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ASSESSMENT OF THE NUTRITIONAL STATUS OF THE ELDERLY ATTENDING VARIOUS PUBLIC POLYCLINICS IN BENGHAZI CITY *Mohamed H Buzgeia, *Diwa Pandey, **Safaa A.E Badr, * Faiza Ghaith El Fakhry , * Azza Emraja El Baddry, *Najwa Dhakeel El Agori
ASSESSMENT OF THE NUTRITIONAL STATUS OF THE ELDERLY ATTENDING VARIOUS PUBLIC POLYCLINICS IN BENGHAZI CITY
*Mohamed H Buzgeia, *Diwa Pandey, **Safaa A.E Badr, * Faiza Ghaith El Fakhry, * Azza Emraja El Baddry, *Najwa Dhakeel El Agori
*Nutrition Department, Faculty of Public Health, Al Arab Medical Science University, Benghazi (Libya),
** Community Medicine Department, Faculty of Medicine, Menoufiya University, Egypt
Objective:To assess thenutritional status of the elderly attending various Benghazi
public polyclinics using the Mini Nutritional Assessment (MNA) & identify the
Physiological& non-physiological factors associated or related to malnutrition or its risk.
Design and setting:A cross sectional study using the MNA to assess the nutritional
status of the elderly (> 60 years) attending various Public polyclinics between 10th
December, 2007 & 13th February, 2008.
Subjects:A total of 508 (221 males and 287 females) out of 566 (90 %) eligible
patients who participated & completed the study.
Major outcome methods:Interviewer administered structured questionnaire, MNA
questionnaire& a 24 hours diet recall.
Results:As per the MNA, 6.5 % & 36.8 % of the outpatient elderly were malnourished
or at its risk respectively. Age group, sex, occupation, self perceived income inadequacy
to purchase nutritious food, self perceived oral problems, dentition problems, dysphagia,
constipation, dehydration, activity level, presences of chronic disease & the number of
systems involved in it and the presence & type of food intolerances were the studied
factors associated with (p< 0.05) the nutritional status of the subjects. BMI alone is
an insensitive means of assessment of outpatient elderly nutritional status. Both the
mean total & domain MNA scores were different (p< 0.05) among the normal, at risk &
The malnourished groups. All the MNA questions except for daily fluid intake & living
independently had a significant (p < 0.05) positive correlation (r = 0.23-0.65) with
the final MNA score.
Conclusion:There is a considerable prevalence of malnutrition & its risk among the
elderly in public polyclinics in Benghazi. The MNA is a useful tool to help the
government identify the beneficiaries of early intervention & work towards optimal,
timely & cost effective nutritional intervention.
Demographic change in Libyan Arab Jamahiriya: Projected increase [2008- 2025] in for the elderly3.
Distribution of subjects according to their nutritional status
based on the cumulative interpretation of the MNA (n = 508)
Among the self reported physical activity characteristics, activity level was associated
The immobile were at the greatest risk of malnourishment & of actual malnourishment
Nutrition education must form a part of geriatric care especially in context to the