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Study on Relevance of Nutritional Status, Nutrient Intake, and Chronic Disease Risk based on Mini Nutritional Assessment (MNA) of Elderly People in Shandong Province of China

MNA를 이용한 중국 산동성 노인의 영양상태와 영양소섭취량 및 만성질환 위험도와의 관계에 대한 연구

  • Li, Han Chao (Dept. of Food Science and Nutrition, Pusan National University) ;
  • Ryu, Ho Kyung (Dept. of Food Science and Nutrition, Pusan National University)
  • Received : 2016.11.15
  • Accepted : 2017.02.02
  • Published : 2017.02.28

Abstract

This study was conducted to compare the nutritional status, nutrient intakes, and chronic disease risks of Chinese elderly people. MNA (Mini Nutritional Assessment) developed for elderly people was used to determine their nutritional status. In this study, participants consisted of 148 urban residents aged 65 years and over residing in three cities in Shandong Province, China. Participants were 67 (45.3%) men and 81 (54.7%) women, and average age was 72.8 years. According to MNA score, 77.7% of participants were 'well nourished', 22.3% were 'at risk of malnutrition', and 2% were 'malnourished'. Nutritional status was divided into two groups by MNA score as 'well nourished' and 'malnourished', which was formed with the combination of 'at risk of malnutrition' and 'malnourished'. Compared with the well nourished group, the malnourished group was older, and physical status indicators such as weight, BMI (Body Mass Index), and calf circumference of the malnourished group were much smaller. The malnourished group had higher prevalence rates of heart disease and stomach disorders while the well nourished group had a higher rate of hypertension. There was no significant difference between the malnourished group and well nourished group in nutritional intake below Chinese DRIs (Dietary Reference Intakes) among elder males. A higher proportion of elder females showed insufficient intakes of energy, protein, vitamin A, vitamin E, and zinc in the malnourished group compared to the well nourished group. The INQ (Index of Nutrition Quality) of calcium, magnesium, zinc, iodine, and most vitamins was less than 1 in both the malnourished and well nourished groups.

Keywords

References

  1. Brownie S(2006) Why are elderly individuals at risk of nutritional defciency? Intern J Nurs Pract 12, 110-118 https://doi.org/10.1111/j.1440-172X.2006.00557.x
  2. Chen W(2006) 2005 to 2050 demographic trends of China. Populat Res 30(4), 93-94
  3. Chen YQ, Sun JQ(2006) Reliability of the mini nutritional assessment(MNA) in elderly patients. Geriatr Health Care 12(1), 39-48
  4. Chinese Nutrition Society(2013) Chinese DRIs, Chinese Dietary Reference Intakes. Available from http://www.cnsoc.org [cited 2015 December 18]
  5. Choe YS, Park HO(2006) Contemporary nutrition.2006. revised edition. Seoul: Hyoilbooks, pp. 342-400
  6. Chung SH, Sohn CM(2005) Nutritional status of hospitalized geriatric patients using by the mini nutritional assessment. Korean J Community Nutr 10(5), 645-653
  7. Cuervo M, Ansorena D, Garcia A, Astiasaran I, Martinez JA(2008) Food consumption analysis in spanish elderly based upon the mini nutritional assessment test. Ann Nutr Metab 52(4), 299-307 https://doi.org/10.1159/000151483
  8. Gao LP, Yuan CH(2011) The health condition and its determinants of the elderly population in shandong province. DR thesis, Shandong University. pp.60-61
  9. Guigoz Y, Vellas B, Garry PJ(1996) Assessing the nutritional status of the elderly: the Mini nutritional assessment as part of the geriatric evaluation. Nutr Rev 54(1 pt 2), S59-S65
  10. Kim SH, Choi SM(2012) Nutritional status among elderly Korean women and related factors. J Korean Biol Nurs Sci 14(1), 16-24 https://doi.org/10.7586/jkbns.2012.14.1.16
  11. Kim EH(2008) Evaluation of health status and dietary intakes of the elderly living in the rural area by evaluation of health status and dietary intakes of the elderly living in the rural area by retaining risk factor of chronic disease and seasonal variation. MS thesis, Dankook University
  12. Lee HO, Lee JS, Shin JW, Lee GJ(2010) Nutrition assessment of older subjects in a health care center by MNA(mini nutritional assessment). J Korean Diet Assoc 16(2), 122-132
  13. Li Y, Chen B(2012) A survey of the elderly nutrition in Beijing and analysis of the related factors. Chinese J Gerontol 32(20), 4479-4481
  14. Mi W, Wang N, Lian W, Yi W, Shi T, Han W(2016) Cross-sectional association between diabetes and obesity among the elderly of different genders in Yantai city. J Hygiene Res 45(1), 29-34
  15. National Health and Family Planning Commission of the People Republic of China(2013) Criteria of weight for adults. Abailable from: http://www.moh.gov.cn/ewebeditor/uploadfile/2013/08/20130808135715967.pdf [updated 2014 Aug 08; cited 2016 Dec 08]
  16. National Bureau of Statistics of China(2015) 2014 China population date. Available from http://data.stats.gov.cn/english/ [cited 2015 December 18]
  17. Park YK, Lee YJ, Lee SS(2012) The intake of food and nutrient by the elderly with chronic disease in the Seoul area. Korean J Nutr 45(6), 531-540 https://doi.org/10.4163/kjn.2012.45.6.531
  18. Tang PS(2012) Investigation on nutritional status of elderly inpatients in national large hospitals. MS thesis, Peking Union Medical College
  19. Vellas BM, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S(1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr15(2), 116-122 https://doi.org/10.1016/S0899-9007(98)00171-3
  20. Wang XY(2014) Investigation of the nutritional status and its influence factors of the elderly in home for the aged in Guangzhou. MS thesis, Southern Medical University

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  2. 국민건강영양조사 자료에 근거한 고령 복합만성질환자의 건강 및 영양상태 특성 vol.25, pp.6, 2017, https://doi.org/10.5720/kjcn.2020.25.6.502