Nutritional Status and Dietary Diversity: A Community-based Assessment among Elderly Residents of Budge Budge II Block, West Bengal.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Kalpana Gupta, Sinjita Dutta, Moumita Mandal, Sreetama Chakrabarti, Ratul Kumar Bysack
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Abstract

Background: Aging makes elderly people vulnerable to malnutrition; factors such as feeding difficulty, reduced mobility, psychological distress, being widowed, illiteracy, poverty, and poor access to health and social services further aggravate the condition. Decreased nutrition is one of the major factors that often go undiagnosed; hence, the diet must include a variety of foods for proper nutrition. The objectives of the study were to determine the nutritional status of elderly residents and to assess the dietary diversity among them.

Materials and methods: A community-based descriptive cross-sectional study was conducted among elderly participants residing under the selected subcenters of Budge Budge II block, West Bengal, over 3 months. A total of 210 elderly participants were selected through multistage sampling. Dietary diversity was measured using the Individual Dietary Diversity Score and nutritional status using the Mini Nutritional Assessment scale. ANOVA and independent sample t-tests were done to see any difference in the mean dietary diversity score. Binary logistic regression for nutritional status was performed, considering P < 0.05 to determine the association.

Results: Among 210 participants, 7.1% were malnourished, 48.6% were at risk of malnutrition, while 44.3% were normal. Currently, unmarried and morbid elderly are at higher risk of being malnourished. The mean dietary diversity score was 6.07 ± 0.65. Significant differences were found in age group, gender, marital status, addiction, education level, socioeconomic status, food preferences, and social assistance. With increasing dietary diversity, nutritional status score also increases.

Conclusions: Nutritional clinics should be set up at the primary health center/community health center level to provide a more detailed evaluation, regular follow-up, and dietary intervention for reversing the situation.

营养状况和饮食多样性:西孟加拉邦Budge Budge II街区老年人的社区评估。
背景:老龄化使老年人容易出现营养不良;喂养困难、行动不便、心理困扰、丧偶、文盲、贫穷以及难以获得保健和社会服务等因素进一步加剧了这种情况。营养减少是经常未被诊断的主要因素之一;因此,饮食必须包括各种食物以获得适当的营养。本研究的目的是确定老年居民的营养状况,并评估他们之间的饮食多样性。材料和方法:以社区为基础的描述性横断面研究对居住在西孟加拉邦Budge Budge II街区选定的分中心的老年人进行了为期3个月的研究。采用多阶段抽样的方法,选取了210名老年受试者。膳食多样性采用个体膳食多样性评分法测定,营养状况采用迷你营养评估量表测定。采用方差分析和独立样本t检验来观察饮食多样性平均分的差异。对营养状况进行二元logistic回归,考虑P < 0.05确定相关性。结果:210名参与者中,7.1%的人营养不良,48.6%的人存在营养不良风险,44.3%的人营养正常。目前,未婚和患病的老年人营养不良的风险更高。平均膳食多样性评分为6.07±0.65。在年龄、性别、婚姻状况、成瘾程度、教育程度、社会经济地位、食物偏好和社会救助方面存在显著差异。随着膳食多样性的增加,营养状况评分也随之增加。结论:应在基层卫生保健中心/社区卫生保健中心设立营养诊所,提供更详细的评估、定期随访和饮食干预,以扭转这种情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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