Determinants of overnutrition among elderly in Thailand: A Cross sectional study
Journal Title: International Journal of Public Health Asia Pacific (IJPHAP) - Year 2022, Vol 1, Issue 1
Abstract
Background: As per the Global Nutrition Report 2017, malnutrition has been associated with weakened health conditions and can be distinguished as under and over nutrition respectively. Malnutrition distresses one in three people worldwide and is increasing in several countries making it public health challenge for all over the world. Objectives: This study was aimed to identify the prevalence of overnutrition and the determinants of obesity among elderly in Thailand. Methodology: 6,477 Thai elderlies were randomly selected from all the 77 provinces of Thailand which includes 13 zones and 4 regions. An analytical cross-sectional study was performed to identify the study outcome. Multilevel logistic regression was carried out and results were presented as Adjusted OR (Adj.OR) and 95% CI at the significance level of 0.05. Results: Of the total 6,477, 39.40% (95% CI, 38.21-40.59) elderly were found to be obese. Multilevel logistic regression analysis between independent factors and obesity among elderly in Thailand observed those factors, statistically significant were, age group varying from 60-69 years (Adj.OR=2.53, 95% CI, 2.09-3.08), those who can read fluently (Adj.OR=1.33, 95% CI, 1.06-1.66, p-value 0.011), who can write fluently (Adj.OR=1.24,95% CI, 1.02-1.60, p-value 0.026), having cable TV (Adj.OR=1.22, 95%CI, 1.07-1.39, p-value 0.002), having mobile phones (Adj.OR=1.32, 95%CI, 1.17-1.49, p-value <0.001), residing in the municipality (Adj.OR=1.23, 95%CI, 1.10-1.38, p-value <0.001), having chronic disease (Adj.OR=1.73, 95%CI, 1.54-1.94, p-value <0.001) and, elderly who do not have universal health insurance (Adj. OR=1.21, 95% CI, 1.05-1.39, p-value 0.007) respectively while controlling other co-variates. Conclusion: Overnutrition among the elderly was significantly raised and factors such as having age group 60-69 years, without current occupation, unable to read and write fluently, having cable TV and mobile phones, residing in the municipality, having chronic disease, without universal health insurance were observed to be associated with obesity. Therefore, to tackle dual-form of malnutrition, nutrition and health education are important strategies to promote and maintain good health of elderly.
Authors and Affiliations
Sarawut Boonsuk, Wongsa Laohasiriwong, Kittipong Sornlorm, Roshan Kumar Mahato
Keywords
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- EP ID EP752582
- DOI https://doi.org/10.62992/ijphap.v1i1.14
- Views 36
- Downloads 1
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