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A multidimensional assessment of nutritional and health status of rural elderly Malays.
Asia Pac J Clin Nutr. 2007; 16(2):346-53.AP

Abstract

A multidimensional assessment of nutritional and health status comprised of subjective global assessment (SGA), anthropometry function, biochemistry, dietary intake, social and health aspects was carried out on 820 older people (52.8% men and 47.2% women) from four rural areas of Peninsular Malaysia. A proportion of the subjects had been classified as either overweight (25.7%) or chronic energy deficient (20.3%). Although 49% of subjects had normal body weight, 68.4% have been classified as having mild to moderate malnutrition according to the SGA. Only 1.1% and 2.3% had low serum albumin and ferritin, respectively. Almost 80% of subjects, especially men, were at high risk of cardiovascular diseases on the basis of the assessment of total cholesterol and LDL-cholesterol. The majority of the subjects (87.2%) were fully independent in performing daily tasks, with men having a significantly higher score compared to women (p<0.001). However, men were less likely to be able to perform a flexibility test (50.7%) than were women (27.0%) (p<0.05). The mean energy intake for men (1412 +/- 461 kcal/d) and women (1201 +/- 392 kcal/d) were below the Recommended Nutrient Intake (RNI) for Malaysia, although this is a difficult assertion to make in an age-group which generally experiences declining energy expenditure. Moreover, 52.5% of men and 47.5% of women might have underreported their food intake. Dietary micronutrients most likely to be deficient were thiamin, riboflavin and calcium. It is concluded that a substantial proportion of rural elderly Malays had problems related to both undernutrition and overnutrition. An appropriate nutrition intervention program is needed to improve the nutritional status of rural elderly Malays.

Authors+Show Affiliations

Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia. suzanas@medic.ukm.myNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17468093

Citation

Shahar, Suzana, et al. "A Multidimensional Assessment of Nutritional and Health Status of Rural Elderly Malays." Asia Pacific Journal of Clinical Nutrition, vol. 16, no. 2, 2007, pp. 346-53.
Shahar S, Ibrahim Z, Fatah AR, et al. A multidimensional assessment of nutritional and health status of rural elderly Malays. Asia Pac J Clin Nutr. 2007;16(2):346-53.
Shahar, S., Ibrahim, Z., Fatah, A. R., Rahman, S. A., Yusoff, N. A., Arshad, F., Yassin, Z., & Adznam, S. N. (2007). A multidimensional assessment of nutritional and health status of rural elderly Malays. Asia Pacific Journal of Clinical Nutrition, 16(2), 346-53.
Shahar S, et al. A Multidimensional Assessment of Nutritional and Health Status of Rural Elderly Malays. Asia Pac J Clin Nutr. 2007;16(2):346-53. PubMed PMID: 17468093.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A multidimensional assessment of nutritional and health status of rural elderly Malays. AU - Shahar,Suzana, AU - Ibrahim,Zuriati, AU - Fatah,Afaf Ruhi Abdul, AU - Rahman,Suriah Abdul, AU - Yusoff,Noor Aini Mohd, AU - Arshad,Fatimah, AU - Yassin,Zaitun, AU - Adznam,Siti Nur 'Asyura, PY - 2007/5/1/pubmed PY - 2007/7/24/medline PY - 2007/5/1/entrez SP - 346 EP - 53 JF - Asia Pacific journal of clinical nutrition JO - Asia Pac J Clin Nutr VL - 16 IS - 2 N2 - A multidimensional assessment of nutritional and health status comprised of subjective global assessment (SGA), anthropometry function, biochemistry, dietary intake, social and health aspects was carried out on 820 older people (52.8% men and 47.2% women) from four rural areas of Peninsular Malaysia. A proportion of the subjects had been classified as either overweight (25.7%) or chronic energy deficient (20.3%). Although 49% of subjects had normal body weight, 68.4% have been classified as having mild to moderate malnutrition according to the SGA. Only 1.1% and 2.3% had low serum albumin and ferritin, respectively. Almost 80% of subjects, especially men, were at high risk of cardiovascular diseases on the basis of the assessment of total cholesterol and LDL-cholesterol. The majority of the subjects (87.2%) were fully independent in performing daily tasks, with men having a significantly higher score compared to women (p<0.001). However, men were less likely to be able to perform a flexibility test (50.7%) than were women (27.0%) (p<0.05). The mean energy intake for men (1412 +/- 461 kcal/d) and women (1201 +/- 392 kcal/d) were below the Recommended Nutrient Intake (RNI) for Malaysia, although this is a difficult assertion to make in an age-group which generally experiences declining energy expenditure. Moreover, 52.5% of men and 47.5% of women might have underreported their food intake. Dietary micronutrients most likely to be deficient were thiamin, riboflavin and calcium. It is concluded that a substantial proportion of rural elderly Malays had problems related to both undernutrition and overnutrition. An appropriate nutrition intervention program is needed to improve the nutritional status of rural elderly Malays. SN - 0964-7058 UR - https://www.unboundmedicine.com/medline/citation/17468093/A_multidimensional_assessment_of_nutritional_and_health_status_of_rural_elderly_Malays_ L2 - http://apjcn.nhri.org.tw/server/APJCN/16/2/346.pdf DB - PRIME DP - Unbound Medicine ER -