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https://hdl.handle.net/2440/139627
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Type: | Journal article |
Title: | Socioeconomic position and malnutrition among older adults: Results from the fradea study |
Author: | Hoogendijk, E.O. Flores Ruano, T. Martínez-Reig, M. López-Utiel, M. Lozoya-Moreno, S. Dent, E. Abizanda, P. |
Citation: | Journal of Nutrition, Health and Aging, 2018; 22(9):1086-1091 |
Publisher: | SPRINGER FRANCE |
Issue Date: | 2018 |
ISSN: | 1279-7707 1760-4788 |
Statement of Responsibility: | E.O. Hoogendijk, T. Flores Ruano, M. Martínez-Reig, M. López-Utiel, S. Lozoya-Moreno, E. Dent, P. Abizanda |
Abstract: | OBJECTIVES:Low socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults. DESIGN:Cross-sectional population-based study. SETTING:Urban area of Albacete, Spain. PARTICIPANTS:836 participants over age 70 from the first measurement wave (2007-2009) of the Frailty and Dependence in Albacete (FRADEA) study, a population-based cohort study. MEASUREMENTS:Educational level and occupational level were the indicators of SEP. Nutritional risk was measured with the Mini Nutrition Assessment® Short Form (MNA®-SF). Logistic regression analyses were performed. RESULTS:For both socioeconomic indicators there was a statistically significant association with nutritional risk (OR low education=1.99, 95% CI=1.18-3.35; OR low occupational level=1.71, 95% CI=1.08-2.72). However, these associations disappeared after adjusting for age and sex (OR low education=1.51, 95% CI=0.88-2.60 ; OR low occupational level=1.32, 95% CI=0.80-2.17). In adjusted models, statistically significant associations between SEP and sub-domains of the MNA®-SF were observed, but these associations were not consistent across socioeconomic indicators. CONCLUSIONS:This study found that malnutrition is a condition that can appear in any older adult, regardless of their socioeconomic group. These findings suggest that interventions to prevent malnutrition in older adults can be targeted at a general older population, and do not have to be SEP specific. |
Keywords: | Older adults; malnutrition; nutritional assessment |
Rights: | © The Author(s) This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, duplication, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. |
DOI: | 10.1007/s12603-018-1061-1 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1112672 |
Published version: | http://dx.doi.org/10.1007/s12603-018-1061-1 |
Appears in Collections: | Public Health publications |
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