Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan

Aging itself increases the risk of poor diet quality among older adults due to chronic disease, psychosocial problems, physical limitations and loneliness. Older adults with low socioeconomic status are at higher risk of health problems. Therefore, the current study aimed to assess the association b...

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Main Author:	Nazri, Nurul Syahiidah Mohd
Format:	Thesis
Language:	English
Published:	2022
Subjects:	RC Internal medicine
Online Access:	http://eprints.usm.my/57351/1/NURUL%20SYAHIDAH%20BINTI%20MOHD%20NAZRI%20-%20FINAL%20THESIS%20P-SKM000320%28R%29%20-24%20pages.pdf
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spelling	my-usm-ep.573512023-11-23T07:12:49Z Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan 2022-08 Nazri, Nurul Syahiidah Mohd RC Internal medicine Aging itself increases the risk of poor diet quality among older adults due to chronic disease, psychosocial problems, physical limitations and loneliness. Older adults with low socioeconomic status are at higher risk of health problems. Therefore, the current study aimed to assess the association between sarcopenia, empty nest and depressive symptoms with diet quality among older adults with low socioeconomic status. A total of 293 older adults in five districts in Kelantan namely Pasir Mas, Bachok, Tumpat, Kota Bharu and Machang were recruited in the study. Study subjects who fulfilled the inclusion criteria (aged 60 years and above, low education level, B40 group, have no health problems that will limit ability to perform physical fitness tests) were selected through convenience sampling method. Data on socio-demography, anthropometry, body composition, medical history, blood pressure, depressive symptoms, empty nest, diet history and sarcopenia were obtained through interview administered method. Most of the subjects were married (69.6%), are of Malay ethnicity (100%) and has income less than RM900 (91.5%). The prevalence of empty nest was 30.7%. Almost half of the subjects were underweight (48.8%). The prevalence of sarcopenia and severe sarcopenia were 22.2% and 18.8% respectively. The prevalence of high risk of depressive symptoms is 28.3%. Both men and women did not meet the recommendation for daily energy intake. Healthy Eating Index (HEI) score revealed that 42% of the subjects had poor diet quality, 57% need improvement in their diet and only 1% had good diet quality. HEI score was significantly higher in subject with no sarcopenia as compared to those who were sarcopenic and severe sarcopenic. Binary logistic regression revealed that subjects with high cholesterol were 2.4 times more likely to exhibit poor diet quality than those with normal cholesterol level (95% CI: 1.107, 5.209; p-value: 0.027). Increasing Short Physical Performance Battery (SPPB) score was associated with a reduction in the likelihood of exhibiting poor diet quality (OR:0.780; 95%CI: 0.624-0.974; p-value:0.028). In conclusion, the prevalence of sarcopenia, empty nest, and subjects with high risk of depressive symptoms among the study subjects were considerably high. The dietary intake among older adults is also worrying especially regarding fruits and vegetables intake. Thus, nutrition interventions especially in increasing knowledge and skills of older adults to ensure healthy eating are essential to help older adults with low socioeconomic status to improve their nutritional status for reducing risk of sarcopenia and chronic diseases. 2022-08 Thesis http://eprints.usm.my/57351/ http://eprints.usm.my/57351/1/NURUL%20SYAHIDAH%20BINTI%20MOHD%20NAZRI%20-%20FINAL%20THESIS%20P-SKM000320%28R%29%20-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Kesihatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC Internal medicine
spellingShingle	RC Internal medicine Nazri, Nurul Syahiidah Mohd Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
description	Aging itself increases the risk of poor diet quality among older adults due to chronic disease, psychosocial problems, physical limitations and loneliness. Older adults with low socioeconomic status are at higher risk of health problems. Therefore, the current study aimed to assess the association between sarcopenia, empty nest and depressive symptoms with diet quality among older adults with low socioeconomic status. A total of 293 older adults in five districts in Kelantan namely Pasir Mas, Bachok, Tumpat, Kota Bharu and Machang were recruited in the study. Study subjects who fulfilled the inclusion criteria (aged 60 years and above, low education level, B40 group, have no health problems that will limit ability to perform physical fitness tests) were selected through convenience sampling method. Data on socio-demography, anthropometry, body composition, medical history, blood pressure, depressive symptoms, empty nest, diet history and sarcopenia were obtained through interview administered method. Most of the subjects were married (69.6%), are of Malay ethnicity (100%) and has income less than RM900 (91.5%). The prevalence of empty nest was 30.7%. Almost half of the subjects were underweight (48.8%). The prevalence of sarcopenia and severe sarcopenia were 22.2% and 18.8% respectively. The prevalence of high risk of depressive symptoms is 28.3%. Both men and women did not meet the recommendation for daily energy intake. Healthy Eating Index (HEI) score revealed that 42% of the subjects had poor diet quality, 57% need improvement in their diet and only 1% had good diet quality. HEI score was significantly higher in subject with no sarcopenia as compared to those who were sarcopenic and severe sarcopenic. Binary logistic regression revealed that subjects with high cholesterol were 2.4 times more likely to exhibit poor diet quality than those with normal cholesterol level (95% CI: 1.107, 5.209; p-value: 0.027). Increasing Short Physical Performance Battery (SPPB) score was associated with a reduction in the likelihood of exhibiting poor diet quality (OR:0.780; 95%CI: 0.624-0.974; p-value:0.028). In conclusion, the prevalence of sarcopenia, empty nest, and subjects with high risk of depressive symptoms among the study subjects were considerably high. The dietary intake among older adults is also worrying especially regarding fruits and vegetables intake. Thus, nutrition interventions especially in increasing knowledge and skills of older adults to ensure healthy eating are essential to help older adults with low socioeconomic status to improve their nutritional status for reducing risk of sarcopenia and chronic diseases.
format	Thesis
qualification_level	Master's degree
author	Nazri, Nurul Syahiidah Mohd
author_facet	Nazri, Nurul Syahiidah Mohd
author_sort	Nazri, Nurul Syahiidah Mohd
title	Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
title_short	Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
title_full	Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
title_fullStr	Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
title_full_unstemmed	Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan
title_sort	prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in kelantan
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Kesihatan
publishDate	2022
url	http://eprints.usm.my/57351/1/NURUL%20SYAHIDAH%20BINTI%20MOHD%20NAZRI%20-%20FINAL%20THESIS%20P-SKM000320%28R%29%20-24%20pages.pdf
_version_	1794024023355555840

Prevalence of sarcopenia, empty nest, depressive symptoms and its association with diet quality among older adults with low socioeconomic status in Kelantan

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