Factores asociados al estado nutricional en el adulto mayor, en base a la Encuesta Demográfica y Salud Familiar (ENDES) 2015
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AsesoresLiria Domínguez, María Reyna
Fecha de publicación2018-01-18
MetadatosMostrar el registro completo del ítem
Citation1. Núñez Sánchez, Mery Cristy ; Reyes Huarcaya RME. Factores asociados al estado nutricional en el adulto mayor, en base a la Encuesta Demográfica y Salud Familiar (ENDES) 2015. [Lima, Perú]: Universidad Peruana de Ciencias Aplicadas (UPC); 2018.
ResumenObjective: Determine the factors associated with nutritional status in the Peruvian elderly. Methods: Secondary analysis of the ENDES 2015 cross-sectional study of older adults. The nutritional status was measured by the BMI, taking the cut-off points for the elderly (low weight: ≤23 kg / m², normal weight: 23.1-27.9 kg / m², overweight: 28-31.9 kg / m² and obesity: > 32 kg / m²). To evaluate factors associated with nutritional status, two independent Generalized Linear Models (GLM) were run, one to compare groups with and without malnutrition and the other to groups with and without overweight / obesity. The raw prevalence ratio (RPc) and adjusted prevalence (RPa) were obtained at a 95% confidence interval, using Poisson family regression with robust variance. Results: 30.0% presented acute malnutrition, 20.6% overweight and 9.8% obesity. The factors associated with acute malnutrition were: age (PR: 70-79 years: 1.29 [1.13-1.48]; 80 plus: PR: 1.54 [1.32-1.80] vs 60 to 69 years), in rural vs. urban area (PR: 1.25 [1.04- 1.50]), higher in sierra and selva vs. Lima Metropolitan and Callao (Rest of Coast: PR: 1.96 [1.29-2.99], Sierra: PR: 1.74 [1.17-2.62]; Jungle: PR: 1.96 [1.29-2.99] ), lower probability as the wealth quintile increases (Upper Quintile: PR: 0.45 [0.31-0.67]), higher probability of having optimal blood pressure vs high blood pressure (PR: 1.40 [1.17-1.67]), higher probability of not having diabetes (PR: 1.56 [1.06-2.28]), lower probability of consuming fruits and vegetables (PR: 0.79 [0.66-0.95]). The factors associated with overweight / obesity were: female sex (PR: 1.64 [1.43-1.88]), lower probability as age increases (PR: 0.62, 95% CI: 0.51-0.75), lower in sierra vs. Metropolitan Lima and Callao (PR: 0.79 [0.64-0.98]), higher probability as the wealth quintile increases: (PR: 3.14 [2.39-4.12]), lower probability of having optimal blood pressure (PR: 0.53 [0.43-0.66]), lower in non-diabetics (RP: 0.81 [0.67-0.99]) and increase in those with depressive symptoms (RP: 1.25 [0.06-1.48]). Conclusions: The factors associated with malnutrition in the elderly were age, living in rural areas, in the mountains and jungle, lower quintile of well-being, optimal blood pressure, not being diabetic and less consumption of fruits and vegetable salad. In overweight or obesity were female sex, age, living in the sierra, greater quintile of well-being, a greater measure of blood pressure, diabetics and with depressive symptoms.
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