Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community
Abstract Background Although China is undergoing rapid economic development, it is facing an ageing population. No data exists on malnutrition risks of older adults in an affluent Chinese society. The aim of this study is to examine these risks and identify their associated factors among home-living...
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doaj-0478288ed25c44e6be0d1cb505e4d9962020-11-25T03:42:09ZengBMCBMC Geriatrics1471-23182019-05-0119111210.1186/s12877-019-1148-5Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese communityMartin M. H. Wong0Winnie K. W. So1Kai Chow Choi2Regina Cheung3Helen Y. L. Chan4Janet W. H. Sit5Brenda Ho6Francis Li7Tin Yan Lee8Sek Ying Chair9The Nethersole School of Nursing, The Chinese University of Hong KongThe Nethersole School of Nursing, The Chinese University of Hong KongThe Nethersole School of Nursing, The Chinese University of Hong KongThe Neighbourhood Advice-Action CouncilThe Nethersole School of Nursing, The Chinese University of Hong KongThe Nethersole School of Nursing, The Chinese University of Hong KongThe Neighbourhood Advice-Action CouncilThe Neighbourhood Advice-Action CouncilThe Neighbourhood Advice-Action CouncilThe Nethersole School of Nursing, The Chinese University of Hong KongAbstract Background Although China is undergoing rapid economic development, it is facing an ageing population. No data exists on malnutrition risks of older adults in an affluent Chinese society. The aim of this study is to examine these risks and identify their associated factors among home-living older Chinese adults in Hong Kong. Methods This is a cross-sectional study, to which home-living subjects aged 60 or above were recruited, between May and September 2017, from a non-governmental community organisation located in three different districts of Hong Kong. Nutritional status was assessed by the Mini Nutritional Assessment (MNA), and its associated factors examined included socio-demographic characteristics, lifestyle, health status and diet. Multivariable logistic regression analysis was performed to identify factors associated with malnutrition risks (MNA < 24). Results Six hundred thirteen subjects (mean age: 78.5 ± 7.4; 54.0% females) completed the survey. Nearly 30% (n = 179) were at risk of malnutrition. By multivariable logistic regression, subjects (1) whose vision was only fair or unclear, (2) with poor usual appetite and (3) with main meal skipping behaviour had significantly higher malnutrition risk (all p < 0.05). Conclusions In this affluent Chinese society, the malnutrition risk in older adults is close to the global average, which is a matter for much concern. Interventions are therefore warranted that target vulnerable groups with poor vision, appetite, and meal skipping behaviour. Trial registration Not applicable.http://link.springer.com/article/10.1186/s12877-019-1148-5MalnutritionMini nutritional assessmentCommunity-dwelling older adultsWell-developed societyChinese |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Martin M. H. Wong Winnie K. W. So Kai Chow Choi Regina Cheung Helen Y. L. Chan Janet W. H. Sit Brenda Ho Francis Li Tin Yan Lee Sek Ying Chair |
spellingShingle |
Martin M. H. Wong Winnie K. W. So Kai Chow Choi Regina Cheung Helen Y. L. Chan Janet W. H. Sit Brenda Ho Francis Li Tin Yan Lee Sek Ying Chair Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community BMC Geriatrics Malnutrition Mini nutritional assessment Community-dwelling older adults Well-developed society Chinese |
author_facet |
Martin M. H. Wong Winnie K. W. So Kai Chow Choi Regina Cheung Helen Y. L. Chan Janet W. H. Sit Brenda Ho Francis Li Tin Yan Lee Sek Ying Chair |
author_sort |
Martin M. H. Wong |
title |
Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community |
title_short |
Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community |
title_full |
Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community |
title_fullStr |
Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community |
title_full_unstemmed |
Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community |
title_sort |
malnutrition risks and their associated factors among home-living older chinese adults in hong kong: hidden problems in an affluent chinese community |
publisher |
BMC |
series |
BMC Geriatrics |
issn |
1471-2318 |
publishDate |
2019-05-01 |
description |
Abstract Background Although China is undergoing rapid economic development, it is facing an ageing population. No data exists on malnutrition risks of older adults in an affluent Chinese society. The aim of this study is to examine these risks and identify their associated factors among home-living older Chinese adults in Hong Kong. Methods This is a cross-sectional study, to which home-living subjects aged 60 or above were recruited, between May and September 2017, from a non-governmental community organisation located in three different districts of Hong Kong. Nutritional status was assessed by the Mini Nutritional Assessment (MNA), and its associated factors examined included socio-demographic characteristics, lifestyle, health status and diet. Multivariable logistic regression analysis was performed to identify factors associated with malnutrition risks (MNA < 24). Results Six hundred thirteen subjects (mean age: 78.5 ± 7.4; 54.0% females) completed the survey. Nearly 30% (n = 179) were at risk of malnutrition. By multivariable logistic regression, subjects (1) whose vision was only fair or unclear, (2) with poor usual appetite and (3) with main meal skipping behaviour had significantly higher malnutrition risk (all p < 0.05). Conclusions In this affluent Chinese society, the malnutrition risk in older adults is close to the global average, which is a matter for much concern. Interventions are therefore warranted that target vulnerable groups with poor vision, appetite, and meal skipping behaviour. Trial registration Not applicable. |
topic |
Malnutrition Mini nutritional assessment Community-dwelling older adults Well-developed society Chinese |
url |
http://link.springer.com/article/10.1186/s12877-019-1148-5 |
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