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Assessment of the nutritional risk of > 53-year-old men and women in Taiwan

Published online by Cambridge University Press:  02 January 2007

Alan C Tsai ,
Jack MC Chang ,
Harvey Lin ,
Yi-Li Chuang ,
Shu-Hui Lin  and
Yu-Hsuan Lin
Alan C Tsai*
Affiliation:
Human Nutrition Program, Department of Environmental Health Science, School of Public Health, The University of Michigan, Ann Arbor, MI 48109, USA
Jack MC Chang
Affiliation:
Formerly the Taiwan Provincial Institute of Family Planning (TPIFP), now a component of the Bureau of Health Promotion, Department of Health, The Executive Yuen, Taichung, Taiwan, Republic ofChina
Harvey Lin
Affiliation:
Formerly the Taiwan Provincial Institute of Family Planning (TPIFP), now a component of the Bureau of Health Promotion, Department of Health, The Executive Yuen, Taichung, Taiwan, Republic ofChina
Yi-Li Chuang
Affiliation:
Formerly the Taiwan Provincial Institute of Family Planning (TPIFP), now a component of the Bureau of Health Promotion, Department of Health, The Executive Yuen, Taichung, Taiwan, Republic ofChina
Shu-Hui Lin
Affiliation:
Formerly the Taiwan Provincial Institute of Family Planning (TPIFP), now a component of the Bureau of Health Promotion, Department of Health, The Executive Yuen, Taichung, Taiwan, Republic ofChina
Yu-Hsuan Lin
Affiliation:
Formerly the Taiwan Provincial Institute of Family Planning (TPIFP), now a component of the Bureau of Health Promotion, Department of Health, The Executive Yuen, Taichung, Taiwan, Republic ofChina
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

The study was conducted to gain an understanding of the status of potential nutrition risks in > 53-year-old men and women in Taiwan.

Methods:

The study employed a validated nutrition-risk screening questionnaire, the Mini Nutritional Assessment, to assess the potential risk of undernutrition in the elderly population in Taiwan. The questionnaire was translated into the local language, Chinese, and was modified slightly based on cultural considerations. It was administered to 4440 randomly selected subjects by means of face-to-face interviews. The questionnaire included questions on subjective self-evaluations, global parameters, simple dietary assessment and some anthropometric measurements.

Results:

Results show that the questionnaire can be used effectively as a tool to screen for individuals who are at risk of undernutrition. It showed that the proportion of the elderly population at risk of nutritional inadequacy is relatively low, but does increase with advanced ageing. The proportion of the elderly considered at high risk of undernutrition was found to increase with age, ranging from 0.88% for 53–60-year-old subjects to 1.86% for subjects aged 60–70 years, 3.6% for 70–80-year-olds and 5.3% for >80-year-old subjects.

Conclusion:

The study showed that a simple questionnaire adopted from the Mini Nutritional Assessment can be employed to provide a preliminary screening and to identify individuals who are potentially at increased risk of nutritional inadequacy in the elderly population in Taiwan.

Keywords

Risk assessmentAgeingElderlyTaiwanUndernutritionNutritional risk
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 1 , February 2004 , pp. 69 - 76
Copyright
Copyright © CAB International 2004

