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High risk of malnutrition associated with depressive symptoms in older South Africans living in KwaZulu-Natal, South Africa : a cross-sectional survey

dc.contributor.authorNaidoo, I.en_ZA
dc.contributor.authorCharlton, Karen E.en_ZA
dc.contributor.authorEsterhuizen, Tonya M.en_ZA
dc.contributor.authorCassim, B.en_ZA
dc.date.accessioned2016-10-07T09:39:43Z
dc.date.available2016-10-07T09:39:43Z
dc.date.issued2015-10en_ZA
dc.identifier.citationNaidoo, I., Charlton, K. E., Esterhuizen, T. M. & Cassim, B. 2015. High risk of malnutrition associated with depressive symptoms in older South Africans living in KwaZulu-Natal, South Africa : a cross-sectional survey. Journal of Health, Population and Nutrition, 33:19, doi:10.1186/s41043-015-0030-0.en_ZA
dc.identifier.issn2072-1315 (online)
dc.identifier.otherdoi:10.1186/s41043-015-0030-0
dc.identifier.urihttp://hdl.handle.net/10019.1/99710
dc.descriptionCITATION: Naidoo, I., Charlton, K. E., Esterhuizen, T. M. & Cassim, B. 2015. High risk of malnutrition associated with depressive symptoms in older South Africans living in KwaZulu-Natal, South Africa : a cross-sectional survey. Journal of Health, Population and Nutrition, 33:19, doi:10.1186/s41043-015-0030-0.en_ZA
dc.descriptionThe original publication is available at http://jhpn.biomedcentral.com
dc.description.abstractBackground: Malnutrition contributes to functional and cognitive decline in older adults, which results in decreased quality of life and loss of independence. This study aimed to identify determinants of nutritional risk among community-dwelling adults in KwaZulu-Natal, South Africa. Methods: A cross-sectional survey was undertaken in 1008 subjects aged 60 years and over who were randomly selected by systematic sampling. Demographics, socioeconomic data and self-reported history of medical conditions were recorded. The Mini Nutritional Assessment-Short Form (MNA-SF) was used to screen for nutritional risk, and the Centre for Epidemiologic Studies Depression scale was administered to all subjects. Descriptive statistics and the Pearson chi-square and Kruskal-Wallis tests were used for statistical analysis. Logistic regression modelling determined predictors of nutritional risk. Results: Of the 984 participants (mean age = 68.8 ± 7.4 years; range 60–103 years) who completed the MNA-SF, 51 % were classified as having a normal nutritional status, 43.4 % at risk for malnutrition and 5.5 % classified as malnourished. Men were more likely to be either at risk for malnutrition or be malnourished than women (p = 0.008), as were subjects with a monthly household income of ≤R1600 per month (~133 USD) (p = 0.003). In logistic regression models, depressed people were 2.803 (p < 0.001) times more likely to be at risk or be malnourished than those not depressed. Conclusion: A high prevalence of risk of malnutrition was identified in older South Africans living in an urban area with poor infrastructure. Further investigations are warranted to determine whether the higher prevalence of depressive symptomatology in nutritionally at risk individuals is a determinant or a consequence of malnutrition, in order to develop targeted nutritional interventions in this age group.en_ZA
dc.description.urihttp://jhpn.biomedcentral.com/articles/10.1186/s41043-015-0030-0
dc.format.extent8 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.subjectMalnutrition -- Risk assessment -- KwaZulu-Natalen_ZA
dc.subjectNutrition -- Evaluationen_ZA
dc.subjectOlder people -- Nutritionen_ZA
dc.titleHigh risk of malnutrition associated with depressive symptoms in older South Africans living in KwaZulu-Natal, South Africa : a cross-sectional surveyen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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