Skip to main content
Top
Published in: Nutrition Journal 1/2011

Open Access 01-12-2011 | Research

Relationship between anthropometric variables and nutrient intake in apparently healthy male elderly individuals: A study from Pakistan

Authors: Iftikhar Alam, Anis Larbi, Graham Pawelec, Parvez I Paracha

Published in: Nutrition Journal | Issue 1/2011

Login to get access

Abstract

Background

The elderly population is increasing worldwide, which warrants their nutritional status assessment more important. The present study was undertaken to establish the nutritional status of the least-studied elderly population in Pakistan.

Methods

This was a cross-sectional study with a sample of 526 generally healthy free-living elderly men (mean age: 68.9 yr; range: 50-98 yr) from Peshawar, Pakistan. Anthropometric measurements (weight, height, WC) were measured and BMI and WHR were calculated from these measurements following WHO standard procedures. Dietary intake was assessed by 24-hr dietary recall. Nutrients were calculated from the information on food intake. Nutrients in terms of % of RNI were calculated using WHO data on recommended intakes.

Results

Based on BMI, the numbers of obese, overweight and underweight elderly were 13.1, 3.1 and 10.8%, respectively. Age was negatively and significantly correlated with BMI (p = 0.0028). Energy (p = 0.0564) and protein intake (p = 0.0776) tended to decrease with age. There was a significant increase in % BF with age (p = <0.0001). The normal weight elderly had significantly (p < 0.05) higher intake of all nutrients studied, except energy which was significantly (p < 0.05) higher in obese and overweight elderly. Overall, however, the majority of subjects had lower than adequate nutrient intake (67.3 - 100% of recommendation).

