It’s Time to Invest in Geriatric Nutrition: A Systematic Review

Authors

  • Ruchita Khandre Bharatratna Atal Bihari Vajpayee Medical College, Pune, India https://orcid.org/0000-0002-2810-5918
  • Shraddha Kulkarni Bharatratna Atal Bihari Vajpayee Medical College, Pune, India
  • Abhishek Raut Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India https://orcid.org/0000-0001-5671-5329
  • Sophiya Kalaimaran Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India

DOI:

https://doi.org/10.55489/njcm.141020233172

Keywords:

elderly, malnutrition, nutritional status, healthy ageing, risk factors

Abstract

Introduction: Nutrition in the elderly can affect immunity as well as functional abilities, making it a significant domain in this age group. Objective: The current study is designed with the objective of highlighting nutritional problems and their association with different factors among the elderly in India. Methods: The literature search was conducted using PubMed, Medline, PubMed Central, and citation tracing, which provide access to full-text research articles published during the last 15 years. Result: A total of 1040 studies were identified, and 19 studies were included in the review. Lifestyle (inadequate intake of food, including vegetables and fruits), somatic (presence of comorbidity, more than three medication uses, psychological stress, chewing problems), functional (ADL/IADL dependency), and social (low socio-economic status, low education, single living, unemployment, older age) risk factors were found to be associated with malnutrition among the elderly in India. Conclusion: The burden of malnutrition and ‘at risk of malnutrition’ is very high, which may cover more than half of the elderly population and affect their quality of life. A multi-disciplinary approach, including nutritional screening, early diagnosis and treatment, and interventional dietary approaches, should be planned with sustainability assurance to ensure their healthy ageing.

References

United Nations Department of Economic and Social Affairs PD (2022). WPP 2022: S of R. World Population Prospects 2022 [Internet]. United Nation. 2022. 1-54 p. Available from: www.un.org/development/ desa/pd/.

United Nations Population Fund. 'Caring for Our Elders: Early Responses' - India Ageing Report -2017. New Delhi, India UNFPA; 2017.p37-48.

World Health Organization. World report on Ageing And Health- 2015. Geneva, Switzerland WHO; 2016. p10-50

Dean M, Raats MM, Grunert KG, Lumbers M. Factors influencing eating a varied diet in old age. Public Health Nutr. 2009 Dec;12:2421-7. Doi: https://doi.org/10.1017/S1368980009005448 PMid:19344544

Pae M, Nikbin Meydani S, Wu D. The Role of Nutrition in Enhancing Immunity in Aging. 2012;3:91-129.

Saunders J. Malnutrition: causes and consequences. Clinical Medicine. 2010;10:624-7. Doi: https://doi.org/10.7861/clinmedicine.10-6-624 PMid:21413492 PMCid:PMC4951875

Bienia R, Ratcliff S, Barbour Gl, Kummer M. Malnutrition in the Hospitalized Geriatric Patient. J Am Geriatr Soc. 1982;30:433-6. Doi: https://doi.org/10.1111/j.1532-5415.1982.tb03378.x PMid:6806344

Corcoran C, Murphy C, Culligan EP, Walton J, Sleator RD. Malnutrition in the elderly. Sci Prog. 2019;102:171-80. Doi: https://doi.org/10.1177/0036850419854290 PMid:31829839 PMCid:PMC10424533

Jiménez-Redondo S, Beltrán de Miguel B, Gavidia Banegas J, Guzmán Mercedes L, Gómez-Pavón J, Cuadrado Vives C. Influence of nutritional status on health-related quality of life of non-institutionalized older people. J Nutr Health Aging. 2014;18:359-64. Doi: https://doi.org/10.1007/s12603-013-0416-x PMid:24676315

Tripathy J. Geriatric care in India: A long way to go. J Midlife Health. 2014;5:203. Doi: https://doi.org/10.4103/0976-7800.145176 PMid:25540574 PMCid:PMC4264287

Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y, et al. Overview of the MNA® - Its history and challenges. Journal of Nutrition, Health and Aging. 2006;10:456-63.

Majumder M, Saha I, Chaudhuri D. Assessment of Nutritional Risk in Community-Dwelling Older Adults (65 to 75 Years) in Kolkata, India. J Nutr Gerontol Geriatr. 2014;33:126-34. Doi: https://doi.org/10.1080/21551197.2014.908596 PMid:24827063

Saha S, Basu A, Ghosh S, Saha K, Banerjee U. Assessment of Nutritional Risk and Its Associated Factors among Elderly Women of Old Age Homes of South Suburban Kolkata, West Bengal, India. J Clin Diagnostic Res. 2014;8:118-20. Doi: https://doi.org/10.7860/JCDR/2014/8321.4024 PMid:24701499 PMCid:PMC3972524

Agarwalla R, Saikia A, Baruah R. Assessment of the nutritional status of the elderly and its correlates. J Fam Community Med. 2015;22:39-43. Doi: https://doi.org/10.4103/2230-8229.149588 PMid:25657610 PMCid:PMC4317993

Patel P, Shivakumar K, Patil S, Suresh K, Kadashetti V. Association of oral health-related quality of life and nutritional status among elderly population of Satara district, Western Maharashtra, India. J Indian Assoc Public Heal Dent. 2015;13:269. Doi: https://doi.org/10.4103/2319-5932.165261

J. Gandhi S, Choudary MK, Kumar R, Bhatnagar D. Nutritional status of the geriatric population in the field practice area of a medical college in Rajasthan. Int J Community Med Public Heal. 2017;5:220. Doi: https://doi.org/10.18203/2394-6040.ijcmph20175786

Sonawane SS, Varghese VA, Moses JPJ. A cross-sectional study on malnutrition in elderly using mini nutrition assessment scores in an urban slum. Int J Community Med Public Heal. 2019;6:3274-79. Doi: https://doi.org/10.18203/2394-6040.ijcmph20193439

Khandhedia S, Unadkat S, Parmar D. A Study on the Assessment of Nutritional Status among Geriatric Population in Jamnagar City. Healthline Journal. 2015;6:44-48.

