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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 3 Issue 1 Jan-Mar 2017

Original Articles

Association between Malnutrition and Depression among Elderly of Selected Rural Area of district Faridkot, Punjab
Birpal Kaur1, Hardeep Kaur Mal2

Introduction: There is a high prevalence of mental and physical disorders in the population of elderly in community. Malnutrition is serious senior health issue and increases an old person’s vulnerability to disease. Depression is also common problem in later life often misdiagnosed and sometimes inadequately treated. Neither malnutrition nor depression is normal response to ageing and effective treatment is available for both. Inappropriate quality of life and poor nutrition might have a strong effect on the incidence of depression because of the psychological vulnerability of the elderly. Depression in the elderly can often lead to malnutrition or dehydration, which can induce various kinds of physical illnesses. Considering the importance and vulnerability of elderly population this study was selected to assess the association between malnutrition and depression among geriatric population 60 years of age and above. Material and Methods: A non-experimental cross-sectional design was used to investigate the association between malnutrition and depression in rural area village Bajakhana district Faridkot. Total enumerative sampling technique was used to choose the 398 elderly having age ≥ 60 years. Mini Nutritional Assessment (MNA) tool and Geriatric Depression Score (GDS) were used to evaluate nutritional status and depression scores, respectively. Results: From the total subjects under the study (398), 13.1% were malnourished and 35.2% at risk of malnutrition whereas 9.8% were severely depressive and 28.9% were mild depressive. In severely depressed group, the prevalence of malnutrition was 4.5% (18 out of 39) and the prevalence of “at risk of malnutrition” was 4.3% (17 out of 39) whereas in mild depressive, the prevalence of malnutrition was 6.5% (26 out of 115) and13.6% (54 out of 115) were at risk of malnutrition. In non depressed population only 2% were malnourished. From the aforementioned information it is concluded that there is a significant association between the prevalence of malnutrition and depression among elderly. (P= 0.000). Conclusion: The results of the present study revealed a high prevalence of depression and malnutrition among elderly. Moreover, depression was associated with worsening of nutritional status. Further studies are needed to evaluate the mechanism of this association and other factors that can effect on the quality of life in this population. Keywords: Depression, Malnutrition, Geriatric Depression Scale (GDS), Mini Nutritional Assessment (MNA), Elderly

 
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