Conclusions

Malnutrition is common in apparently healthy elderly Pakistani men. Very few elderly have adequate nutrient intake. Obese and overweight had higher % BF as compared to normal weight elderly. Older age is associated with changes not only in anthropometrics and body composition but also in intake of key nutrients like energy and protein.
Appendix
Available only for authorised users
Literature
1.
go back to reference Pakistan, Govt of: Pakistan Demographic Survey (2003). 2003, Federal Bureau of Statistics 5-SLIC Building, F-6/4, Blue Area, Islamabad, Pakistan Pakistan, Govt of: Pakistan Demographic Survey (2003). 2003, Federal Bureau of Statistics 5-SLIC Building, F-6/4, Blue Area, Islamabad, Pakistan
2.
go back to reference WHO: Obesity: Preventing and Managing the Global Epidemic. Report of WHO Consultation on Obesity. Edited by: WHO. 2006, Geneva, 3-5 June 1997. Geneva: WHO, 1998 WHO: Obesity: Preventing and Managing the Global Epidemic. Report of WHO Consultation on Obesity. Edited by: WHO. 2006, Geneva, 3-5 June 1997. Geneva: WHO, 1998
3.
go back to reference McGee M, Jensen GL: Nutrition in the elderly. J Clin Gastroenterol. 2000, 30 (4): 372-380. 10.1097/00004836-200006000-00005.CrossRefPubMed McGee M, Jensen GL: Nutrition in the elderly. J Clin Gastroenterol. 2000, 30 (4): 372-380. 10.1097/00004836-200006000-00005.CrossRefPubMed
4.
go back to reference Australian Society for the Study of Obesity (ASSO): Healthy weight Australia: A National Obesity Strategy. 1995 Australian Society for the Study of Obesity (ASSO): Healthy weight Australia: A National Obesity Strategy. 1995
5.
go back to reference Andreyeva T, Michaud P, van Soest A: Obesity and Health in Europeans Ages 50 and above. Rand Working Paper WR-331. 2005, 1-25. Andreyeva T, Michaud P, van Soest A: Obesity and Health in Europeans Ages 50 and above. Rand Working Paper WR-331. 2005, 1-25.
6.
go back to reference Defay R, Delcourt C, Ranvier M, Lacroux A, Papoz L: Relationships between physical activity, obesity and diabetes mellitus in a French elderly population: the POLA study. Int J Obesity. 2001, 25 (4): 512-518. 10.1038/sj.ijo.0801570.CrossRef Defay R, Delcourt C, Ranvier M, Lacroux A, Papoz L: Relationships between physical activity, obesity and diabetes mellitus in a French elderly population: the POLA study. Int J Obesity. 2001, 25 (4): 512-518. 10.1038/sj.ijo.0801570.CrossRef
7.
go back to reference Janssen I, Heymsfield SB, Allison DB, Kotler DP, Ross R: Body mass index and waist circumference independently contribute to the prediction of non-abdominal, abdominal subcutaneous, and visceral fat. American Journal of Clinical Nutrition. 2002, 75 (4): 683-688.PubMed Janssen I, Heymsfield SB, Allison DB, Kotler DP, Ross R: Body mass index and waist circumference independently contribute to the prediction of non-abdominal, abdominal subcutaneous, and visceral fat. American Journal of Clinical Nutrition. 2002, 75 (4): 683-688.PubMed
8.
go back to reference Hengstermann S, Fischer A, Steinhagen-Thiessen E, Schulz RJ: Nutrition status and pressure ulcer: What we need for nutrition screening. Jpen-Parenter Enter. 2007, 31 (4): 288-294. 10.1177/0148607107031004288.CrossRef Hengstermann S, Fischer A, Steinhagen-Thiessen E, Schulz RJ: Nutrition status and pressure ulcer: What we need for nutrition screening. Jpen-Parenter Enter. 2007, 31 (4): 288-294. 10.1177/0148607107031004288.CrossRef
9.
go back to reference Liu L, Bopp MM, Roborson PK, Sullivan DH: Undernutrition and Risk of Mortality in Elderly Patients within 1 Year of Hospital Discharge. Journal of Gerontology. 2002, 57: M741-746. Liu L, Bopp MM, Roborson PK, Sullivan DH: Undernutrition and Risk of Mortality in Elderly Patients within 1 Year of Hospital Discharge. Journal of Gerontology. 2002, 57: M741-746.
10.
go back to reference Zohoori N: Nutrition and Health Functioning in the Developing World. J Nutr. 2001, 131: 2429S-2432S.PubMed Zohoori N: Nutrition and Health Functioning in the Developing World. J Nutr. 2001, 131: 2429S-2432S.PubMed
11.
go back to reference Glascock AP, Feinman SL: A holocultural analysis of old age. Comparative Social Research. 1980, 3: 311-32. Glascock AP, Feinman SL: A holocultural analysis of old age. Comparative Social Research. 1980, 3: 311-32.
12.
go back to reference Zhu S WZ, Heshka S, Heo M, Faith MS, Heymsfield SB: Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr. 2002, 76: 743-749.PubMed Zhu S WZ, Heshka S, Heo M, Faith MS, Heymsfield SB: Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr. 2002, 76: 743-749.PubMed
13.
go back to reference Lohman TG, Roche AF, Martorell R: Anthropometric Standardization Reference Manual. 1998, Champaign: Champaign, IL, USA: Human Kinetics Publishers, Inc. Lohman TG, Roche AF, Martorell R: Anthropometric Standardization Reference Manual. 1998, Champaign: Champaign, IL, USA: Human Kinetics Publishers, Inc.
