孟加拉国湿地社区50岁及以上人群的高营养脆弱性及其相关危险因素

Mohammad Meshbahur Rahman, Zaki Farhana, T. Chowdhury, Md. Taj Uddin, Md. Ziaul Islam, M. Hamiduzzaman
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引用次数: 2

摘要

在包括孟加拉国在内的南亚,50岁及以上的人往往表现出营养脆弱性。因此,他们表现出身体虚弱和疾病,并随着时间的推移而加剧。以社区为重点的调查有可能为孟加拉国的卫生保健干预措施提供信息,但目前的研究调查的是老年人的营养状况,这些研究并不全面(例如,湿地社区)。因此,我们评估了孟加拉国≥50岁的湿地社区老年人的营养不良状况。采用简单随机抽样的方法,对居住在我国东北部湿地社区的400名老年人进行了横断面调查。使用结构化问卷收集人口统计和一般健康信息,并使用雀巢雀巢迷你营养评估-简短表格评估营养状况。评估受访者的社会人口统计学和健康概况,并进行Pearson卡方检验以确定营养不良的相关危险因素。营养不良患病率和风险分别为59.75%和39.75%。营养不良患病率随年龄增长而升高,女性营养不良发生率高于男性。年龄、性别、教育程度、职业和收入与参与者营养不良显著相关。湿地社区居民有睡眠障碍,健康状况较差,营养不良的情况较多。研究结果证实,≥50岁的湿地社区居民营养不良患病率和营养不良风险较高。我们的研究结果建议卫生专业人员在湿地老年人中同时实施公共卫生营养监测和临床干预,以改善该人群的营养状况。
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High Nutritional Vulnerability and Associated Risk Factors of Bangladeshi Wetland Community People Aged 50 Years and Older
People aged 50 years and over often show nutritional vulnerability in South Asia, including Bangladesh. Consequently, they present physical weakness and illness that escalate overtime. Community-focused investigations have the potential to inform healthcare interventions in Bangladesh, but current studies examine older adults’ nutrition status which are not all-encompassing (e.g., wetland communities). We, therefore, assessed the malnutrition status among wetland community-dwelling older adults aged ≥50 years in Bangladesh. A cross-sectional survey was conducted with 400 older adults living in the north-eastern wetland community of the country through simple random sampling. Demographics and general health information were collected using a structured questionnaire, and the Nestlé Mini Nutrition Assessment—Short Form was used to assess nutrition status. Respondents’ socio-demographic and health profiles were assessed, and the Pearson Chi-square test was performed to identify the associated risk factors of malnutrition. The prevalence of malnutrition and risk of malnutrition were 59.75 and 39.75 percent, respectively. The malnutrition prevalence rate was higher with increasing of age and females were more malnourished than males. Age, gender, educational status, occupation, and income were significantly associated with the participants’ malnutrition. The wetland community-dwelling people suffering from sleep disorders and having poor health condition, were found to be more malnourished. The findings confirm that the prevalence of malnutrition and risk of malnutrition are high among the wetland community-dwelling people aged ≥50 years. Our findings suggest health professionals to implement public health nutrition surveillance and clinical interventions simultaneously in wetland elderly to improve nutritional status of this cohort.
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