Share This Article:

Assessment of the Nutritional Status of 202 Elderly People Living at Home in Sidi-Bel-Abbès (Western Algeria)

Abstract Full-Text HTML XML Download Download as PDF (Size:2555KB) PP. 12-17
DOI: 10.4236/fns.2015.61002    2,955 Downloads   3,656 Views  

ABSTRACT

Background: Malnutrition is common for elderly representing a major public health problem with many consequences for the health. Objectives: To assess the nutritional status of a population of elderly living at home. Subjects and Methods: The assessment was conducted from a population of elderly living at home who saw their doctor in the office of a public health centre. For each subject, the anthropometric parameters (weight, height, body mass index (BMI)), biochemical (serum albumin) and Mini Nutritional Assessment (MNA) tools have been measured and calculated. Results: 202 mostly female (56.44%) subjects aged 73.59 ± 5.87 years were included in this study. 78% were suffering from chronic diseases, the most frequent of which was diabetes (32%). 7.43% of the diseased population have BMI < 21, 5.94% experienced undernutrition (MNA < 17) and 68.81% are at risk of malnutrition (MNA: 17 - 23.50). According to serum albumin, 8.91% of the sample is considered to be malnourished. Conclusion: The MNA has proven to be a screening tool more sensitive than other tools (BMI and albumin) in the evaluation of nutritional risk.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Menadi, N. , Kelkoul, G. , Hassani, I. , Merrakchi, B. and Belbraouet, S. (2015) Assessment of the Nutritional Status of 202 Elderly People Living at Home in Sidi-Bel-Abbès (Western Algeria). Food and Nutrition Sciences, 6, 12-17. doi: 10.4236/fns.2015.61002.

