar/dietaryguidelines.pdf.
  16. Rakicioglu N, Tek Acar N, Ayaz A, Pekcan G. Photograph catalog of food and dishes: portion sizes and amounts. 2nd ed. Ankara: Ata Ofset Publishing; 2009.
  17. Merdol Kutluay T. Standard food rates for institutions. Ankara: Hatiboglu publishing house; 2003. (In Turkish.)
  18. Jelliffe DB, Jelliffe EFP. Community nutritional assessment, assessment of ecological variables II. Food considerations. Oxford: Oxford Medical Publishing; 1989. Go to original source...
  19. Soltoft F, Hammer M, Kragh N. The association of body mass index and health-related quality of life in the general population: data from the 2003 Health Survey of England. Qual Life Res. 2009;18(10):1293-9. Go to original source... Go to PubMed...
  20. Garner R, Feeney DH, Thompson A, Bernier J, McFarland BH, Huguet N, et al. Bodyweight, gender, and quality of life: a population-based longitudinal study. Qual Life Res 2012;21(5):813-25. Go to original source... Go to PubMed...
  21. Ongan D, Rakicioglu N. Nutritional status and dietary intake of institutionalized elderly in Turkey: a cross-sectional, multi-center, country representative study. Arch Gerontol Geriatr. 2015;61(2):271-6. Go to original source... Go to PubMed...
  22. Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. J Am Geriatr Society. 2010;58(9):1734-8. Go to original source... Go to PubMed...
  23. Nair KS. Aging muscle. Am J Clin Nutr. 2005;81(5):953-63. Go to original source... Go to PubMed...
  24. Lopez-Contreras MJ, Torralba C, Zamora S, Perez-Llamas F. Nutrition and prevalence of undernutrition assessed by different diagnostic criteria in nursing homes for elderly people. J Hum Nutr Diet. 2012;25(3):239-46. Go to original source... Go to PubMed...
  25. Charlton KE, Kolbe-Alexander TL, Nel JH. The MNA, but not the DETERMINE, screening tool is a valid indicator of nutritional status in elderly Africans. Nutrition. 2007;23(7-8):533-42. Go to original source... Go to PubMed...
  26. Johansson Y, Bachrach-Lindström M, Carstensen J, Ek AC. Malnutrition in a home-living older population: prevalence, incidence and risk factors. a prospective study. J Clin Nurs. 2009;18(9):1354-64. Go to original source... Go to PubMed...
  27. Pai MK. Comparative study of nutritional status of elderly population living in the home for aged vs those living in the community. Biomed Res. 2011;22(1):120-6.
  28. Simsek H, Meseri R, Sahin S, Ucku R. Prevalence of food insecurity and malnutrition, factors related to malnutrition in the elderly: a community-based, cross-sectional study from Turkey. Eur Geriatr Med. 2013;4(4):226-30. Go to original source...
  29. Sahin H, Cicek B, Yilmaz M, Ongan D, Kaya N, Inanc N. Determining nutritional status and quality of life of 65 years and older individuals in Kayseri. Turk Geriatri Dergisi. 2013;16(3):322-9.
  30. Acar S, Bilen Kazancik L, Meydan MC, Işik M. Socio-economic development ranking survey of provinces and regions: SEGE-2017 [Internet]. Ankara: Ministry of Industry and Technology; 2019 [cited 2020 Jan 5]. Available from: https://www.bebka.org.tr/admin/datas/sayfas/89/ sege-2017_1581687211.pdf. (In Turkish.)
  31. Teucher B, Dainty JR, Spinks CA, Majsak-Newman G, Berry DJ, Hoogewerff JA, et al. Sodium and bone health: impact of moderately high and low salt intakes on calcium metabolism in postmenopausal women. J Bone Miner Res. 2008;23(9):1477-85. Go to original source... Go to PubMed...
  32. Shahar D, Shai I, Vardi H, Fraser D. Dietary intake and eating patterns of elderly people in Israel: who is at nutritional risk? Eur J Clin Nutr. 2003;57(1):18-25. Go to original source... Go to PubMed...
  33. Lin PH, Ginty F, Appel LJ, Aickin M, Bohannon A, Garnero P, et al. The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults. J Nutr. 2003;133(10):3130-6. Go to original source... Go to PubMed...