Acta Scientific Medical Sciences (ISSN: 2582-0931)

Original Article Volume 4 Issue 2

Assessment of Nutritional Status of Elderly Living in Public Care Houses and Those Living with Their Families in Khartoum State December 2017

Mohammed Altaher Abaker Abdegader1*, Mofida Yousif Elkhalifa2, Suzan Ali Yousif Abo3 and Sitana E Abdelrahman4

1The National Ribat University Faculty of Graduate Studies and Scientific Research, Faculty of Medicine, University in Khartoum, Sudan
2Associate Professor at the Institute of Aromatic Plants and Folk Medicine, National Center for Sudan Research, Sudan
3Assistant Professor, Department of Nutrition and Food Science, Faculty of Science and Art - Al Baha University, Al Bahah, Saudi Arabia
4Departent of Nutrition and Food Science, Faculty of Science and Art - Al Baha University, Al Bahah, Saudi Arabia

*Corresponding Author: Mohamed Eltahir Abakar Abdolgadir, The National Ribat University Faculty of Graduate Studies and Scientific Research, Faculty of Medicine, University in Khartoum, Sudan.

Received: December 30, 2019; Published: January 24, 2020

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Abstract

  The objectives of this study is to assess the nutritional status of elderly males and females of 60 years and above in two public elderly care houses, and to compare them with the seniors living in households with their families residing in the same areas around the public care houses in Khartoum State.

  All old age people living in the care houses participated in this study (55 elderly: 38 males and 17 females). These public care houses were Al- Diume Bahri public care house for males and El-Sajana public care house for females. Similar numbers of old persons living with their families were randomly selected to participate in this study from the areas surrounding the care houses. Data was collected through personal interviews guided by questionnaires (socio-demographics, health status, physical activities and food intake) in addition to anthropometric measurements (height, weight and BMI). Data was analyzed using computerized statistical package for social science (SPSS).

  Considering the age of the elderly, significantly higher percentage (52.5%) of the elderly in the public care houses their ages were more than 80 years old compared to those living with their families (27.3%). Regarding the educational level, illiteracy was significantly more common among the elderly in the public care houses compared to those living with their families (32.7% vs. 10.9%, respectively).

  Among the elderly in care houses, the major chronic diseases such as diabetes (DM) was significantly lower (compared to elderly living with their families (9.1% vs. 16.4%, respectively). Also, the presence of cardiovascular diseases among the elderly in the care houses was much lower compared to those living with their families (9.1% vs. 1.8%, respectively).

  A high percentage of the study participants who lived in the elderly care houses were found to be severely underweight (18.2%) compared to those living with their families (3.6%). On the other hand, a significantly higher percentage of overweight/obese participants were noticed among those who were living with their families (21.9% vs. 10.9%, respectively). Adequacy of the energy intake was found to be better among the elderly who live with their families (65%) compared to the ones in the public care houses (52.7%). Also, excessive energy intake was higher among the elderly group who live with their families (23.6%) compared to the elderly people who live in care houses (18.2%). The food frequency questionnaire data revealed that for both groups studied, most of the necessary food groups were taken regularly (daily – at least once a week), including grains, legumes, dairy products, cooked and fresh vegetables and fruits. However, a considerable percentage among the elderly living with their families rarely eats any type of meat. Unlike those living in the public care houses where they eat meat daily or least once a week.

  Although the foods offered to the elderly in the public care houses were found to be adequate, yet, many elderly were malnourished. Therefore, in-depth studies explaining these results were needed, meanwhile, providing of foods to every elderly according to his individual needs were urgently needed as to improve the nutritional status of these people. Therefore, the study recommends that policies should be taken by Sudan government to improve the nutritional status of the elderly in the public care houses via integrating nutrition/nutritionists as part of normal health care of these older individuals.

