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

DOI: 10.4236/fns.2015.61002   PDF   HTML   XML   3,101 Downloads   3,934 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.

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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.

Conflicts of Interest

The authors declare no conflicts of interest.

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

  
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