Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics

Nutrients. 2023 Mar 9;15(6):1333. doi: 10.3390/nu15061333.

Abstract

Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.

Keywords: Mini-Nutritional Assessment (MNA); Portugal; Turkey; anthropometry; health conditions; malnutrition.

MeSH terms

  • Aged
  • Anthropometry
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment
  • Humans
  • Hypertension* / epidemiology
  • Male
  • Malnutrition* / epidemiology
  • Nutrition Assessment
  • Nutritional Status
  • Portugal / epidemiology
  • Tooth Loss* / epidemiology
  • Turkey / epidemiology