Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Department of Medicine, College of Health Sciences,Debre Tabor University, Debre Tabor, Ethiopia.
BMJ Open. 2022 Jan 11;12(1):e056966. doi: 10.1136/bmjopen-2021-056966.
The objectives of this study were to assess the prevalence and determinants of undernutrition among older adults aged 65 years in the south Gondar Zone, Ethiopia, in 2020.
A community-based cross-sectional study.
The study was conducted from 1 October to 15 December 2020, in the South Gondar Zone, Ethiopia. Study participants were selected by systematic random sampling. A pretested and structured questionnaire adapted from different literature was used to collect data. Anthropometric measurements were taken following the standard procedure.
A total of 290 older adults aged greater than or equal to 65 years of age were included in the study.
Descriptive and summary statistics were employed. Multiple logistic regression was fitted to identify determinants of undernutrition. ORs and their 95% CIs were computed to determine the level of significance.
Undernutrition was assessed by using Body Mass Index and Mini Nutritional Assessment (MNA) tool.
The prevalence of undernutrition was 27.6% (95% CI 22.4 to 32.8), and 2.1% (95% CI 0.7 to 3.8) of the study participants were overweight. Based on the MNA tool, 29.7% (95% CI 24.5 to 35.2) of the study participants were undernourished and 61.7% (95% CI 55.5 to 67.2) were at risk of undernourishment. Rural residence adjusted OR (aOR)=10.3 (95% CI 3.6 to 29.4), inability to read and write aOR=3.5 (95% CI 1.6 to 7.6), decrease in food intake aOR=13.5 (95% CI 6.1 to 29.5) and household monthly income of less than US$35.6 aOR=4.3 (95% CI 1.9 to 9.4) were significantly and independently associated with undernutrition.
The level of undernutrition among older adults in the study area was high, making it an important public health burden. The determinants of undernutrition were a place of residence, educational status, food intake and monthly income.
本研究旨在评估 2020 年埃塞俄比亚南贡德尔地区 65 岁及以上老年人的营养不良患病率及其决定因素。
一项基于社区的横断面研究。
研究于 2020 年 10 月 1 日至 12 月 15 日在埃塞俄比亚南贡德尔地区进行。研究参与者通过系统随机抽样选择。使用从不同文献改编的经过预测试和结构化的问卷收集数据。采用标准程序进行人体测量。
共有 290 名年龄大于或等于 65 岁的老年人纳入研究。
采用描述性和汇总统计。使用多因素逻辑回归来确定营养不良的决定因素。计算比值比（OR）及其 95%置信区间（CI）以确定显著性水平。
采用体重指数（BMI）和微型营养评估（MNA）工具评估营养不良。结果显示，营养不良的患病率为 27.6%（95%CI 22.4%至 32.8%），2.1%（95%CI 0.7%至 3.8%）的研究参与者超重。根据 MNA 工具，29.7%（95%CI 24.5%至 35.2%）的研究参与者营养不良，61.7%（95%CI 55.5%至 67.2%）存在营养不良风险。农村居住调整比值比（aOR）=10.3（95%CI 3.6 至 29.4），读写能力丧失 aOR=3.5（95%CI 1.6 至 7.6），食物摄入量减少 aOR=13.5（95%CI 6.1 至 29.5）和家庭月收入低于 35.6 美元 aOR=4.3（95%CI 1.9 至 9.4）与营养不良显著相关。
研究地区老年人营养不良水平较高，是一个重要的公共卫生负担。营养不良的决定因素是居住地、教育程度、食物摄入量和月收入。
