1.An Exploration of Nutritional Status in Relation to Diet Quality, Functional and Mental Ability among Elderly in Tonk, India
Monika Jain ; Payal Jain ; Anjali Kumari ; Neha Jain
Malaysian Journal of Medicine and Health Sciences 2021;17(No.3):232-238
Introduction: Ageing is a natural and irreversible process, associated with deterioration of physiological, social and
cognitive activities. The nutritional status of the elderly is adversely affected by declining cognitive and functional
ability. The association of nutritional status with diet quality, functional and cognitive ability and depression among
the elderly is not well understood. This study aimed to compute the association of nutritional status with diet quality,
functional and cognitive ability and depression among the elderly. Method: A cross-sectional study was undertaken
on 250 elderly (146 men, 104 women) of ≥65 years, residing in Tonk district of Rajasthan (India). Self-developed
elderly dietary index (EDI) was used to evaluate diet quality and standardized tools, viz., geriatric depression scale
(GDS), activities of daily living (ADL), instrumental activities of daily living (IADL), mini nutritional assessment
(MNA), and short portable mental status questionnaire (SPMSQ) were used to assess depression, functional status,
nutritional status and cognition respectively. Results: Two-thirds of the elderly in this study were at risk of malnutrition (66.67%, n= 167). MNA scores had significant association with Indian EDI (χ2
= 47.50, p=0.000), ADL (χ2
=
32.37, p= 0.000) and SPMSQ (χ2
=18.61, p= 0.001), whereas MNA scores had non significant association with IADL
(χ2
= 14.30, p= 0.006) and GDS scores (χ2
= 5.44, p= 0.066). IADL scores were found to be significantly correlated
with GDS (r= -0.255) and SPMSQ (r= -0238) Conclusion: Present study shows that the nutritional status of the elderly
is associated with diet quality, functional and cognitive ability, but is not associated with depression in the elderly
of Tonk.