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...

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Main Authors: Getachew Sale Mezgebu, Legesse Petros, Etaferaw Alemayew, Gashaw Abebaw, Fentaw Wassie Feleke
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
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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.
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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
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