medigraphic.com
Instituto Nacional de Salud Pública

2023, Number 5

<< Back Next >>

salud publica mex 2023; 65 (5)

Factors affecting nutritional status of older people: MHAS, 2018

Tinajero-Delgado J, Martínez-Ezquerro JD, Moreno-Tamayo K, Curcio-Borrero CL, Arias-Merino ED, Sánchez-García S, Espinel-Bermúdez MC, Valencia-Rico CL

Language: Spanish
References: 41
Page: 493-503
PDF size: 335.63 Kb.


ABSTRACT

Objective. To analyze factors related to nutrition disorders about undernutrition and overnutrition in older people with the Mexican Health and Aging Study (MHAS), follow-up survey in 2018. Materials and methods. Cross-sectional relationships between social determinants, health relative factors and stressful life events with models for undernutrition and overnutrition among older people. Data were subjected to descriptive analysis and simple and multiple logistic regression models. Results. A total of 4 587 old people, undernutrition was 16% and relationship was found with ≥80 years, no partner, no schooling, overestimation of body mass index (BMI), motor difficulty, instrumental functional dependence, hospitalization in a previous year, and falls in the last two years, self-report prehensile strength of hand, report of a disaster affecting housing or an accident affecting health. The overnutrition was 43.6% and was related to women, aged 60 to 79, have ≥3 diseases, somatic symptoms, physical inactivity and underestimate their BMI. Conclusions. The factors related to nutrition disorders due to undernutrition or overnutrition are important interventions areas on aging.


REFERENCES

  1. Vranešić Bender D, Krznarić Ž. Nutritional issues and considerationsin the elderly: an update. Croat Med J. 2020;61(2):180-3. https://doi.org/10.3325/cmj.2020.61.180

  2. Konda S, Kumar BPR, Giri PA. Prevalence of malnutrition and itsdeterminants in an elderly people in South India. Int J Community MedPublic Health. 2018;5(8):3149-51. https://doi.org/10.18203/2394-6040.ijcmph20183100

  3. Amarya S, Singh K, Sabharwal M. Changes during aging and their associationwith malnutrition. J Clin Gerontol Geriatr. 2015;6(3):78-84. https://doi.org/10.1016/j.jcgg.2015.05.003

  4. Norman K, Haß U, Pirlich M. Malnutrition in older adults-recentadvances and remaining challenges. Nutrients. 2021;13(8):2764. https://doi.org/10.3390/nu13082764

  5. Roberts SB, Silver RE, Das SK, Fielding RA, Gilhooly CH, Jacques PF, etal. Healthy Aging-Nutrition Matters: start early and screen often. Adv Nutr.2021;12(4):1438-48. https://doi.org/10.1093/advances/nmab032

  6. Ravasco P, Anderson H, Mardones F. Métodos de valoración del estadonutricional. Nutr Hosp. 2010;25(supl 3):57-66 [citado mayo 12, 2023]. Disponibleen: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112010000900009&lng=es&nrm=iso&tlng=es

  7. Brondeel KC, Lakatta AC, Torres GB, Hurley JJ, Kunik IL, Haney KF,et al. Physiologic and pharmacologic considerations in morbid obesityand bariatric anesthesia. Saudi J Anaesth 2022;16(3):306-13. https://doi.org/10.4103/sja.sja_185_22

  8. World Health Organization. Evidence profile: malnutrition - Integratedcare for older people - Guidelines on community-level interventionsto manage declines in intrinsic capacity. WHO, 2017 [citado mayo 12,2023]. Disponible en: https://www.who.int/publications/i/item/WHOMCA-17.06.06

  9. Malenfant JH, Batsis JA. Obesity in the geriatric population - a globalhealth perspective. J Glob Health Rep. 2019;3:e2019045. https://doi.org/10.29392/joghr.3.e2019045

  10. Barquera S, Hernández-Barrera L, Trejo-Valdivia B, Shamah T, Campos-Nonato I, Rivera-Dommarco J. Obesity in Mexico, prevalence andtrends inadults. Ensanut 2018-19. Salud Publica Mex. 2020;62(6):682-92. https://doi.org/10.21149/11630

  11. Contreras AL, Angel-Mayo GV, Romaní DA, Tejada GS, Yeh M, OrtizPJ, et al. Malnutrición del adulto mayor y factores asociados en el distritode Masma Chicche, Junín, Perú. Rev Medica Hered. 2013;24(3):186-91[citado mayo 12, 2023]. Disponible en: https://www.redalyc.org/articulo.oa?id=338030978002

  12. Kalaiselvi S, Arjumand Y, Jayalakshmy R, Gomathi R, Pruthu T, Palanivel C.Prevalence of under-nutrition, associated factors and perceived nutritionalstatus among elderly in a rural area of Puducherry, South India. Arch GerontolGeriatr. 2016;65:156-60. https://doi.org/10.1016/j.archger.2016.03.003