Konda S, B. P. RK, Giri PA. Prevalence of malnutrition and its determinants in an elderly people in South India. Int J Community Med Public Heal. 2018;5:3570-76. Doi: https://doi.org/10.18203/2394-6040.ijcmph20183100

Mathew AC, Das D, Sampath S, Vijayakumar M, Ramakrishnan N, Ravishankar SL. Prevalence and correlates of malnutrition among elderly in an urban area in Coimbatore. Indian J Public Health. 2016;60:112-7. Doi: https://doi.org/10.4103/0019-557X.184542 PMid:27350704

Krishnamoorthy Y, Vijayageetha M, Kumar Sg, Rajaa S, Rehman T. Prevalence of malnutrition and its associated factors among elderly population in rural Puducherry using mini-nutritional assessment questionnaire. J Fam Med Prim Care. 2018;7:1429. Doi: https://doi.org/10.4103/jfmpc.jfmpc_22_18 PMid:30613537 PMCid:PMC6293907

Vedantam A, Subramanian V, Vijay Rao N, John KR. Malnutrition in free-living elderly in rural south India: Prevalence and risk factors. In: Public Health Nutrition. 2010;13:1328-32. Doi: https://doi.org/10.1017/S1368980009991674 PMid:19807935

Kansal D, Baliga SS, Mallapur MD. Nutritional assessment among elderly population of rural Belagavi: a cross-sectional study. Int J Med Sci Public Heal Online. 2016;5:1496-99. Doi: https://doi.org/10.5455/ijmsph.2016.15122015298

Kutikuppala A, Mathur N, Prakash G. Nutritional status of elderly people using Mini Nutritional Assessment tool in an urban slum of Hyderabad. Int J Med Sci Public Heal. 2018;7:885-88. Doi: https://doi.org/10.5455/ijmsph.2018.0619528072018

D.N. S, Manglik CG, Saldanha RD, Sharma PP. Assessment of nutritional status among geriatric population in rural Mangaluru: a cross sectional study. Int J Community Med Public Heal. 2019;6:2408. Doi: https://doi.org/10.18203/2394-6040.ijcmph20192299

Gupta A, Kapil U, Khandelwal R, Khenduja P, Sareen N, Pandey RM, et al. Prevalence and risk factors of underweight, overweight and obesity among a geriatric population living in a high-altitude region of rural Uttarakhand, India. Public Health Nutr. 2018;21:1904-11. Doi: https://doi.org/10.1017/S1368980018000447 PMid:29540252 PMCid:PMC10260861

Gambhir IS, Chakrabarti S, Singh B, Kaur U. Nutritional Status Of Elderly Patients Visiting The Geriatric Clinic-Results From North India. Innov Aging. 2017;1:695-695. Doi: https://doi.org/10.1093/geroni/igx004.2489 PMCid:PMC6248566

Kritika, DeepShikha, Jayanti S, S V, Ruchi J, Sati HC. View of Nutritional status and associated comorbidities among the elderly in Doiwala block, Dehradun Indian J Comm Health. 2014;26:197-203

Mukundan M, Kashyap K, Dhar M, Muralidharan A, Agarwal D, Saxena Y. Nutritional and Functional Status as a Predictor of Short-Term Mortality in Hospitalized Elderly Patients in a Tertiary Care Hospital. Cureus. 2022;14. Doi: https://doi.org/10.7759/cureus.22576 PMid:35371632 PMCid:PMC8958128

Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29:562. Doi: https://doi.org/10.4103/ijdr.IJDR_285_17 PMid:30409933

Van Bokhorst-de van der Schueren MAE, Lonterman-Monasch S, de Vries OJ, Danner SA, Kramer MHH, Muller M. Prevalence and determinants for malnutrition in geriatric outpatients. Clin Nutr. 2013;32:1007-11. Doi: https://doi.org/10.1016/j.clnu.2013.05.007 PMid:23755842

Starr KNP, McDonald SR, Bales CW. Nutritional Vulnerability in Older Adults: A Continuum of Concerns. Curr Nutr Rep. 2015;4:176-84. Doi: https://doi.org/10.1007/s13668-015-0118-6 PMid:26042189 PMCid:PMC4445877

Yeye P, Attafuah A, Hj Everink I, Lohrmann C, Abuosi A, Mga Schols J. Open Access Archives of Public Health Health and social needs of older adults in slum communities in Ghana: a phenomenological approach used in 2021. Arch Public Heal. 2023;81:74. Doi: https://doi.org/10.1186/s13690-023-01056-9 PMid:37106445 PMCid:PMC10134515

Leveille SG, Guralnik JM, Ferrucci L, Langlois JA. Aging successfully until death in old age: Opportunities for increasing active life expectancy. Am J Epidemiol 1999;149:654 64. Doi: https://doi.org/10.1093/oxfordjournals.aje.a009866 PMid:10192313

Downloads

Published

2023-10-01

How to Cite

1.
Khandre R, Kulkarni S, Raut A, Kalaimaran S. It’s Time to Invest in Geriatric Nutrition: A Systematic Review. Natl J Community Med [Internet]. 2023 Oct. 1 [cited 2024 Nov. 23];14(10):673-81. Available from: https://njcmindia.com/index.php/file/article/view/3172

Issue

Section

Systematic Review/ Meta Analysis