Assessment of Nutritional Risk and Its Associated Factors among Elderly Women of Old Age Homes of South Suburban Kolkata, West Bengal, India 118-120
Dr. Santanu Saha,
Nilanjana Apartment 182/1, Block A, Bangur Avenue City, Kolkata-700055, West Bengal, India.
Phone: 09830321254, E-mail: Santanu0129@gmail.com
Background: Different physiological, social and psychological factors contribute to nutritional risk in elderly population. Elderly women residing at old age homes are particularly susceptible.
Objectives: To find out psychological and financial factors, if any, associated with malnutrition and risk of malnutrition.
Methods: A cross sectional descriptive study was conducted on 200 residents belonging to > 65 years age group of nine old age homes selected randomly among eighteen old age homes located at south suburban areas of Kolkata from September 2010 to April 2011 using a pre-designed, pilot tested schedule containing Mini Nutritional Assessment (MNA) Scale and Geriatric Depression Scale (GDS). Intergroup comparison was performed using chi-square test.The study was approved by Institutional Ethics Committee of All India Institute of Hygiene & Public Health, Kolkata,India. Written informed consent was taken from each study participant.
Results: Among 158 â€˜possibly malnourishedâ€™ women, 114 (57%) were â€˜at risk of malnutritionâ€™ and 44 (22%) were malnourished according to MNA. Psychological stress was present among 44% of â€˜at risk of malnutritionâ€™ and 56% â€˜malnourishedâ€™ population (df=1, x2= 28.852, p<0.001). About 77% of women having moderate depression were â€˜at risk of malnutritionâ€™ whereas 52% of women having severe depression were â€˜malnourishedâ€™ (df =2, x2= 23.769, p<0.001).
Conclusion: High proportion of â€˜at risk malnutritionâ€™ and â€˜malnutritionâ€™ associated with presence of psychological stress and different grades of depression were the major areas of concern.