Morbidity Profile and Its Relationship with Disability and Psychological Distress among Community Elderly in Rural Area of Madhya Pradesh

Shubhanshu Gupta, Mani Goel, Harpreet Singh, Rashmi Yadav

Abstract


Background: The quality nutrition in the elderly may significantly influence the overall condition and severe deficiencies contribute to multiple morbidities and this is found to be more common in resource-poor countries. Objectives: The objectives of the study were to estimate the prevalence of malnutrition among the elderly aged 65 years and above in a rural area in Datia district, Madhya Pradesh, and to assess the possible risk factors (covariates) of malnutrition among the elderly. Materials and Methods: A community-based cross-sectional study conducted within a radius of 10 km from Government Medical College, Datia, from August 2018 to August 2020 (2 years). A sample size of 1000 was taken using cluster sampling technique. Mini Nutritional Assessment scale (MNA) was used as study tool (IBM SPSS version 20.0 software). Categorical variables are expressed using frequency and percentage. Results: Most of the participants 754 (75.4%) were in the age group between 65 and 74 years. The mean age of the study population was 71.94. The study population consisted of 591 (59.1%) females and 409 (40.9%) males. The prevalence of malnutrition in the study population between the year 2016 and 2018 showed 173 (17.3%) of the study population was malnourished according to MNA. About 93.7% were independent in activities of daily living (ADL) like dress or wash himself independently while 63 (6.3%) were dependent. Conclusion: Participants dependent on instrumental ADL and ADL and those using a walking aid had higher rates of malnutrition. Lifestyle characteristics such as smoking and alcohol were associated with increased risk of malnutrition.

Key words: Activities of daily living, geriatric, malnutrition, Mini Nutritional Assessment scale, obesity, underweight


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