Malnutrition during pandemic among home-nursed and community-dwelling elderly.
DOI:
https://doi.org/10.12873/421ngadiartiPalabras clave:
Nutritional status, malnutrition risk, nutritional intake, elderlyResumen
Background: The current COVID-19 pandemic has led to serious changes in the daily routine of people including the elderly. One of the most feared impacts is the increasing malnutrition among the elderly, which contributes to exacerbating public health problems. Objective: To evaluate the differences in nutritional status, the risk of malnutrition, and nutritional intake between the elderly receiving home nursing and community-dwelling elderly during the COVID 19 pandemic. Methods: Cross-sectional study with 60 home-nursed elderly residents and 52 community-dwelling elderly in South Jakarta. Nutritional status was determined through BMI, the risk for malnutrition was assessed by MNA, and nutritional intake was calculated using the interview method with a 24-hour food recall. Results: The study found, based on MNA, that there is a high risk of malnutrition (63.5%) among community-dwelling elderly compared to the elderly receiving home nursing (71.7%). A good prevalence of nutrition status was found in community-dwelling elderly (36.5%) better than home-nursed elderly (28.3%). Based on MNA, the elderly at risk of malnutrition who live with a home nursing are mostly male (76.5%), at 60 – 65 years (44.1%), last education is high school (38.2%), do not have disease comorbidities (70.6%), and had inadequate intake (55.9% energy, 41.2% protein, 61.8% fat, and 76.5% carbohydrate) while the elderly who live in the community are mostly female (69.4%), at 60 – 65 years (50%), the last education in elementary school (33.3%), have comorbidities (52.8%) and have inadequate intake (72.2% energy, 100% protein, 50% fat, 80.6% carbohydrate). There were significant differences in protein and fiber intake (p<0.05) between both groups. Implication: In this COVID-19 pandemic, health care workers need to be more active in conducting malnutrition risk screening particularly for community-dwelling elderly. More effort is required to advocate and ensure improved nutritional intake in this vulnerable group.
Citas
Desti Dwi Rahmah. Covid-19 pada Lanjut Usia. J Wellness. 2020;2(February):309–13.
Ceolin G, Moreira JD, Mendes BC, Schroeder J, Pietro PF Di,Rieger DK. Nutritional challenges in older adults during the COVID-19 pandemic TT - Desafios nutricionais na saúde de idosos em tempos de pandemia da COVID-19. Rev Nutr. 2020;33:e200174–e200174.
US Department of Health and Human Services/Centers for disease Control and Prevention. Severe Outcomes Among
Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020. Morbidity and Mortality Weekly Report. 2020;69(12):343–6.
Statistik BP. Statistik Penduduk Lanjut Usia. 2020;
Statistik BP. Statistik Penduduk Lanjut Usia. 2014;
Nakayama N. Nutrition for elderly individuals during the COVID19 pandemic. World Nutr J. 2020;4(1).
Tazeoglu A, Bozdogan FBK, Idiz C. Evaluation of osmaniye korkut ata university students’ eating behaviors during the quarantine
period during the covid-19 pandemic period. Nutr Clin y Diet Hosp. 2021;41(2):86–93.
Li T, Zhang Y, Gong C, Wang J, Liu B, Shi L, et al. Prevalence of malnutrition and analysis of related factors in elderly patients
with COVID-19 in Wuhan, China. Eur J Clin Nutr. 2020;74(6): 871–5.
Azwar MK, Setiati S, Rizka A, Fitriana I, Saldi SRF, Safitri ED. Clinical Profile of Elderly Patients with COVID-19 hospitalized in
Indonesia’s National General Hospital. Acta Med Indones. 2020;52(3):199–205.
Pavlovic J, Racic M, Ivkovic N, Jatic Z. Comparison of Nutritional Status Between Nursing Home Residents and CommunityDwelling Older Adults: a Cross-Sectional Study from Bosnia and Herzegovina. Mater Socio Medica. 2019;31(1):19.
Mardani M, Abbasnezhad A, Rezapour M, Rostami S, Bonyadi M, Ebrahimzadeh F, et al. Mini nutritional assessment and its
correlation with elderly nursing home residents in Khorramabad, Iran. Iran Rehabil J. 2018;16(2):177–84.
Agarwalla R, Saikia A, Baruah R. Assessment of the nutritional status of the elderly and its correlates. J Fam Community Med.
;22(1):39.
Pigłowska M, Guligowska A, Kostka T. Nutritional status plays a more important role in determining the functional state in older
people living in the community than in nursing home residents. Nutrients. 2020;12(7):1–15.
Calder PC. Nutrition, immunity, and COVID-19. BMJ Nutr Prev Heal. 2020;3(1):74–92.
Mentella MC, Scaldaferri F, Gasbarrini A, Miggiano GAD. The role of nutrition in the covid-19 pandemic. Nutrients. 2021;13(4):1–13.
Kalish VB. Obesity in Older Adults. Prim Care - Clin Off Pract. 2016;43(1):137–44.
Khalesi ZB, Bokaie M. Nutritional Status and Related Factors in Elderly Nursing Home Residents. Shahid Sadoughi Univ Med Sci.
;1(1):16–21.
Norman K, Hab U, Pirlich M. Malnutrition in Older Adults - Recent Advance and Remaining Challenges. Nutrients. 2021;13:1–20.
Reber E, Gomes F, Vasiloglou MF, Schuetz P. Nutritional Risk Screening and Assessment. J Clin Med. 2019;8(7):1–19.
Poggiano MR, Ciarla S, Gnerre P, Roberts A, Magni L, Morbidoni L, et al. The management of the patient with malnutrition: From
evidence to clinical practice. Ital J Med. 2017;11(2):134–50.
Truijen SPM, Hayhoe RPG, Hooper L, Schoenmakers I, Forbes A, Welch AA. Predicting malnutrition risk with data from routinely
measured clinical biochemical diagnostic tests in free-living older populations. Nutrients. 2021;13(6).
Surni, Nendissa DR, Wahib MA, Astuti MH, Arimbawa P, Miar, et al. Socio-economic impact of the Covid-19 pandemic: Empirical
study on the supply of chicken meat in Indonesia. AIMS Agric. Food. 2020;6(1):65–81.
Ceolin G, Moreira JD, Mendes BC, Schroeder J, Pietro PF Di, Rieger DK. Nutritional challenges in older adults during the
COVID-19 pandemic TT - Desafios nutricionais na saúde de idosos em tempos de pandemia da COVID-19. Rev Nutr.
;33:e200174–e200174.
Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015;40(4):219–21.
Abadía Otero J, Briongos Figuero LS, Gabella Mattín M, Usategui Martín I, Cubero Morais P, Cuellar Olmedo L, et al. The nutritional
status of the elderly patient infected with COVID-19: the forgotten risk factor? Curr Med Res Opin. 2021;37(4):549–54.
Lee CJ, Hsu Y. Promoting the quality of life of elderly during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;
(13).
Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr. 2015;6(3):
–84.
Hagg S, Jylhava J. Sex differences in biological aging with a focus on human studies. Epidemiol Glob Heal. 2021;10:1–27.
Ballo IR, Kaunang TMD. Profil Lansia Depresi Di Manado. J Biomedik. 2012;4(1):59–67.
Fernandes MR, Dos Reis Barreto W. Association between physical activity and Vitamin D: A narrative literature review. Rev Assoc
Med Bras. 2017;63(6):550–6.
Gutiérrez S, Svahn SL, Johansson ME. Effects of omega-3 fatty acids on immune cells. Int J Mol Sci. 2019;20(20).
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