The relationship between nutritional status and fall risk assessed by timed up and go test in elderly in the primary care network of Bang Kruai hospital: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250911Keywords:
Nutritional status, Risk of falling, Older adults, Time up and go testAbstract
Background: Malnutrition and falling problems are common and important in older adults. The previous study found that malnutrition was associated with falling in older adults. Studies of the relationship between these two conditions are limited and there have been limited data about risk of malnutrition in primary care of Thailand, so we investigate the relationship of malnutrition, risk of malnutrition and risk of falling in older patients.
Methods: The study was cross-sectional analytic study of 224 participants aged 60 years or older who visited the primary care of Bang Kruai Hospital during February to March 2024. Face-to-face interview and test were conducted. The nutritional status was evaluated by using the mini nutritional assessment (MNA). The risk of falling was evaluated by time up and go test. The data were obtained for the prevalence using percentage values. The relationship was analysed by using multivariable logistic regression
Results: Among 224 patients with mean age 69.29±6.44 years old, 64.29% of them were women. The prevalence of malnutrition and risk of malnutrition were 3.12 and 30.36%, respectively. The prevalence of risk of falling was 26.79%. This study showed that the malnutrition and risk of malnutrition were significantly associated with risk of falling (Adjusted OR 2.23, 95%CI 1.19-4.22, p<0.001).
Conclusions: The malnutrition and risk of malnutrition were related with risk of falling. Therefore, when evaluating an older patient with risk of falling, nutritional status should be evaluated, or risk of falling should also be evaluated in an older patient with risk of malnutrition. Thus, the more comprehensive management of these two problems can be possible.
Metrics
References
National Statistical Office Ministry of Digital Economy and Society. The survey of Elderly population in Thailand 2024. Available at: https://www.nso.go.th/nsoweb/storage/survey_detail/2023/20230731135832_28841.pdf. Accessed on 8 January 2024.
The Amarin Company Cooperation, 2023. The Elderly Situation in Thailand 2022: Available at: https://www.dop.go.th/download/statistics/th1738230377-2563_0.pdf. Accessed on 8 January 2024.
Sithikan W, Moolphate S, Jaitae S. Factors associated with health promotion behaviours of the elderly in Banhong Sub District Municipality, Banhong District, Lamphun Province. Lampang Med J. 2017;38(2):49-58.
Kawphitul S, Kawphitul N. Nutritional status of elderly in Surin province. Available at: http://sutir.sut.ac.th:8080/jspui/handle/123456789/5815. 2013. Accessed on 8 January 2024.
The British Association for Parenteral and Enteral Nutrition. Introduction to Malnutrition. Available at: https://www.bapen.org.uk/malnutrition/introduction-to-malnutrition. Accessed on 8 January 2024.
The Institute of Geriatric Medicine, Department of Medical Services Institute, Ministry of Public Health. Guideline of the prevention and assessment for Fall risk assessment among the elderly people. Nonthaburi Province: The Institute of Geriatric Medicine; 2023. Available at: http://agingthai.dms.go.th/agingthai/wp-content/uploads/2021/01/book_9.pdf. Accessed on 8 January 2024.
Adly NN, Abd‑El‑Gawad WM, Abou-Hashem RM. Relationship between malnutrition and different fall risk assessment tools in a geriatric in‑patient unit. Aging Clin Exp Res. 2020;32(7):1279-87. DOI: https://doi.org/10.1007/s40520-019-01309-0
World Health Organization. WHO Global Report on Falls Prevention in Older Age. 2007. Available at: https://www.who.int/publications/i/item/9789241563536. Accessed on 8 January 2024.
World Health Organization. Fact Sheet: Falls. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/falls. Accessed on 8 January 2024.
The Committee of the Elderly Screening and assessment Measurement, Ministry of Public Health. The Manual of Elderly Screening and Assessment, 2020. Available at: http://www.tako.moph.go.th/takmoph2016/file_download/file_20210129131952.pdf. Accessed on 8 January 2024.
Sethasathien A, Kommuangpuk D. Risk Factors to Fall with Hip Fracture in Elderly Patients Admitted in Udonthani Hospital. Lampang Med J. 2009;30(3):154-62.
Rachamee W. Factors Affecting Falling and Falling in Elderly Health Rregion 6. Available at: https://hpc6.anamai.moph.go.th/th/kpw/download?id=85728&mid=32270&mkey=m_document&lang=th&did=28067. Accessed on 8 January 2024.