  13. Hernández-Galiot A, Goñi I. Quality of life and risk of malnutrition ina home-dwelling population over 75 years old. Nutrition. 2017;35:81-6.https://doi.org/10.1016/j.nut.2016.10.013

  14. Maseda A, Diego-Diez C, Lorenzo-López L, López-López R, Regueiro-Folgueira L, Millán-Calenti JC. Quality of life, functional impairment andsocial factors as determinants of nutritional status in older adults: TheVERISAÚDE study. Clin Nutr. 2018;37(3):993-9. https://doi.org/10.1016/j.clnu.2017.04.009

  15. Madeira T, Peixoto-Plácido C, Sousa-Santos N, Santos O, Costa J,Alarcão V, et al. Association between living setting and malnutrition amongolder adults: The PEN-3S study. Nutrition. 2020;73:110660. https://doi.org/10.1016/j.nut.2019.110660

  16. González-Franco LR, González-Arellanes R, Ramírez-Torres M,Alemán-Mateo H. Riesgo de desnutrición y factores asociados en unamuestra de adultos mayores en la comunidad e institucionalizados deYucatán, México. Arch Latinoam Nutr. 2020;70(1):30-39. https://doi.org/10.37527.2020.70.1.004

  17. Giraldo-Giraldo NA, Paredes-Arturo YV, Idarraga-Idarraga Y, Aguirre-Acevedo DC. Factores asociados a la desnutrición o al riesgo de desnutriciónen adultos mayores de San Juan de Pasto, Colombia: Un estudiotransversal. Rev Esp Nutr Humana Diet. 2017;21(1):39-48. https://doi.org/10.14306/renhyd.21.1.288

  18. Tarqui-Mamani C, Alvarez-Dongo D, Espinoza-Oriundo P, Gomez-Guizado G. Estado nutricional asociado a características sociodemográficasen el adulto mayor peruano. Rev Peru Med Exp Salud Publica.2014;31(3):467-72. https://doi.org/10.17843/rpmesp.2014.313.82

  19. Rios TC, de Oliveira LPM, da Costa MLV, da Silva Baqueiro-BoulhosaRS, Roriz AKC, Ramos LB, Bueno AA. A poorer nutritional status impactsquality of life in a sample population of elderly cancer patients. Health QualLife Outcomes. 2021;19(1):90. https://doi.org/10.1186/s12955-021-01735-7

  20. Chavarría-Sepúlveda P, Barrón-Pavón V, Rodríguez-Fernández A. Estadonutricional de adultos mayores activos y su relación con algunos factoressociodemográficos. Rev Cubana Salud Publica 2017;43(3):1-12 [citadomayo 12, 2023]. Disponible en: https://revsaludpublica.sld.cu/index.php/spu/article/view/849

  21. Mamani-Ortiz Y, Illanes Velarde DE, Luizaga López JM. Factores sociodemográficosasociados a la malnutrición del Adulto Mayor en Cochabamba,Bolivia. GMB. 2019;42(2):98-105 [citado mayo 12, 2023]. Disponible en:https://www.gacetamedicaboliviana.com/index.php/gmb/article/view/248

  22. Cobb LK, McAdams-DeMarco MA, Gudzune KA, Anderson CA, DemerathE, Woodward M, et al. Changes in body mass index and obesity riskin married couples over 25 years: The ARIC Cohort Study. Am J Epidemiol2016;183(5):435-43. https://doi.org/10.1093/aje/kwv112

  23. Anekwe CV, Jarrell AR, Townsend MJ, Gaudier GI, Hiserodt JM, StanfordFC. Socioeconomics of obesity. Curr Obes Rep. 2020;9(3):272-9. https://doi.org/10.1007/s13679-020-00398-7

  24. Muñoz-Díaz B, Martínez de la Iglesia J, Molina-Recio G, Aguado-Taberné C, Redondo-Sánchez J, Arias-Blanco MC, et al. Estado nutricionaly factores asociados en pacientes ancianos ambulatorios. Aten Primaria.2020;52(4):240-9. https://doi.org/10.1016/j.aprim.2018.12.002

  25. Instituto Nacional de Estadística y Geografía. Encuesta Nacional sobreSalud y Envejecimiento en México (Enasem) 2018. Diseño Conceptual.México: INEGI, Universidad de Texas, Centro Médico, 2018 [citado mayo10, 2023]. Disponible en: https://www.mhasweb.org/resources/DOCUMENTS/2018/Dise%C3%B1o_Conceptual_MHAS_ENASEM_2018.pdf