References

[1] Mallay, D. (2011) Simplification de la stratégie de dépistage de la dénutrition du sujet très agé en EHPAD: Un pari sur la pesée mensuelle. Neurologie-Psychatrie-Gériatrie, 11, 76-83.
http://dx.doi.org/10.1016/j.npg.2010.12.007
[2] Kézachian, L. and Bonnet, P.-A. (2012) Simplifying Screening Process of Elderly Malnutrition in General Practice: Test Match between a Simple Tool, the “Malnutrition Universal Screenig Tool” (MUST) and the “Mini Nutritional Assessment—Short Form” (MNA-SF). Nutrition Clinique et Métabolisme, 26, 109-113.
http://dx.doi.org/10.1016/j.nupar.2012.07.004
[3] Patry, C. and Raynaud-Simon, A. (2011) Prise en charge de la dénutrition chez les personnes agées: Quoi de neuf depuis les recommandations de l’HAS en 2007. Neurologie-Psychatrie-Gériatrie, 11, 95-100.
http://dx.doi.org/10.1016/j.npg.2011.03.003
[4] Dagorne, C., David, S., Alix, E., Girard, D., Bouzillé, G., Tallec, A. and Fanello, S. (2011) Prévention et prise en charge de la malnutrition dans les EHPAD. Cahiers de Nutrition et de Diététique, 46, 137-144.
http://dx.doi.org/10.1016/j.cnd.2011.02.001
[5] Guigoz, Y. and Vellas, B. (1995) Test d’évaluation de l’état nutritionnel de la personne agée: Le Mini Nutritional Assessment (MNA). Médecine Hygiène, 53, 1965-1969.
[6] Vellas, B., Villars, H., Abellan, G., Soto, M.E.R., Rolland, Y., Guigoz, Y., Morley, J.E., et al. (2006) Overview of the MNA. Its History and Challenges. Journal of Nutrition Health and Aging, 10, 456-463.
[7] Doumas, B.T., Watson, W.A. and Biggs, H.G. (1971) Albumin Standards and the Measurement of Serum Albumin with Bromocresolgreen. Clinica Chimica Acta, 31, 87-96.
http://dx.doi.org/10.1016/0009-8981(71)90365-2
[8] OMS (2014) Obésité et surpoids.
http://www.who.int/mediacentre/factsheets/fs311/fr/
[9] Raynaud, A., Revel-Delhom, C., Alexandre, D., Alix, E., Ancellin, R., Bouteloup, C., Brocker, P., Chapiro, S., Dumarcet, H.A., Lecocq, J.-M., Lefévre, M.-P., L’Herminze, A., Lurcel, J., Ménivard, N., Perette, M.-A. and Hébuterne, X. (2007) Recommandations professionnelles. HAS. Stratégie de prise en charge en cas de dénutrition protéino-énergétique chez la personne agée. Nutrition Clinique et Metabolisme, 21, 120-133.
http://dx.doi.org/10.1016/j.nupar.2007.07.004
[10] Raynaud-Simon, A. (2009) Comment dépister la malnutrition chez la personne agée? Médecine des Maladies Métaboliques, 3, 365-369.
[11] Blonde-Cynober, F. and Aussel, C. (2010) Définition des intervalles de référence des seuils décisionnels chez les sujets agés: Cas de l’évaluation de l’état nutritionnel. Bio Tribune Magazine, 35, 15-19.
[12] Caldorola, J., Dilmaghani, A., Gagnon, J., Soper, C. and Wasserman, E. (1998) StatView for Windows Version 5: Cary, NC 27513. SAS Institute Inc.
[13] Bourdel-Marchasson, I. and Traissac, T. (2004) Place et impact des régimes chez les personnes les plus agées. Nutrition Clinique et Métabolisme, 18, 224-230.
http://dx.doi.org/10.1016/j.nupar.2004.09.003
[14] Muller, H., Denis, B., Valentin, C. and Teillet, L. (2004) Human Ageing: Demographic Trends and Medical Implications. Nutrition Clinique et Métabolisme, 18, 171-174.
http://dx.doi.org/10.1016/j.nupar.2004.10.004
[15] Belbraouet, S., Chau, N., Tebi, A. and Debry, G. (2011) Anthropometric Characteristics of Hospitalized Elderly Women: A Case-Control Study. International Journal of Environmental Research and Public Health, 8, 2584-2592.
http://dx.doi.org/10.3390/ijerph8072584
[16] Menadi, N., Khaled, M.B., Merrakchi, B. and Belbraouet, S. (2013) Nutritional Status of Elderly People Living at Home in Sidi-Bel-Abbes (West Algeria). Food and Nutrition Sciences, 4, 860-865.
http://dx.doi.org/10.4236/fns.2013.48112
[17] Beck, A.M. and Ovesen, L. (1998) At Which Body Mass Index and Degree of Weight Loss Should Hospitalized Elderly Patients Be Considered at Nutritional Risk. Clinical Nutrition, 17, 195-198.
http://dx.doi.org/10.1016/S0261-5614(98)80058-7
[18] Schlienger, J.-L., Luca, F. and Pradignac, A. (2009) Particularité de l’obésité chez la personne agée. Médecine des Maladies Métaboliques, 3, 375-379.
