ASSOCIATION BETWEEN NUTRITIOUS STATUS AND LIFE QUALITY OF ELDER PEOPLE VISITING GERIATRIC CLINIC AT DR. SARDJITO HOSPITAL
Muhipah Muhipah(1*), I Dewa Putu Pramantara(2), Deddy Nur Wachid Achadiono(3)
(1) Specialty Training Program, Department of Internal Medicine, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito General
(2) Geriatric Division, Department of Internal Medicine, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito General
(3) Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito General
(*) Corresponding Author
Abstract
Background. Successful development in health sector cause shift in world population to older age. Yogyakarta Special Territory reveals highest percentage in amount of elderly people in Indonesia (13.7%). Prevalence of decrease in nutritional status rise along with age. Individual with low nutritional status is vulnerable to some diseases such as depression, cognitive disturbance and dementia progressivity. Nutritional status on elderly people is subject ignored in clinical practice. Prevention and early intervention is the best approach to obtain optimal nutrition.
Objective. To identify association between nutritional statuses measured using MNA score and life quality measured with WHOQOL-BREF at elderly patient visiting geriatric clinic in Dr. Sardjito Hospital.
Method. This research used cross-sectional design on elderly population in Dr. Sardjito Hospital. The research was conducted in October 2014. It includes elderly persons meeting inclusion and exclusion criteria, nutritional status assessed with MNA score and measurement of life quality with QHOQOL-BREF including four domains: physical aspect, psychological aspect, social relationship and environment.
Result: There is significant correlation with p<0.001 between MNA and domain 1 (physical aspect) where Pearson correlation of 0.546 indicates positive correlation with weak correlation. Association of MNA and domain 2 (physical aspect) indicates significant correlation with p =0.006 with Pearson correlation of 0.435 indicating positive correlation with moderate correlation. There is significant correlation between MNA and domain 3 (social aspect) with p=0.005 and Pearson correlation of 0.437 indicating weak correlation. Association of MNA and domain four (environment aspect) indicate significant correlation with p=0.007 and Pearson correlations core of 0.426 indicating positive correlation with moderate correlation.
Conclusion. The results indicate significant association between nutritional status (MNA) and life quality based on WHOQOL viewed from physical aspect (domain 1), psychological aspect (domain 2), social aspect (domain 30 and environmental aspect (domain 4) on elderly person.
Keywords: Geriatrics, MNA, quality of life
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1. Aliabadi, Maliheh et al. (2008). Prevalence of Malnutrition in Free Living Elderly People in Iran: a cross-sectional study. Asia Pac JClin Nutr 2008;17(2):285-289.
2. BPS-susenas.(2007).Jumlah penduduk usia lanjut di Indonesia, diakses pada tanggal 5 September 2011
3. Boedhi-Darmojo dan Martono, H., 2010. Buku Ajar Boedhi DarmojoGeriatri, Edisi ke-4. Jakarta: Balai Penerbit FKUI; 1: 3-53
4. Departemen Kesehatan RI (2003) Pedoman Tatalaksana Gizi Usia Lanjut Untuk Tenaga Kesehatan. Jakarta Bina Gizi Masyarakat Ditzen Binkesmas Depkes RI.
5. 5.Miller, Carol A (2004), Nursing for wellness in older adult Theory and Practice. Philadelphia: Lippincott Williams Wilkin
6. Owen S, 1999. Nutrition in The Art and Science of Delivering Service (4 rd ed). The Mc Graw. New York: Hill Companies.
7. Perrson M.D.,Brismar K.E.,Katzarski K.S., Nordenstrom J,Cederholm T.E., 2002. Nutritional status using Mini Nutritional Assessment and subjective Global Assessment predict mortality in geriatric patiens. JAGS,2002;50(12):1996-2002.
8. Southwick S. M., et al. 2005. The Psychobiology of Depression and Resilience to Stress: Implications for Prevention and Treatment. Annu. Rev. Clin. Psychol. 1: 255–291
9. Supariasa,I Dewa Nyoman (2001).Penilaian Status Gizi. Jakarta EGC.
10. Vellas B.J, et al., 1996. The Rales Of Nutrition and Body Composition In Falls. Gait and Balance Dissorder in The Erderly. Geriatric Nutrition A Comprehensive Review. Second Edition.Edited By J Morley.
11. Watanabe H,et al., (2010). Quality of life, knee function, and physical activity in Japanese elderly women with early stage knee osteoarthritis. Journal of Orthopedic Surgery 2010;18: 31-4.
DOI: https://doi.org/10.22146/actainterna.35843
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