  26. Ávila JC, Samper-Ternent R, Wong R. Malnutrition Risk among OlderMexican Adults in the Mexican Health and Aging Study. Nutrients.2021;13(5):1-9. https://doi.org/10.3390/nu13051615

  27. Instituto Nacional de Estadística y Geografía. Encuesta Nacional sobreSalud y Envejecimiento en México (Enasem) 2018. Programas de información.México: INEGI, 2018 [citado mayo 09, 2023]. Disponible en: https://www.inegi.org.mx/programas/enasem/2018/

  28. Estudio Nacional de Salud y Envejecimiento en México. Sitio webdel Enasem. México, 2022 [citado mayo 11, 2023]. Disponible en: www.mhasweb.org

  29. Instituto Mexicano del Seguro Social. Guía de Práctica Clínica - Evaluacióny Seguimiento Nutricional del Adulto Mayor en el Primer Nivel deAtención. México: IMSS, 2014 [citado mayo 8, 2023]. Disponible en: http://www.cenetec-difusion.com/CMGPC/IMSS-095-08/ER.pdf

  30. Aguilar-Navarro SG, Fuentes-Cantú A, Ávila-Funes JA, García-Mayo EJ.Validez y confiabilidad del cuestionario de la Enasem para la depresiónen adultos mayores. Salud Publica Mex. 2007;49:256-62. Disponible en:https://saludpublica.mx/index.php/spm/article/view/6763/8477

  31. Schilp J, Wijnhoven H, Deeg D, Visser M. Early determinants for the developmentof undernutrition in an older general population: LongitudinalAging Study Amsterdam. British Journal of Nutrition. 2011;106(5):708-17.https://doi.org/10.1017/S0007114511000717

  32. Vitman-Schorr A, Yehuda I, Tamir S. Loneliness, Malnutrition and Change inSubjective Age among Older Adults during COVID-19 Pandemic. Int J EnvironRes Public Health. 2020;18(1):106. https://doi.org/10.3390/ijerph18010106

  33. Montejano-Lozoya AR, Ferrer-Diego RM, Clemente-Marín G,Martínez-Alzamora N, Sanjuan-Quiles A, Ferrer-Ferrándiz E. Factoresasociados al riesgo nutricional en adultos mayores autónomos no institucionalizados.Nutr Hosp. 2014;30(4):858-69. https://doi.org/10.3305/nh.2014.30.4.7829

  34. Rivera-Márquez JA, Mundo-Rosas V, Cuevas-Nasu L, Pérez-EscamillaR. Inseguridad alimentaria en el hogar y estado de nutrición en personasadultas mayores de México. Salud Publica Mex. 2014;56(supl 1):S71-8.https://doi.org/10.21149/spm.v56s1.5168

  35. Vedantam A, Subramanian V, Vijay Rao N, John K. Malnutrition infree-living elderly in rural south India: Prevalence and risk factors.Public Health Nutrition. 2010;13(9):1328-32. https://doi.org/10.1017/S1368980009991674

  36. Stewart-Knox B, Duffy ME, Bunting B, Parr H, Vas de Almeida MD,Gibney M. Associations between obesity (BMI and waist circumference) andsocio-demographic factors, physical activity, dietary habits, life events, resilience,mood, perceived stress and hopelessness in healthy older Europeans.BMC Public Health. 2012;12:1-12. https://doi.org/10.1186/1471-2458-12-424

  37. Vogele D, Otto S, Sollmann N, Haggenmüller B, Wolf D, Beer M, SchmidtSA. Sarcopenia - Definition, Radiological Diagnosis, Clinical Significance.Rofo. 2023;195(5):393-405. https://doi.org/10.1055/a-1990-0201

  38. Bouzas C, Bibiloni MDM, Tur JA. Relationship between body imageand body weight control in overweight ≥55-year-old adults: a systematicreview. Int J Environ Res Public Health. 2019;16(9):1-29. https://doi.org/10.3390/ijerph1609162

  39. Van-Dyke N, Drinkwater EJ, Rachele JN. Improving the accuracyof self-reported height and weight in surveys: an experimental study.BMC Med Res Methodol. 2022;22:1-14. https://doi.org/10.1186/s12874-022-01690-x

  40. Ávila-Funes JA, Gutiérrez-Robledo LM, Ponce De León Rosales S. Validityof height and weight self-report in Mexican adults: results from thenational health and aging study. J Nutr Health Aging. 2004;8(5):355-61.

  41. Rosas-Carrasco O, Juárez-Cedillo T, Ruiz-Arregui L, García-Pena C,Vargas-Alarcón G, Sánchez-García S. Overweight and obesity as markersfor the evaluation of disease risk in older adults. J Nutr Health Aging.2012;16(1):14-20. https://doi.org/10.1007/s12603-012-0001-8




2020     |     www.medigraphic.com