• Nutrition · Nov 2020

    Assessment of nutritional status and risk factors for malnutrition among the elderly in Loikaw, Myanmar.

    • May Thet Nu Noe, Yu Mon Saw, Thu Nandar Saw, Yoon Pwint Kyaw, Poe Ei Zin, Su Myat Cho, Tetsuyoshi Kariya, Eiko Yamamoto, Hla Hla Win, Tin Wann, and Nobuyuki Hamajima.
    • Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Public Health, Loikaw, Kayah State, Ministry of Health and Sports, Loikaw, Myanmar.
    • Nutrition. 2020 Nov 1; 79-80: 110933.

    ObjectivesMalnutrition among the elderly is an important health concern in Myanmar. The country is challenged by both an aging population and poor nutritional status. The aim of this study was to estimate the prevalence of malnutrition and elucidate its associated factors among the elderly in Loikaw, Myanmar.MethodsA cross-sectional study was conducted from July to August 2019. Using a multistage sampling method, 747 elderly individuals (313 men and 434 women) were recruited. The nutritional status of these participants was assessed using the Mini-Nutritional Assessment tool, with a face-to-face interview method. Body mass index, mid-upper arm and calf circumference, blood pressure, and random blood sugar levels were also assessed. Multinomial logistic regression analysis was performed.ResultsThe prevalence of malnutrition and at risk for malnutrition were 21.7% and 59.4%, respectively. In the multivariate model, dental problem (adjusted odds ratio [aOR], 2.18; 95% confidence interval [CI], 1.24-3.83), low level of education (aOR, 3.13; 95% CI, 1.44-6.81), aged ≥70 y (aOR, 3.55; 95% CI, 1.83-6.88), current betel chewing (aOR, 2.82; 95% CI, 1.64-4.87), and having heart disease (aOR, 8.04; 95% CI, 2.29-18.13) were positively associated with malnutrition.ConclusionOne in five elderly study participants were malnourished and 50% were at risk for malnutrition. Malnutrition was associated with being ≥70 y of age, having a low educational level, chewing betel, having a history of heart disease, and having dental problems. These findings may alert policymakers to develop and implement effective interventions for improving nutritional status of the elderly population.Copyright © 2020 Elsevier Inc. All rights reserved.

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