[19] De Groot, C.G.P.M., Enzi, G., Perdiago, A.L. and Deurenberg, P. (1996) Longitudinal Changes in Anthropometric Characteristics of Elderly Europeans. Seneca-Investigators. European Journal of Clinical Nutrition, 50, S9-S15.
[20] Karen, E., Charlton, P.-D., Tracy, L., Kolbe-Alexander, P.-D., Johanna, H. and Nel, G.H. (2007) The MNA, but Not the Determine, Screening Tool Is a Valid Indicator of Nutritional Status in Elderly Africans. Nutrition, 23, 533-542.
http://dx.doi.org/10.1016/j.nut.2007.04.015
[21] Nes, M., Lund-Larsen, K., Trygg, K., Hoviq, H.O. and Pedersen, I. (1993) Nutrition and the Elderly in Europe: Low Prevalence of Obesity and Biochemical Deficiencies in Norwegian Subjects. Age and Nutrition, 4, 72-81.
[22] Gatto, M., Inelmen, E.-M., Ferrari, S., Jimenez, G.-F., Bisbini, P.-L. and Enzi, G. (1996) Nutrients Intake in Elderly: Descriptive Results of a Cross-Sectional Study. Age and Nutrition, 6, 17-23.
[23] Serra, J.A., Baeza, E., Cruz-Jentoft, A.J., Alcalade, P., Sanchez-Diez, A., Romeo, S., Cabrerizo, L. and Ribera, J.M. (1993) Nutritional Status and Nutritional Intake in Non-Hospitalized Elderly. Age and Nutrition, 4, 82-87.
[24] Mowé, M., Bohmer, T. and Kindt, E. (1994) Reduced Nutritional Status in an Elderly Population (>70 y) Is Probable before Disease and Possibly Contributes to the Development of Disease. The American Journal of Clinical Nutrition, 59, 317-324.
[25] Noel, D. (1998) Stratégie nutritionnelle en médecine gériatrique. Louvain Medical, 117, S47-S51.
[26] Elasmi-Allal, M., Sanhadji, H., Jemma, R., Jemma, A., Kaabachi, N. and Mebazaa, A. (2003) Etude de l’état nutritionnel des personnes agées dans deux populations tunisiennes séjournant à domicile ou en institution. La Revue de gériatrie, 28, 39-36.
[27] Macia, E., Boetsch, G., Chauis-Lucciani, N. (2004) Etude anthropométrique du vieillissement dans une population agée francaise (Marseille): Relation entre l’age, l’indice de masse corporelle, acuité visuelle et des facteurs sociopsychologiques. Antropo, 7, 113-122.
www.didac.ehu.es/antropo
[28] Quilliot, D., Bohme, P., Malgras, A. and Ziegler, O. (2013) L’obésité du sujet agé. Nutrition Clinique et Métabolisme, 27, 95-101.
http://dx.doi.org/10.1016/j.nupar.2013.03.003
[29] Tavitian, P., Tosello, A., Videau, L., Cornubert, L. and Bonfil, J.J. (2010) Etat bucco-dentaire et statut nutritionnel: Etude anthropo-épidémiologique chez les personnes agées. Antropo, 22, 19-28.
www.didac.ehu.es/antropo
[30] Vellas, B., Guigoz, Y., Baumgartner, M., Garry, P.J., Lauque, S. and Albarède, J.L. (2000) Relationships between Nutritional Markers and the Mini Nutritional Assessment in 155 Older Persons. Journal of the American Geriatrics Society, 48, 1300-1309.
[31] Chumlea, W.C., Hall, G., Lilly, F., Siervogel, R.M. and Guo, S.S. (1999) The Mini Nutritional Assessment and Body Composition in Healthy Adults. Nestlé Nutrition Workshop Series Clinical & Performance Programme, 1, 13-22.
http://dx.doi.org/10.1159/000062956
[32] Saletti, A., Lindgren, E.Y., Johansson, L. and Cederholm, T. (2000) Nutritional Status according to Mini Nutritional Assessment in an Institutionalized Elderly Population in Sweden. Gerontology, 46, 139-145.
http://dx.doi.org/10.1159/000022149
[33] Klonoff-Cohen, H., Barrett-Connor, E.L. and Edelstein, S.L. (1992) Albumin Levels as a Predictor of Mortality in the Healthy Elderly. Journal of Clinical Epidemiology, 45, 207-212.
http://dx.doi.org/10.1016/0895-4356(92)90080-7
[34] Vellas, B., Guigoz, Y., Garry, P.J., Nourhashemi, F., Bennahum, D. and Lauque, S. (1999) The Mini Nutritional Assessment (MNA) and Its Use in Grading the Nutritional State of Elderly Patients. Nutrition, 15, 116-122.
http://dx.doi.org/10.1016/S0899-9007(98)00171-3
[35] Guigoz, Y. and Vellas, B. (1999) The Mini Nutritional Assessment (MNA) for Grading the Nutritional State of Elderly Patients: Presentation of the MNA, History and Validation. Nestlé Nutrition Workshop Series Clinical & Performance Programme, 1, 3-12.
http://dx.doi.org/10.1159/000062967

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.