Benny Paul, Wilson (2009) A Study on Nutritional status of elderly men attending Geriatric Medicine Outpatient Clinic, Government General Hospital, Chennai using Mini Nutritional Assessment score, Serum Albumin and Serum Prealbumin. Masters thesis, Madras Medical College, Chennai.
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Abstract
Nutrition is a major determinant of individual health, physical and cognitive function, vitality and overall quality of life in any age group. Thus good nutritional status is a vital dimension to the health of an elderly. Malnutrition in any age group represents the two ends of the nutritional status namely under-nutrition and over-nutrition and is no different in the elderly population. Under-nutrition rather than over nutrition or obesity is probably more common in developing countries like India, though the problem of obesity is fast catching up with the rates of developed countries. Studies done in developed countries suggest that the prevalence of nutritional status, in hospitalized older adults, protein calorie under nutrition reaches epidemic proportions, with a reported frequency of 32% to 50%. An even higher under-nutrition prevalence of 23% to 85% has been reported in institutionalized, long-term care settings. Among free-living elderly the rate is around 5% to 10%.There are no large population studies reflecting the scenario in India or developing countries. Mini nutritional assessment is a good indicator of nutritional status but needs modification in the cut off ranges in its anthropometric parameters (Body Mass Index, Midarm circumference, and Calf circumference) for application in the Indian population. The anthropometric measurements (Body Mass Index, Midarm circumference, and Calf circumference) are essential and good components of the of the Mini nutritional assessment scale. Serum albumin is an adequate measure of nutritional status in the elderly but its role in the 75yrs and above population is questionable. Its role in the use in the community screening of the elderly population is not strong as the specificity is low. Serum prealbumin is a good indicator of malnutrition as compared with MNA. It is a good measure of nutritional status in all age groups of elderly population. There is need for standardization of prealbumin levels based on Indian population. Role of prealbumin as screening test showed excellent results with high specificity.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Nutritional status of elderly men; Mini Nutritional Assessment score; Serum Albumin and Serum Prealbumin |
| Subjects: | MEDICAL > Geriatrics |
| Depositing User: | Kambaraman B |
| Date Deposited: | 21 Jun 2017 07:48 |
| Last Modified: | 21 Jun 2017 07:48 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/163 |
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