Assessment of dietary habits, nutritional status and common health complications of older people living in rural areas of Bangladesh

Background: Old age is one of the vulnerable and prone stages in terms of health status. So this study aimed to assess the nutritional status and common health complications of older people. Methods: Simplified Nutritional Appetite Questionnaire (SNAQ), Anthropometric measurements, Diet History Method, and Mini Nutritional Assessment (MNA) tools were used to measure the nutritional status. Data were analyzed by using Statistical Package for Social Science (SPSS) version 16. Results: Out of the total 320 elderly participants the mean +/- SD value for the age of male and female was 67.25 +/- 6.5 and 67.32 +/- 7.7 years respectively. According to BMI classification, it was noticed that with advancing age the percentage of underweight was also increased such as for 60-75 years old age group the underweight percentage was 30.0% where for 76 to 85 and >85 years old age group the underweight percentage was 45.0% and 60.0% respectively. According to the MNA score, 97 elderly respondents were malnourished and a total of 172 respondents had SNAQ scores below 14. This study found a statistically significant (P < 0.05) correlations among various health complications with nutritional status according to MNA score. In addition 56.6% (OR = 1.24, 95% CI = .799-1.939), 63.8% (OR = 1.18, 95% CI = .745-1.857) and 64.7% (OR = 1.14, 95% CI = .720-1.804) respondents had diabetes mellitus, hypertension and cardiovascular disease respectively. The risk of musculoskeletal pain (OR = 1.073, 95% CI = .684-1.681), bedsore (OR = 1.884, 95% CI = .903-3.934) and decreased sense of thirst (OR = 1.278, 95% CI = .821-1.991) were higher among females than males. A little number of the elderly used to take milk, meat, and fish daily. Conclusion: During this cross-sectional study, significant correlations among nutritional changes with health complications were determined. To prevent malnutrition among the elderly a proper health policy as well as periodical nutritional screening should be conducted.

Automated summary

This study assessed the nutritional status and common health complications of older people. Significant correlations between nutritional status and health complications were found. Proper health policies and regular nutritional screening should be conducted to prevent malnutrition among the elderly.