Socioeconomic Position and Malnutrition among Older Adults: Results from the FRADEA Study

E O Hoogendijk, T Flores Ruano, M Martínez-Reig, M López-Utiel, S Lozoya-Moreno, E Dent, P Abizanda

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVES: Low socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults.

DESIGN: Cross-sectional population-based study.

SETTING: Urban area of Albacete, Spain.

PARTICIPANTS: 836 participants over age 70 from the first measurement wave (2007-2009) of the Frailty and Dependence in Albacete (FRADEA) study, a population-based cohort study.

MEASUREMENTS: Educational level and occupational level were the indicators of SEP. Nutritional risk was measured with the Mini Nutrition Assessment® Short Form (MNA®-SF). Logistic regression analyses were performed.

RESULTS: For both socioeconomic indicators there was a statistically significant association with nutritional risk (OR low education=1.99, 95% CI=1.18-3.35; OR low occupational level=1.71, 95% CI=1.08-2.72). However, these associations disappeared after adjusting for age and sex (OR low education=1.51, 95% CI=0.88-2.60 ; OR low occupational level=1.32, 95% CI=0.80-2.17). In adjusted models, statistically significant associations between SEP and sub-domains of the MNA®-SF were observed, but these associations were not consistent across socioeconomic indicators.

CONCLUSIONS: This study found that malnutrition is a condition that can appear in any older adult, regardless of their socioeconomic group. These findings suggest that interventions to prevent malnutrition in older adults can be targeted at a general older population, and do not have to be SEP specific.

Original languageEnglish
Pages (from-to)1086-1091
Number of pages6
JournalJournal of Nutrition, Health and Aging
Volume22
Issue number9
DOIs
Publication statusPublished - 2018

Cite this

Hoogendijk, E. O., Flores Ruano, T., Martínez-Reig, M., López-Utiel, M., Lozoya-Moreno, S., Dent, E., & Abizanda, P. (2018). Socioeconomic Position and Malnutrition among Older Adults: Results from the FRADEA Study. Journal of Nutrition, Health and Aging, 22(9), 1086-1091. https://doi.org/10.1007/s12603-018-1061-1
Hoogendijk, E O ; Flores Ruano, T ; Martínez-Reig, M ; López-Utiel, M ; Lozoya-Moreno, S ; Dent, E ; Abizanda, P. / Socioeconomic Position and Malnutrition among Older Adults : Results from the FRADEA Study. In: Journal of Nutrition, Health and Aging. 2018 ; Vol. 22, No. 9. pp. 1086-1091.
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abstract = "OBJECTIVES: Low socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults.DESIGN: Cross-sectional population-based study.SETTING: Urban area of Albacete, Spain.PARTICIPANTS: 836 participants over age 70 from the first measurement wave (2007-2009) of the Frailty and Dependence in Albacete (FRADEA) study, a population-based cohort study.MEASUREMENTS: Educational level and occupational level were the indicators of SEP. Nutritional risk was measured with the Mini Nutrition Assessment{\circledR} Short Form (MNA{\circledR}-SF). Logistic regression analyses were performed.RESULTS: For both socioeconomic indicators there was a statistically significant association with nutritional risk (OR low education=1.99, 95{\%} CI=1.18-3.35; OR low occupational level=1.71, 95{\%} CI=1.08-2.72). However, these associations disappeared after adjusting for age and sex (OR low education=1.51, 95{\%} CI=0.88-2.60 ; OR low occupational level=1.32, 95{\%} CI=0.80-2.17). In adjusted models, statistically significant associations between SEP and sub-domains of the MNA{\circledR}-SF were observed, but these associations were not consistent across socioeconomic indicators.CONCLUSIONS: This study found that malnutrition is a condition that can appear in any older adult, regardless of their socioeconomic group. These findings suggest that interventions to prevent malnutrition in older adults can be targeted at a general older population, and do not have to be SEP specific.",
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Hoogendijk, EO, Flores Ruano, T, Martínez-Reig, M, López-Utiel, M, Lozoya-Moreno, S, Dent, E & Abizanda, P 2018, 'Socioeconomic Position and Malnutrition among Older Adults: Results from the FRADEA Study' Journal of Nutrition, Health and Aging, vol. 22, no. 9, pp. 1086-1091. https://doi.org/10.1007/s12603-018-1061-1

