Analysis of Nutritional Status and Major Chronic Conditions in Older Adults: A Cross Sectional Study

Erinma Fortuna Pepple *

Department of Community Medicine, Rivers State University, Nkpolu-Oroworukwo, Nigeria.

Ekechi Stella Amadi

Department of Internal Medicine, Rivers State University, Nkpolu-Oroworukwo, Nigeria and University of South Wales, Pontypridd, United Kingdom.

*Author to whom correspondence should be addressed.


Abstract

Background: Nutrition is an important factor in the ageing process and a significant contributor to future health. The ageing process involves physiologic changes that affect appetite, digestion and body composition. Chronic diseases and chronic conditions in the elderly population can be significantly reduced through adequate and timely nutritional intervention. Maintaining healthy behaviour like eating a balanced diet greatly contributes to reducing the risk of non-communicable diseases.

Methods: A study of 126 older adults who were admitted into various wards was selected purposively for this study. 122 were fit enough to undergo BMI measurements were included. The hospital records of respondents were looked and the fasting lipid profile, fasting blood glucose and blood pressure values were documented within the period of admission; the number of those was found to be 37, 84 and 122 respectively. The data was analyzed and inferential statistics using chi square (ꭓ2) was employed to determine the degree of association between the various conditions and statistical significance was set at a p value <0.05.

Results: A great majority of respondents (44%) were retired.  Half of those with obesity (50%) had elevated fasting blood glucose. Underweight was more in women (≈70%), was highly associated with dyslipidemia (100%) and was associated highly with inadequate diet (62%).

Conclusion: Overall the study showed a no significant statistical relationship with BMI and the major chronic disorders in older adults which were diabetes mellitus, dyslipidemia and hypertension. Nutritional assessment parameters such as BMI and 24 hours dietary recall may not be enough to assess the nutritional status of older adults but remain non-invasive assessment tools that can guide the physician in management of nutritional insufficiency that can arise from chronic disorders in older adults.

Keywords: Chronic disorders, BMI, hypertension, nutrition, blood pressure


How to Cite

Pepple, E. F., & Amadi, E. S. (2023). Analysis of Nutritional Status and Major Chronic Conditions in Older Adults: A Cross Sectional Study. Asian Journal of Research in Nursing and Health, 6(1), 122–129. Retrieved from https://journalajrnh.com/index.php/AJRNH/article/view/112

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References

WHO. Ageing and Health. Available:www.who.int. Access on (22-11- 2022)

WHO Africa. Ageing. Health topics. Available:www.afro.who.int. Access on (22-11-2022)

Corcoran C, Murphy C, Sleator RD, Culligan EP, Walton S. Malnutrition in the elderly. SAGE Journals; 2019.

Li N, Hong J, Yang W, Liu S, Zho Q, Wang M, Wen W, Hu J, Cal X. Association between the geriatric nutritional risk index and the risk of stroke in elderly patients with hypertension. A longitudinal and cohort study. Sci. Clinical Nutrition; 2022.Available:https//dc.org/10.53891.1 2022/1048206

Hayfron ENA, Annan RA, Edusei AK, Aggrey C, Asamoah-Boakye O. Dietary Intakes, anthropometric status and anaemia prevalence among older adults in Effutu Municipality, Ghana. Nutrition and Healthy Aging. 2021;6(1):49-59.

Webster-Gandy J, Madden A, Holdsworth M. Obesity. Chapter 17 in oxford handbook of nutrition and dietetics. Oxford University Press. 2006:405-409.

Agrawal N, Agrawal MK, Kurari I, Kumar S. Correlation between body mass index and blood glucose levels in Jharkhand Population. International Journal of Contemporary Medical Research. 2017;4: 1633-1636.

ISSN (online). 2393-915.

WHO. Available:www.who.int....details. Assess on March 2023.

CDC. Available:www.cdc.gov,cholesterol. Assess on March 2023

UPTH.. UPTH overview. Available:upthng.comAssess on March 2023.

Ford DW, Hartman TJ, Still C, Wood C, Mitchell D, Hsiao PY, eta al. Diet related Practices and BMI are associated with diet quality in older adults. Public Health Nutrition. Cambridge University Press. 2014;17:1565-9.

Egbewale BE, Oyekale AO, Adedokun SA, Akindele AA, Adejimi AA. Prevalence and pattern of hypertension among elderly in Osun State. International Journal of Community Medicine and Public Health. 2019;6:12.

Charissa O, Yanti LS, Frisca, Kumala M. Association of nutritional status with diabetes mellitus and hypertension in the elderly. Atlantis Press. Proceedings of the Tarmangara International conference on Medicine and health.

Zhang W, He K, Zhao H et al. Association of Body Mass Index and Waist Circumference with high blood pressure in older adults. BMC Geriatr. 2021;21:260.

DOI: 10.1186/8/2877-021-021s4-5.

Okafor JC, Adepoju AB. Nutritional status and blood glucose levels of elderly residents in Ilaro, Ogun State.

Emmanuel B, Nzeagwu O, Iheme G. Anthropometric Status and lipid profile of older persons in Dekina LGA of Kogi State, Nigeria. Human Nutrition and Metabolism. 2022;30.

Alhamdan AA. Body mass index, waist-to-hip ratio and lipid profile in elderly subjects living in a nursing home. Journal of Medical Sciences; 8;177-181.

Hussain A, Ali I, Kaleem WA, Yasmeen F. Correlation between BMI and lipid profiles in patients with type 2 Diabetes attending a tertiary care hospital in Peshwar. Park J Med Sci. 2019;35:591-597.

Feingold KR. Obesity and dyslipidemia. [Updated 2020 Nov 2]. In: Feingold KR, Anawalt B, Boyce A, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc; 2000.

Available:https://www.ncbi.nlm.nih.gov/books/NBK305895/

Kok P, Seidell JC, Meinders AE. De waarde en de beperkingen van de 'body mass index' (BMI) voor het bepalen van het gezondheidsrisico van overgewicht en obesitas [The value and limitations of the Body Mass Index (BMI) in the assessment of the health risks of overweight and obesity]. Ned Tijdschr Geneeskd. 2004;148(48):2379-82.

PMID: 15615272.

Ojule IN. Prevalence of hyperyension and knowledge of its risk behaviors among residents of rural and urban communities in Rivers State, Nigeria. International journal of Tropical Disease and Health; 34(1):22018.

Karastergiou K, Smith SR, Greenberg AS, Fried SK. Sex differences in human adipose tissues - the biology of pear shape. Biol Sex Differ. 2012; 3(1):13. DOI: 10.1186/2042-6410-3-13.PMID: 22651247; PMCID: PMC3411490

Coin A, Sergi G, Benincà P, Lupoli L, Cinti G, Ferrara L, Benedetti G, Tomasi G, Pisent C, Enzi G. Bone mineral density and body composition in underweight and normal elderly subjects. Osteoporos Int. 2000;11(12):1043-50.

DOI: 10.1007/s001980070026 PMID: 11256896

Kıskaç M, Soysal P, Smith L, Capar E, Zorlu M. What is the optimal body mass index range for older adults? Ann Geriatr Med Res. 2022;26(1):49-57. DOI: 10.4235/agmr.22.0012 Epub 2022 Mar 25 PMID: 35368193; PMCID: PMC8984168

Izadi N, Rahimi MA, Shetabi HR, Hashemi Nazari SS, Najafi F. Dyslipidemia and its components across body mass index levels among type II diabetic patients in the West of Iran. Int J Prev Med. 2020;11:188. DOI: 10.4103/ijpvm.IJPVM_305_18 PMID: 33815712; PMCID: PMC8000169