References

1US Department of Commerce, Bureau of Census. An Aging World. International Population Reports, Series P-95, No. 78. Washington, DC: US Government Printing Office, 1987.Google Scholar
21989 Survey of Health and Living Status of the Elderly in Taiwan: Questionnaire and Survey Design. Comparative Study of the Elderly in Four Asian Countries. Research Report No. 1. Taichung, Taiwan/Ann Arbor, MI: Taiwan Provincial Institute of Family Planning, Population Studies Center/Institute of Gerontology, University of Michigan, December 1989.Google Scholar
3Chandra, RK. Effect of vitamin and trace-element supplementation on immune responses and infection in the elderly. Lancet 1992; 340: 1124–7.CrossRefGoogle Scholar
4Chandra, RK. Nutrition and immunity in the elderly. Nutrition Reviews 1992; 50: 367–71.CrossRefGoogle ScholarPubMed
5Chandra, RK. Nutrition and immunity in the elderly: clinical significance. Nutrition Reviews 1995; 53: s80–5.CrossRefGoogle ScholarPubMed
6Larsson, J, Unosson, M, Ek, AC, Nilsson, L, Thorslund, S, Bonjour, JP. Effect of dietary supplement on nutrition status and clinical outcome in 501 geriatric patients – a randomized study. Clinical Nutrition 1990; 9: 179–84.CrossRefGoogle Scholar
7Corder, LS. Compression of disability: evidence from the national long-term care survey. Nutrition Reviews 1996; 54: s9–16.CrossRefGoogle ScholarPubMed
8Egbert, AM. The dwindles: failure to thrive in older patients. Nutrition Reviews 1996; 54: 225–30.Google ScholarPubMed
9Guigoz, Y, Vellas, BJ, Garry, PJ. The Mini Nutritional Assessment (MNA): a practical assessment tool for grading the nutritional state of elderly patients. In: Vellas, BJ, Guigoz, Y, Garry, PJ, Albarede, JL, eds. Nutrition [Supplement]. Facts and Research in Gerontology. New York: Serdi Publishing Co., 1994; 15–60.Google Scholar
10Wellman, NS. The Nutrition Screening Initiative. Nutrition Reviews 1994; 52: 44–7.CrossRefGoogle ScholarPubMed
11White, JV, Dwyer, JT, Posner, BM, Ham, RJ, Lipschitz, DA, Wellman, NS. Nutrition Screening Initiative: development and implementation of the public awareness checklist and screening tools. Journal of the American Dietetic Association 1992; 92: 163–7.CrossRefGoogle ScholarPubMed
12Posner, BM, Jette, AM, Smith, KW, Miller, DR. Nutrition and health risks in the elderly: The Nutrition Screening Initiative. American Journal of Public Health 1993; 83: 872–8.CrossRefGoogle ScholarPubMed
13Chang, MC, Hermalin, AI. 1996 Survey of Health and Living Status of the Middle Aged and Elderly in Taiwan. (A) Survey of those over 50–66 years of age. Elderly in Asia Research Report No. 98–49. Taichung, Taiwan: Taiwan Provincial Institute of Family Planning, April 1998.Google Scholar
14Chang, MC, Hermalin, AI. 1996 Survey of Health and Living Status of the Middle Aged and Elderly in Taiwan. (B) Survey of those over 67 years of age. Elderly in Asia Research Report No. 98-50. Taichung, Taiwan: Taiwan Provincial Institute of Family Planning April, 1998.Google Scholar
15 Anon. Assessment of the hospitalized patient. In: Lee, RD, Nieman, DC, eds. Nutritional Assessment. Madison, WI: WCB Brown & Benchmark Publications, 1993; 165–91.Google Scholar
16Steen, B, Lundgren, BK, Isaksson, X. Body composition at age 70, 75, 79 and 81. A longitudinal population study. In: Chandra, RK, eds. Nutrition, Immunity, and Illness in the Elderly. New York: Pergamon Press, 1985; 49–52.Google Scholar
17Steen, B. Body composition and aging. Nutrition Reviews 1988; 46: 45–51.CrossRefGoogle ScholarPubMed
18Novak, LP. Aging, total body potassium, fat-free mass, and cell mass in males and females between ages 18 and 85 years. Journal of Gerontology 1972; 27: 438–43.CrossRefGoogle ScholarPubMed
19Forbes, GB, Reina, JC. Adult lean body mass declines with age: some longitudinal observations. Metabolism 1970; 19: 153–63.CrossRefGoogle ScholarPubMed
20Prothro, J. Protein and amino acid requirements of the elderly. Annals of the New York Academy of Sciences 1989; 561: 143–56.CrossRefGoogle ScholarPubMed
21Forbes, GB, Reina, JC. Adult lean body mass declines with age: some longitudinal observations. Metabolism 1970; 19: 653–63.CrossRefGoogle ScholarPubMed
22Flynn, MA, Nolph, GB, Baker, AS, Martin, WM, Krause, G. Total body potassium in aging humans: a longitudinal study. American Journal of Clinical Nutrition 1989; 50: 713–17.CrossRefGoogle ScholarPubMed
23Department of Health, Executive Yuen. Report of the ‘First Nutrition and Health Survey in Taiwan’, 1992–1997 (NAHSIT-I). Taipei, Taiwan: Department of Health, Executive Yuen, 1998.Google Scholar
24Hathcock, JN. Nutrient–drug interactions. Clinics in Geriatric Medicine 1989; 3: 297–307.CrossRefGoogle Scholar
25Stuck, AE, Siu, AI, Wieland, GD, Adams, J, Rubenstein, LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993; 342: 1032–6.CrossRefGoogle ScholarPubMed
26Morley, JE. Nutritional assessment is a key component of geriatric assessment. In: Vellas, BJ, Guigoz, Y, Garry, PJ, Albarede, JL, eds. The Mini Nutritional Assessment (MNA), Nutrition in the Elderly, 1994/95 [Supplement 2]. Facts and Research in Gerontology, 2nd ed. New York: Serdi Publishing Co., 1995; 5–10.Google Scholar