A survey of nutrition and health status of solitary and non-solitary elders in Taiwan
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To compare the effects of living alone versus living in a group setting on the health, nutrition, personal cognition and general living function of a group of elderly Taiwanese. We also hypothesized that older adults living alone would have poorer indices of function and health than would elderly persons living in a group setting.
Design and participants
We conducted a cross-sectional validation study of 360 men and women older than 65 y. The subjects were 120 solitary (living alone) elders and 240 were non-solitary elders.
Both groups completed a series of questionnaires, including the Nutrition Screening Initiative (NSI), Mini Nutritional Assessment (MNA), Activities of Daily Living (ADLs/Barthel scales), Instrumental Activities of Daily Living (IADLs/Lawton scales), Short Portable Mental State Questionnaire (SPMSQ), and Geriatric Depression Scale (GDS). The participants were then administered by specially trained field workers. Blood samples were taken and body mass index, and mid-arm and calf circumferences were measured. The results for each group were statistically analyzed. A p-value < 0.05 was considered significant.
The nutritional and health status of the solitary elders, especially males, was poor compared to that of the non-solitary elders. In the solitary elders group, the average scores on the NSI, MNA, ADL, IADL, SPMSQ, and GDS were: 4.6, 23.7, 95.6, 7.6, 0.5, and 13%, respectively.
Solitary elders, especially males, have a significantly increased risk of poor nutrition (MNA< 24), poor health status, impaired cognition, and impaired activities of daily living.
Key wordsElderly housing for elderly health status nutritional assessment
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- 7.U.S. Department of Commerce. Health care strategic management. Chicago, IL. Jan 1997, vol.15,issue 1:11.Google Scholar
- 8.Elders’ Welfare Ministry, Interior Department of Social Affairs: Lonely elders in each municipality/county/city statistics; general chart through the years, 2008. http://sowf.moi.gov.tw/04/07/1/1-03.htm
- 9.Taipei City government. Lonely elders in the social bureau services, 2005. http://www.moi.gov.tw/stat
- 10.The elders service center in Wan Hwa district, 2005. http://www.healthcity.net.tw/upload/200561017412912.doc
- 11.World Health Organization. Nutrition anaemias: Report of a World Health Organization scientific group. Technical Series No.405.Geneva: World Health Organization, 1992.Google Scholar
- 13.Hayden MR, Tyagi SC. Myocardial redox stress and remodeling in metabolic syndrome, type 2 diabetes mellitus, and congenital heart failure. Med Sci Monit 2003; 9:SR 35–SR52.Google Scholar
- 14.Chandra RK, Imbach A, Moore C, et al. Nutrition of the elderly. CMA J 1991; 145: 1475–1487.Google Scholar
- 15.Chernoff R. Nutrition and health promotion in older adults. J Gerontol A Biol Sci. 2001; 56: 47–53.Google Scholar
- 21.Tucker KL, Falcon LM, Bianchi LA, et al. Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group. J Gerontol A Biol Sci Med Sci 2000; 55:M 90–M 97.Google Scholar
- 26.Broyles RW, McAuley WJ. The medically vulnerable: their health risk, health status, and use of physician care. J of Health Care Poor Underserved 1999;10:186–200.Google Scholar