Keywords: Nutritional; Public

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References

  1. WHO. “A life course perspective of maintaining independence in older age”. World Health Organization Geneva (1999).
  2. AAAS. “Addressing Malnutrition to Improve Global Health”. The American Association for the Advancement of Science-AAAS (2014). 
  3. Abdalla SI. “Factors Affecting Nutritional Status of Elderly People at Resident Homes in Khartoum State”. M.Sc Dissertation in Nutrition and Dietetics, Ahfad University for Women (2016).
  4. WHO. World Report on Ageing and Health - World Health Organization (2015). 
  5. Elkhalifa MY. “Assessment of Dietary Habits and Food Intake for Sudanese Older people living in Khartoum State”. The Sudanese Society in Care of Older People (SSCP) (2004).
  6. Abdalla KHM. “Assessment of the nutritional status and health risk factors of Elderly people in Resident Homes in Khartoum State, Sudan”. M.Sc. Dissertation in Nutrition and Dietetics, Ahfad University for Women (2012).
  7. Ibrahim AY and Alhaj MI. “Assessment of Nutritional status and identification of health risk factors of Elderly people in Geriatrics centers in Khartoum and Khartoum North”. B.Sc. Dissertation in Nutrition and Dietetics, Ahfad University for Women (2016).
  8. Salih OA. “Health Problems and Nutritional Status of Sudanese Elderly in Khartoum State Hospital”. The Ahfad Journal 24.2 (2008): 43-56.
  9. Henry GM. “Assessment of Nutritional status and identification of health risk factors of Hospitalized Older person In Juba City (South Sudan)”. M.Sc Dissertation in Nutrition and Dietetics, Ahfad University for Women (2015).
  10. Omer ME and Omer LMH. “Assessment of Nutritional status and identification of health risk factors of older Women in Magadishu and Bossaso Cities in Somlia”. B.Sc Dissertation in Nutrition and Dietetics, Ahfad University for Women (2014).
  11. Martin I., et al. “Prescribing for patients aged 65 years and over in New Zealand general practice”. New Zealand Medical Journal 115.1164 (2002).
  12. Rashmi. “Assessment the nutritional status of the elderly using the Mini Nutritional Assessment (MNA) India srilakshmi”. B. Dietetic India (2016).
  13. Geissler G and Powers H. “Human Nutrition”. 11th ed. Amsterdam: Elsevier (2005).
  14. Brown JE. “Nutrition now. - 5th ed. Australia: Thomson/Wadsworth (2008).
  15. Agarwalla R., et al. “Assessment of the nutritional status of the elderly and its correlates”. Journal of Family and Community Medicine 22.1 (2014): 39-43.
  16. Ali EMA. “Assessment of Nutritional and Health Status of the Elderly in Bara Locality”. Published Ph.D thesis. University of Khartoum (2009).
  17. Ali HA and Ahmed SM. “Assessment of Nutritional status and identification of health risk factors in Elderly Women in Jabal Awlia Health center”. M.Sc. Dissertation in Nutrition and Dietetics, Ahfad University for Women (2014).
  18. Ali SBF and Abdel Magied A. “Nutrition Status, Health Risk Factors and Food Security of Older Person Living in Kass province (South Darfur State)”. The Ahfad Journal 22.2 (2005).
  19. American Dietetic Association. “Position of the American Dietetic Association: Nutrition across the spectrum of aging”. Journal of the American Dietetic Association 105 (2005): 616-633. 
  20. American Dietetic Association. “Position of the American Dietetic Association: nutrition, ageing, and the continuum of care”. Journal of the American Dietetic Association 100 (2000): 580-595.
  21. Arya J. “Food is your Best Medicine”. 1st ed, Arya Publication (2014). 
  22. Barrett-Connor E., et al. “Coffee-associated osteoporosis offset by daily milk consumption: the Rancho Bernardo Study”. Journal of the American Medical Association 271 (1994): 280-283. 
  23. Benelam B. “Satiety and the anorexia of ageing: review”. British Journal of Community Nursing 14 (2009): 332.
  24. Bernstein M and Munoz N. “Nutrition for the older adult”. Burlington, M.A: Jones and Bartlett (2016).
  25. Bissett S and Preshaw P. “Guide to Providing Mouth Care for Older People”. Nursing Older People 23.10 (2011): 14-21. 
  26. Blane D., et al. “Background influences on dietary choice in early old age”. Journal of the Royal Society for the Promotion of Health 123 (2003): 204-209.
  27. Caraher M., et al. “The state of cooking in England: the relationship of cooking skills to food choice”. British Food Journal 101.8 (1999): 590-609.
  28. Dam TT., et al. “An evidence-based comparison of operational criteria for the presence of sarcopenia”. Jouranl of Gerontology A Biological Sciences and Medical Science 69 (2014): 584. 
