Tasnim Tasmia, Sadiq Md Zafar As, Karim Kazi Muhammad Rezaul
Department of Nutrition and Food Engineering, Daffodil International University, Daffodil Smart City, Birulia, 1216, Savar, Dhaka, Bangladesh.
Institute of Nutrition and Food Science, University of Dhaka, Dhaka, 1000, Bangladesh.
Heliyon. 2023 Jul 13;9(7):e18199. doi: 10.1016/j.heliyon.2023.e18199. eCollection 2023 Jul.
Malnutrition is associated with higher rates of morbidity and death in the older population. Depression or mental health is a major component of older adult malnutrition. The aim of the study was to measure the level of malnutrition and depression in older adults, as well as their correlated factors, such as dietary energy and nutrient consumption. A cross-sectional study was conducted among 108 older individuals living in two areas of Faridpur, Bangladesh. The Mini Nutritional Assessment-Short Form (MNA-SF), Geriatric Depression (GD) Scale, and 24-h dietary recall were used to measure the nutritional status, depression level, and dietary nutrients, respectively. A total of 20.4% and 55.6% were malnourished or at risk of malnutrition, respectively. Around 81.5% of the study subjects exhibited a different degree of depression and 9.3% were identified as having severe depression. There was a significant inverse association between the MNA-SF score and the GD score (r = -0.684, p=<0.001). The average energy and protein consumption was 1387 kcal and 45.52 g, respectively; and energy and protein intake were significantly lower in the depressed group (1353 Kcal, 43.8 g) than in the non-depressed group (1530 Kcal, 52.4 g). An extremely low energy consumption (<20 kcal/kg body weight/day) was noted in 27.1% of the older adults. None of the participants in this study were able to meet the requirements for dietary fiber, calcium, vitamin B6, folate, vitamin D, and vitamin E. Specific nutrition-related intervention programs as well as social and familial support are recommended to improve the nutritional status of older adults.
营养不良与老年人群较高的发病率和死亡率相关。抑郁或心理健康是老年营养不良的一个主要因素。本研究的目的是测量老年人的营养不良和抑郁水平,以及它们的相关因素,如膳食能量和营养物质消耗。在孟加拉国法里德布尔两个地区的108名老年人中进行了一项横断面研究。分别使用简易营养评估简表(MNA-SF)、老年抑郁量表(GD)和24小时膳食回顾来测量营养状况、抑郁水平和膳食营养素。分别有20.4%和55.6%的人营养不良或有营养不良风险。约81.5%的研究对象表现出不同程度的抑郁,9.3%被确定为患有严重抑郁。MNA-SF评分与GD评分之间存在显著的负相关(r = -0.684,p<0.001)。平均能量和蛋白质摄入量分别为1387千卡和45.52克;抑郁组的能量和蛋白质摄入量(1353千卡,43.8克)显著低于非抑郁组(1530千卡,52.4克)。27.1%的老年人能量消耗极低(<20千卡/千克体重/天)。本研究中没有参与者能够满足膳食纤维、钙、维生素B6、叶酸、维生素D和维生素E的膳食需求。建议实施特定的营养相关干预项目以及社会和家庭支持,以改善老年人的营养状况。