Socioeconomic Position and Malnutrition among Older Adults : Results from the FRADEA Study. / Hoogendijk, E O; Flores Ruano, T; Martínez-Reig, M; López-Utiel, M; Lozoya-Moreno, S; Dent, E; Abizanda, P.

In: Journal of Nutrition, Health and Aging, Vol. 22, No. 9, 2018, p. 1086-1091.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Socioeconomic Position and Malnutrition among Older Adults

T2 - Results from the FRADEA Study

AU - Hoogendijk, E O

AU - Flores Ruano, T

AU - Martínez-Reig, M

AU - López-Utiel, M

AU - Lozoya-Moreno, S

AU - Dent, E

AU - Abizanda, P

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: Low socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults.DESIGN: Cross-sectional population-based study.SETTING: Urban area of Albacete, Spain.PARTICIPANTS: 836 participants over age 70 from the first measurement wave (2007-2009) of the Frailty and Dependence in Albacete (FRADEA) study, a population-based cohort study.MEASUREMENTS: Educational level and occupational level were the indicators of SEP. Nutritional risk was measured with the Mini Nutrition Assessment® Short Form (MNA®-SF). Logistic regression analyses were performed.RESULTS: For both socioeconomic indicators there was a statistically significant association with nutritional risk (OR low education=1.99, 95% CI=1.18-3.35; OR low occupational level=1.71, 95% CI=1.08-2.72). However, these associations disappeared after adjusting for age and sex (OR low education=1.51, 95% CI=0.88-2.60 ; OR low occupational level=1.32, 95% CI=0.80-2.17). In adjusted models, statistically significant associations between SEP and sub-domains of the MNA®-SF were observed, but these associations were not consistent across socioeconomic indicators.CONCLUSIONS: This study found that malnutrition is a condition that can appear in any older adult, regardless of their socioeconomic group. These findings suggest that interventions to prevent malnutrition in older adults can be targeted at a general older population, and do not have to be SEP specific.

AB - OBJECTIVES: Low socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults.DESIGN: Cross-sectional population-based study.SETTING: Urban area of Albacete, Spain.PARTICIPANTS: 836 participants over age 70 from the first measurement wave (2007-2009) of the Frailty and Dependence in Albacete (FRADEA) study, a population-based cohort study.MEASUREMENTS: Educational level and occupational level were the indicators of SEP. Nutritional risk was measured with the Mini Nutrition Assessment® Short Form (MNA®-SF). Logistic regression analyses were performed.RESULTS: For both socioeconomic indicators there was a statistically significant association with nutritional risk (OR low education=1.99, 95% CI=1.18-3.35; OR low occupational level=1.71, 95% CI=1.08-2.72). However, these associations disappeared after adjusting for age and sex (OR low education=1.51, 95% CI=0.88-2.60 ; OR low occupational level=1.32, 95% CI=0.80-2.17). In adjusted models, statistically significant associations between SEP and sub-domains of the MNA®-SF were observed, but these associations were not consistent across socioeconomic indicators.CONCLUSIONS: This study found that malnutrition is a condition that can appear in any older adult, regardless of their socioeconomic group. These findings suggest that interventions to prevent malnutrition in older adults can be targeted at a general older population, and do not have to be SEP specific.

U2 - 10.1007/s12603-018-1061-1

DO - 10.1007/s12603-018-1061-1

M3 - Article

VL - 22

SP - 1086

EP - 1091

JO - Journal of Nutrition, Health and Aging

JF - Journal of Nutrition, Health and Aging

SN - 1279-7707

IS - 9

ER -