  29. De Castro J. “Age-related changes in the social, psychological, and temporal influences on food intake in free-living, healthy, adult humans”. Journals of Gerontology Series A: Biological Sciences and Medical Sciences 57 (2002): 368-377.
  30. Doley J. “Nutrition management of pressure ulcers”. Nutrition in Clinical Practice 25 (2010): 50.
  31. Donini LM., et al. “Eating habits and appetite control in the elderly: the anorexia of aging”. International Psychogeriatrics 15 (2003): 73-87.
  32. Erikson BG., et al. “Cross-cultural analysis of longevity among Swedish and American elders: the role of social networks in the Gothenburg and Missourilongitudinalstudies compared”. Archives of Gerontology and Geriatrics 28 (1999): 131-148. 
  33. Federal                Interagency Forum on Aging Related Statistics: Older Americans 2012: Key Indicators for Well-Being (2012): 32.
  34. Feskanich D., et al. “Vitamin A intake and hip fractures among postmenopausal women”. Journal of the American Medical Association 287.1 (2002): 47-54.
  35. Galvin JE and Sadowsky CH. “Practical guidelines for the recognition and diagnosis of dementia”. Journal of the American Board of Family Medicine 25 (2012): 367.
  36. Gariballa SE and Sinclair AJ. “Nutrition, ageing and ill health”. British Journal of Nutrition 80 (1998): 7-23.
  37. Hsieh C. “Treatment of constipation in older adults”. American Family Physician 72.11 (2005): 2277-2284.
  38. Litwin H and Shiovitz-Ezra S. “Network type and mortality risk in later life”. Gerontologist 46 (2006): 735-743.
  39. Mahan KL and Escott-Stump S. “Krause's food and nutrition therapy”. 12th St. Louis, Mo.  Elsevier Saunders (2008).
  40. Mahan LK and Escott-Stump S. “Krause’s food, nutrition and diet therapy”. Eleventh edition. Elsevier (2004).
  41. Mahan LK., et al. “Krause’s Food and the Nutrition Care Process”. Ed. 13. Elsevier, USA (2012).
  42. Martin DC. “B12 and folate deficiency dementia”. Clinics in Geriatric Medicine 4.4 (1988): 841-852.
  43. Ministry of Health. “Food and Nutrition Guidelines for Healthy Older People: A background paper”. Wellington: Ministry of Health (2013).
  44. Mohammed HH and Osman RM. “Assessment of the nutritional status and identification of health risk factors of older Women in Alsagana Khartoum State”. B.Sc Dissertation in Nutrition and Dietetics, Ahfad University for Women (2014).
  45. Mohammed IM and Haiba MA. “Diet and its Relationship to the Health problems among Sudanese Elderly in Khartoum Teaching Hospital - Alshaab Teaching Hospital and Elderly Women Home care in Khartoum State”. B.Sc Dissertation in Nutrition and Dietetics, Ahfad University for Women (2012).
  46. Morley JE. “Undernutrition in older adults”. Family Practice 29 (2012): i89-i93.
  47. Pham DQ and Plakogiannis R. “Vitamin E supplementation in cardiovascular disease and cancer prevention: part 1”. Annals of Pharmacotherapy 39 (2005): 1870-1878.
  48. Rampersaud GC., et al. “Folate: a key to optimizing health and reducing disease risk in the elderly”. Journal of the American College of Nutrition 22.1 (2003): 1-8.
  49. Saeidlou SN., et al. “Assessment of the nutritional status and affecting factors of elderly people living at six nursing home in Urmia, Iran. Part I”. International Journal of Academic Research 3 (2011): 1.
  50. Schafer R., et al. “Marital food interaction and dietary behaviour”. Social Science and Medicine 48 (1999): 787-796. 
  51. Schiffman S. “Sensory impairment: taste and smell impairments with aging”. In Bales CW, Ritchie CS, editors: Handbook of clinical nutrition and aging, ed 2, Totowa, N.J., Humana Press (2009).
  52. Thomas DR. “Role of nutrition in the treatment and prevention of pressure ulcers”. Nutrition in Clinical Practice 29 (2014): 466.
  53. U.S. Census Bureau: Census Summary (2010). 
  54. Wellman NS and Kamp BJ. “Nutrition in Aging: Ch 21”. In: Mahan, L.K.Escott-Stump, S. and Raymond, J.L.  Krause’s Food and the Nutrition Care Process. Ed. 14. Elsevier, USA (2017).
  55. WHO. Global repor on diabetes (2016).
  56. Wylie C., et al. “Health and social factors affecting the food choice and nutritional intake of elderly people with restricted mobility”. Journal of Human Nutrition and Dietetics 12 (1999): 375-380. 
  57. Yueh B., et al. “Screening and Management of Adult Hearing Loss in Primary Care Scientific Review”. Journal of the American Medical Association 289.15 (2003): 1976-1985.
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Citation

Citation: Mohammed Altaher Abaker Abdegader., et al. “Assessment of Nutritional Status of Elderly Living in Public Care Houses and Those Living with Their Families in Khartoum State December 2017". Acta Scientific Medical Sciences 4.2 (2020): 175-185.




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