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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2012, Number 3

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An Med Asoc Med Hosp ABC 2012; 57 (3)

Nutritional status among elderly people in a marginalized area in Mexico City

Mota SV, Levin PG, Rivas AL

Language: Spanish
References: 21
Page: 205-209
PDF size: 65.81 Kb.


ABSTRACT

Background: Malnutrition is associated with increased morbi-mortality rates. Objetive: The aim of the study was to determine the nutritional status based on Mini Nutritional Assessment and body mass index and to evaluate its relationship with gender, age and calf circumference among elderly people. Methods: A cross-sectional study was carried out in 62 elders. Standardized procedures were followed to apply the Mini Nutritional Assessment and to measure weight, height, waist and calf circumferences. Data analysis included chi-squared tests and odds ratios were estimated. Results: More than half of the study sample were female (75.8%). The mean age was of 69.0 (± 6.0) y.o. Prevalence of risk of undernutrition and undernutrition was 59.7 and 11.3%. The combined prevalence of overweight and obesity was 80.7% and that of abdominal obesity was 48.4%. Elders with calf circumference ≤ 31 had 14 times the risk of overweight or obesity (95% CI = 3.36-63.95). Being female and having calf circumference ≤ 31 showed 9.6 and 8.4 times the risk of abdominal obesity (95% CI: 1.93-47.38 and 95% CI = 1.69-41.74). Conclusions: In primary health care, undernutrition, overweight and obesity among the elderly are highly frequent and of interest due to associated risk factors.


REFERENCES

  1. García JJ. Panorama de la mortalidad en el adulto mayor en México. Rev Fac Med UNAM 1999; 42 (1): 35-36.

  2. Calderón ME, Ibarra F, García J, Gómez E, Rodríguez AR. Evaluación nutricional comparada del adulto mayor en consultas de medicina familiar. Nutr Hosp 2010; 25 (4): 669-675.

  3. Instituto Nacional de Estadística, Geografía e Informática. Estadísticas a propósito del día internacional de las personas de edad. México, D.F. 2007.

  4. Olaiz G, Rivera J, Shamah T, Rojas R, Villalpando S, Hernández A, Sepúlveda J. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006.

  5. Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as art of the geriatric evaluation. Nutr Rev 1996; 54: S59-S65.

  6. Calderón ME, Ibarra F, García J, Gómez E, Rodríguez AR. Evaluación nutricional comparada del adulto mayor en consultas de medicina familiar. Nutr Hosp 2010; 25 (4): 669-675.

  7. Bauer JM, Kaiser MJ, Anthony P, Guigoz Y, Sieber CC. The Mini Nutritional Assessment–its history, today’s practice, and future perspectives. Nutr Clin Pract 2008; 23 (4): 388-396.

  8. Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y, Morley JE, Chumlea W, Salva A, Rubenstein LZ, Garry P. Overview of the MNA – Its history and challenges. J Nutr Health Aging 2006; 10 (6): 456-463.

  9. Cuyac M, Santagua S. La mini encuesta nutricional del anciano en la práctica de un servicio hospitalario de Geriatría: Introducción, validación y características operacionales. ALAN Arch Latinoam Nutr 2007; 57 (3): 255-265.

  10. Setiati S, Istanti R, Andayani R, Kuswardhani RA, Aryana IG, Putu ID, Apand M, Ichwani J, Soewoto S, Dinda R, Mustika S. Cut-off of anthropometry measurement and nutricional status among elderly outpatients in Indonesa: Multi-centre study. Acta Med Indones 2010; 42 (4): 224-230.

  11. Guigoz Y. The Mini Nutritional Assessment (MNA) review of literature – What does it tell us? J Nutr Health Aging 2006; 10 (6): 466-485.

  12. Norton K, Whittiningham N, Carter L, Kerr D, Gore C. ISAK Estándares internacionales para la valoración antropométrica. 1ª edición, Sydney: UNSW, 2001: 59-67.

  13. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000.

  14. National Institutes of Health: Third report of the national cholesterol education program on detection, evaluation and treatment of high blood pressure in adults (Adult Treatment Panel III). Final report. NIH, 2002.

  15. Feldblum I, German L, Castel H, Harman I, Bilenko N, Eisinger M, Fraser D, Shahar DR. Characteristics of undernourished older medical patients and the identification of predictors of undernutrition status. Nutrition Journal 2007; 6 (37): 1-9.

  16. Kruger J, Ham S, Prohaska T. Behavioral risk factors associated with overweight and obesity among older adults: the 2005 National Health Interview Survey. Prev Chronic Dis [Internet]. 2009 [Citado 2011 Dic 22]; 6 (1): A14. Disponible en: http://www.cdc.gov/pcd/issues/2009/jan/07_0183.htm

  17. Cuervo M, Ansorena D, García A, González MA, Astiasaran I, Martínez JA. Valoración de la circunferencia de pantorrilla como indicador de riesgo de desnutrición en personas mayores. Nutr Hosp 2009; 24 (1): 63-67.

  18. Coelho AK, Rocha FL, Fausto MA. Prevalence of undernutrition in elderly patients hospitalized in a geriatric unit in Belo Horizonte, MG, Brazil. Nutrition 2006; 22 (10): 1005-1011.

  19. Barquera S, Campos I, Hernández L, Flores M, Durazo R, Kanter R, Rivera JA. Obesity and central adiposity in Mexican adults: results from the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex 2009; 51 supl 4: S595-S603.

  20. Abreu C, Viamontes A, Capote A, Betancourt M. Estado Nutricional en Adultos Mayores: casa de abuelos Amalia Simoni. Archivo Médico de Camagüey [en línea] 2009; 13. Disponible en: http://redalyc.vaemex.mx/src/inicio/ArtPdfRed.;sp?iCve=211116127008

  21. Skolnik R, Cagley M. Underweight, undernutrition and aging. Population Reference Bureau. Today’s Research on Aging 2007; 8: 1-5.




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