Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023
Undernutrition in elders remains under-detected, under-treated, and under-resourced and leads to further weight loss, increased infections, and delay in recovery from illness as well as increased hospital admissions and length of stay. The reports of the findings were fragmented and inconsistent in...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Cambridge University Press
2023-01-01
|
Series: | Journal of Nutritional Science |
Subjects: | |
Online Access: | https://www.cambridge.org/core/product/identifier/S2048679023000848/type/journal_article |
_version_ | 1797673983312658432 |
---|---|
author | Getachew Sale Mezgebu Legesse Petros Etaferaw Alemayew Gashaw Abebaw Fentaw Wassie Feleke |
author_facet | Getachew Sale Mezgebu Legesse Petros Etaferaw Alemayew Gashaw Abebaw Fentaw Wassie Feleke |
author_sort | Getachew Sale Mezgebu |
collection | DOAJ |
description | Undernutrition in elders remains under-detected, under-treated, and under-resourced and leads to further weight loss, increased infections, and delay in recovery from illness as well as increased hospital admissions and length of stay. The reports of the findings were fragmented and inconsistent in Ethiopia. Therefore, the main objective of this meta-analysis was to estimate the pooled prevalence of undernutrition and its association with dietary diversity among older persons in Ethiopia. Online databases (Medline, PubMed, Scopus, and Science Direct), Google, Google Scholar, and other grey literature were used to search articles until the date of publication. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. The random effect model was used to estimate the pooled prevalence; whereas subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity using Stata version 14.0 software. Out of 522 studies accessed, 14 met our criteria and were included in the study. A total of 7218 older people (aged above 60 years old) were included in the study. The pooled proportion of undernutrition among older persons in Ethiopia was 20⋅6 % (95 % CI 17⋅3, 23⋅8). Elders who consumed low dietary diversity scores were strongly associated with undernutrition among older persons. Therefore, promoting appropriate intervention strategies for elders to improve dietary diversity practices and nutritional status is crucial. |
first_indexed | 2024-03-11T21:53:35Z |
format | Article |
id | doaj.art-4f75f7ec48484c20a2764622dfb485ae |
institution | Directory Open Access Journal |
issn | 2048-6790 |
language | English |
last_indexed | 2024-03-11T21:53:35Z |
publishDate | 2023-01-01 |
publisher | Cambridge University Press |
record_format | Article |
series | Journal of Nutritional Science |
spelling | doaj.art-4f75f7ec48484c20a2764622dfb485ae2023-09-26T05:56:59ZengCambridge University PressJournal of Nutritional Science2048-67902023-01-011210.1017/jns.2023.84Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023Getachew Sale Mezgebu0https://orcid.org/0000-0003-2681-8313Legesse Petros1Etaferaw Alemayew2Gashaw Abebaw3Fentaw Wassie Feleke4https://orcid.org/0000-0002-4482-877XDepartment of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, EthiopiaDepartment of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, EthiopiaDepartment of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, EthiopiaDepartment of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, EthiopiaDepartment of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, Ethiopia Department of Public Health, School of Public Health, College of Medicine and Health Sciences, Woldia University, PO Box 400, Woldia, EthiopiaUndernutrition in elders remains under-detected, under-treated, and under-resourced and leads to further weight loss, increased infections, and delay in recovery from illness as well as increased hospital admissions and length of stay. The reports of the findings were fragmented and inconsistent in Ethiopia. Therefore, the main objective of this meta-analysis was to estimate the pooled prevalence of undernutrition and its association with dietary diversity among older persons in Ethiopia. Online databases (Medline, PubMed, Scopus, and Science Direct), Google, Google Scholar, and other grey literature were used to search articles until the date of publication. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. The random effect model was used to estimate the pooled prevalence; whereas subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity using Stata version 14.0 software. Out of 522 studies accessed, 14 met our criteria and were included in the study. A total of 7218 older people (aged above 60 years old) were included in the study. The pooled proportion of undernutrition among older persons in Ethiopia was 20⋅6 % (95 % CI 17⋅3, 23⋅8). Elders who consumed low dietary diversity scores were strongly associated with undernutrition among older persons. Therefore, promoting appropriate intervention strategies for elders to improve dietary diversity practices and nutritional status is crucial.https://www.cambridge.org/core/product/identifier/S2048679023000848/type/journal_articleDietary diversityMalnutritionMeta-analysisOlder personsSystematic review |
spellingShingle | Getachew Sale Mezgebu Legesse Petros Etaferaw Alemayew Gashaw Abebaw Fentaw Wassie Feleke Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 Journal of Nutritional Science Dietary diversity Malnutrition Meta-analysis Older persons Systematic review |
title | Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 |
title_full | Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 |
title_fullStr | Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 |
title_full_unstemmed | Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 |
title_short | Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023 |
title_sort | magnitude of undernutrition and its association with dietary diversity among older persons in ethiopia a systematic review and meta analysis 2023 |
topic | Dietary diversity Malnutrition Meta-analysis Older persons Systematic review |
url | https://www.cambridge.org/core/product/identifier/S2048679023000848/type/journal_article |
work_keys_str_mv | AT getachewsalemezgebu magnitudeofundernutritionanditsassociationwithdietarydiversityamongolderpersonsinethiopiaasystematicreviewandmetaanalysis2023 AT legessepetros magnitudeofundernutritionanditsassociationwithdietarydiversityamongolderpersonsinethiopiaasystematicreviewandmetaanalysis2023 AT etaferawalemayew magnitudeofundernutritionanditsassociationwithdietarydiversityamongolderpersonsinethiopiaasystematicreviewandmetaanalysis2023 AT gashawabebaw magnitudeofundernutritionanditsassociationwithdietarydiversityamongolderpersonsinethiopiaasystematicreviewandmetaanalysis2023 AT fentawwassiefeleke magnitudeofundernutritionanditsassociationwithdietarydiversityamongolderpersonsinethiopiaasystematicreviewandmetaanalysis2023 |