Neyens J, Halfens R, Spreeuwenberg M, Meijers J, Luiking Y, Verlaan G, et al. Malnutrition is associated with an increased risk of falls and impaired activity in elderly patients in Dutch residential long-term care (LTC): a cross-sectional study. Arch Gerontol Geriatrict. 2013;56(1):265-9. DOI: https://doi.org/10.1016/j.archger.2012.08.005
Eckert CD, Tarleton EK, Pellerin J, Mooney N, Gell NM. Nutrition risk is associated with falls risk in an observational study of community-dwelling, Rural, Older adults. J Aging Heal. 2022;2022:1127-31. DOI: https://doi.org/10.1177/08982643221096944
Tsai AC, Lai MY. Mini nutritional assessment and short-form Mini nutritional assessment can predict the future risk of falling in older adult-result of national cohort study. Clin Nutrit. 2014;33(5):844-9. DOI: https://doi.org/10.1016/j.clnu.2013.10.010
O’Connell ML, Coppinger T, Walton J, McCarthy AL. Nutritional status and physical activity level predict Timed Up and Go performance in Irish older adults. Proceedings Nutrit Society. 2021;80(OCE1):E14. DOI: https://doi.org/10.1017/S002966512100015X
Podsiadlo D, Richardson S. The timed Up and Go: a test of basic functional mobility for frail elderly person. J Am Geriatr Soc. 1991;39:142-8. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Bischoff HA, Stähelin HB, Monsch AU, Iversen MU, Weyh A, Von Dechend M, et al. Identifying a cut-off point for normal mobility: a comparison study of the timed up and go test in community-dwelling and institutionalized elderly women. Age Ageing. 2003;32(3):315-20. DOI: https://doi.org/10.1093/ageing/32.3.315
Bohannon RW. Reference values for the Timed Up and Go Test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64-8. DOI: https://doi.org/10.1519/00139143-200608000-00004
Praneetvatakul Y, Larpjit S, Jongcherdchootrakul K, Lertwanichwattana T. Prevalence and Associated Factors of Malnutrition Among Elderly Patients at An Outpatient Clinic, Community Hospital in Thailand: A Cross-Sectional Study. J Southeast Asian Med Res. 2023;7:e0167. DOI: https://doi.org/10.55374/jseamed.v7.167
Norman K, Haß U, Pirlich M. Malnutrition in Older Adults-Recent Advances and Remaining Challenges. Nutrients. 2021;13(8):2764. DOI: https://doi.org/10.3390/nu13082764
Adebusoye LA, Ajayi IO, Dairo MD, Ogunniyi AO. Nutritional status of older persons presenting in a primary care clinic in Nigeria. J Nutr Gerontol Geriatr. 2012;31(1):71-85. DOI: https://doi.org/10.1080/21551197.2012.647560
Aliabadi M, Kimiagar M, Ghayour-Mobarhan M, Shakeri MT, Nematy M, Ilaty AA, et al. Prevalence of malnutrition in free living elderly people in Iran: a cross-sectional study. Asia Pac J Clin Nutr. 2008;17(2):285-9.
Kabir ZN, Ferdous T, Cederholm T, Khanam MA, Streatfied K, Wahlin A. Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors. Public Health Nutr. 2006;9(8):968-74. DOI: https://doi.org/10.1017/PHN2006990
Lahiri S, Biswas A, Santra S, Lahiri SK. Assessment of nutritional status among elderly population in a rural area of West Bengal, India. Int J Med Sci Public Health. 2015;4(4):569-72. DOI: https://doi.org/10.5455/ijmsph.2015.20122014117
Vedantam A, Subramanian V, Rao NV, John KR. Malnutrition in free-living elderly in rural south India: prevalence and risk factors. Public Health Nutr. 2010;13(9):1328-32. DOI: https://doi.org/10.1017/S1368980009991674
Raungburop N, Srisuwan P, Kaengphanit S. The Relationship between Malnutrition and Sleep Quality among Older Adults in Family Medicine Clinic, Phramongkutklao Hospital. KKU J Med J. 2021;7(2):12-21.
Trevisan C, Noale M, Mazzochin M, Greco GI, Imoscopi A, Maggi S, et al. Falls may trigger body weight decline in nursing home residents. Nutrition. 2021:90:111429. DOI: https://doi.org/10.1016/j.nut.2021.111429
Jalayondeja C. Falls screening by Timed Up and Go (TUG). J Med Technol Physical Therapy. 2014;26(1):5-12.
Downloads
Published
How to Cite
Issue
Section
