Dietary intakes, anthropometric status, and anaemia prevalence among older adults in Effutu Municipality, Ghana

Abstract

BACKGROUND: Older adults, both institutionalized and free-living are vulnerable to nutritional deficiencies and poor nutritional status, which affect morbidity and quality of life amongst them. Yet, little attention on nutritional needs is given to this vulnerable group in many developing countries, and very little data exist on the nutritional status of older Ghanaians. OBJECTIVE: This study assessed dietary intakes, anthropometric status, and anaemia prevalence among older adults in Effutu Municipality, Ghana. METHODS: Using a cross-sectional design, anthropometry, repeated 24-hour dietary recall, haemoglobin levels were determined among 150 older adults (60-87 years). The Mini Nutritional Assessment (MNA) questionnaire was used to determine malnutrition prevalence among older adults. RESULTS: None of the older adults met estimated average requirement (EAR) and adequate intake (AI) for Vitamin E and calcium respectively, and 72.0%, 71.3%, 99.3%, 98.7%,76.0% had insufficient intake for energy, protein, zinc, folate and Vitamin C respectively. Also, 39.3% were anaemic using haemoglobin cut-offs, 12.0% were malnourished based on the MNA tool and 28.0% were underweight based on BMI index. Married older adults (OR = 0.1, p = 0.005, 95% CI = 0.1-0.5) had lower odds for anaemia than those who were divorced. Underweight participants had 11.7 increased odds of being anaemic (OR = 11.7, p = 0.048, 95% CI = 1.0-135.0) than overweight participants. Those who had adequate Vitamin C (OR = 0.3, p = 0.018, 95% CI = 0.1-0.8) and folate (OR = 0.2, p = 0.396, 95% CI = 0.1-6.7) intakes had lower odds of being anaemic than those with inadequate Vitamin C and folate intakes, while those who had adequate iron (OR = 1.4, p = 0.412, 95% CI = 0.6-3.2) and Vitamin B12 (OR = 1.6, p = 0.473, 95% CI = 0.5-5.3) intakes were more likely to be anaemic CONCLUSIONS: Inadequate nutrient intakes, anaemia, underweight and malnutrition prevalence were found among these older adults. Anaemia was associated with being underweight, but not nutrients intake. The nutritional needs of older people should be addressed to reduce risks for disease.