International Journal of Public Health Science (IJPHS)
Vol 11, No 4: December 2022

The burden of depression and malnutrition in the elderly population of western Rajasthan

Shikha Upadhyay (School of Public Health, AIIMS Jodhpur)
Neha Mantri (School of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India)
Akhil Dhanesh Goel (Department of Community Medicine & Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.)
Nitin Kumar Joshi (School of Public Health, AIIMS Jodhpur)
Nitesh Kumar (Department of Community Medicine & Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.)
Pankaj Bhardwaj (Community Medicine, and Family Medicine, Coordinator School of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.)
Kuldeep Singh (Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India)



Article Info

Publish Date
21 Jun 2022

Abstract

Background: With changing demography, developing countries will be outnumbered by the elderly and their associated chronic diseases. The geriatric population is at increased risk of malnutrition with multifactorial factors, especially Depression. The current study aims to explore potential linkages between malnutrition and depression in the geriatric population.Method: A cross-sectional study was planned at Tertiary healthcare facilities at Jodhpur, Western Rajasthan, India from April to June 2018. After consent from 310 elderly patients attending OPD, a pre-tested questionnaire was directed to record socio-demographic data. Assessment of Malnutrition status using Mini Nutritional Assessment, Depression using Geriatric Depression Scale, Physical frailty using Activities of Daily Living and Instrumental Activities of Daily Living was done. Chi-square, Fischer test, and Mann-Whitney U test was used to compare nominal data as counts and percentage. The mean and standard deviation were used to characterize continuous data. Multiple logistic regression was used to compute the corrected ODDs ratio. Significant was defined as a p-value of less than 0.05.Results: Out of 310 elderly, 192 (61.9%) participants on the MNA scale were categorized as having poor nutrition and 99 (31.9%) were suffering from depression. The elderly at risk of malnutrition among depressed was 75.8 % (n=99) with preponderance for females, and minor disabilities. Multivariate analysis suggested an association of lower socioeconomic status and rural residence in the elderly.Conclusion: Nutritional deficit and depression are interrelated. Depression and malnutrition are linked in a destructive cycle but the causality remains elusive. This synergy could be detrimental to survival.Keywords: Malnutrition, Depression, Aged, Geriatric, Elderly, Frailty, Nutrition Disorders, Chronic disease, Tertiary healthcare, India.

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Journal Info

Abbrev

IJPHS

Publisher

Subject

Health Professions

Description

International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world ...