14.
go back to reference Haines PS, Hama MY, Guilkey DK, Popkin BM: Weekend Eating in the United States is Linked with Greater Energy, Fat, and Alcohol Intake. Obesity Research. 2003, 11: 945-949. 10.1038/oby.2003.130.CrossRefPubMed Haines PS, Hama MY, Guilkey DK, Popkin BM: Weekend Eating in the United States is Linked with Greater Energy, Fat, and Alcohol Intake. Obesity Research. 2003, 11: 945-949. 10.1038/oby.2003.130.CrossRefPubMed
15.
go back to reference Hussain T: Food Composition Tables for Pakistan. 1985, Planning and Development Division, Ministry of Planning and Development, Department of Agricultural Chemistry and Human Nutrition, NWFP, Agricultural University, Peshawar Pakistan Hussain T: Food Composition Tables for Pakistan. 1985, Planning and Development Division, Ministry of Planning and Development, Department of Agricultural Chemistry and Human Nutrition, NWFP, Agricultural University, Peshawar Pakistan
16.
go back to reference Marian M, Sack G: Micronutrients and older adults. Nutr Clin Pract. 2009, 24 (2): 179-195. 10.1177/0884533609332177.CrossRefPubMed Marian M, Sack G: Micronutrients and older adults. Nutr Clin Pract. 2009, 24 (2): 179-195. 10.1177/0884533609332177.CrossRefPubMed
17.
go back to reference WHO: Human vitamin and mineral requirements. 2004, World Health Organization, Geneva WHO: Human vitamin and mineral requirements. 2004, World Health Organization, Geneva
18.
go back to reference Volkert D, Kreuel K, Heseker H, Stehle P: Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. Eur J Clin Nutr. 2004, 58 (8): 1190-1200. 10.1038/sj.ejcn.1601950.CrossRefPubMed Volkert D, Kreuel K, Heseker H, Stehle P: Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. Eur J Clin Nutr. 2004, 58 (8): 1190-1200. 10.1038/sj.ejcn.1601950.CrossRefPubMed
19.
go back to reference Kurpad AV: Undernutrition in elderly individual In: Clinical Nutrition. 2005, Blackwell NS. UK, I Kurpad AV: Undernutrition in elderly individual In: Clinical Nutrition. 2005, Blackwell NS. UK, I
20.
go back to reference Cornoni-Huntley JC, Harris TB, Everett DF, Albanes D, Micozzi MS, Miles TP, Feldman JJ: An overview of body weight of older persons, including the impact on mortality. The National Health and Nutrition Examination Survey I-Epidemiologic Follow-up Study. J Clin Epidemiol. 1991, 44 (8): 743-753. 10.1016/0895-4356(91)90126-T.CrossRefPubMed Cornoni-Huntley JC, Harris TB, Everett DF, Albanes D, Micozzi MS, Miles TP, Feldman JJ: An overview of body weight of older persons, including the impact on mortality. The National Health and Nutrition Examination Survey I-Epidemiologic Follow-up Study. J Clin Epidemiol. 1991, 44 (8): 743-753. 10.1016/0895-4356(91)90126-T.CrossRefPubMed
21.
go back to reference Moore SC: Waist versus weight--which matters more for mortality?. Am J Clil Nutr. 2009, 89 (4): 1000-1003. Moore SC: Waist versus weight--which matters more for mortality?. Am J Clil Nutr. 2009, 89 (4): 1000-1003.
22.
go back to reference McCamey MA, Hawthorne NA, Reddy S, Lombardo M, Cress ME, Johnson MA: Statewide Educational Intervention to Improve Older Americans' Nutrition and Physical Activity. Family Economics and Nutrition Reviw. 2003, 15: 47-57. McCamey MA, Hawthorne NA, Reddy S, Lombardo M, Cress ME, Johnson MA: Statewide Educational Intervention to Improve Older Americans' Nutrition and Physical Activity. Family Economics and Nutrition Reviw. 2003, 15: 47-57.
23.
go back to reference Macias N, Aleman-Mateo H, Esparza-Romero J, Valencia ME: Body fat measurement by bioelectrical impedance and air displacement plethysmography: a cross-validation study to design bioelectrical impedance equations in Mexican adults. Nutr J. 2007, 6: 18-10.1186/1475-2891-6-18.CrossRefPubMedPubMedCentral Macias N, Aleman-Mateo H, Esparza-Romero J, Valencia ME: Body fat measurement by bioelectrical impedance and air displacement plethysmography: a cross-validation study to design bioelectrical impedance equations in Mexican adults. Nutr J. 2007, 6: 18-10.1186/1475-2891-6-18.CrossRefPubMedPubMedCentral
24.
go back to reference Jensen GL, Friedman JM: Obesity is associated with functional decline in community-dwelling rural older persons. J Am Geriatr Soc. 2002, 50: 918-923. 10.1046/j.1532-5415.2002.50220.x.CrossRefPubMed Jensen GL, Friedman JM: Obesity is associated with functional decline in community-dwelling rural older persons. J Am Geriatr Soc. 2002, 50: 918-923. 10.1046/j.1532-5415.2002.50220.x.CrossRefPubMed
25.
go back to reference Dietz WH, Bellizzi MC: Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr. 1999, 70 (Suppl): 123S-125S.PubMed Dietz WH, Bellizzi MC: Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr. 1999, 70 (Suppl): 123S-125S.PubMed
26.
go back to reference Hannan WJ, Wrate RM, Cowen SJ, Freeman CP: Body mass index as an estimate of body fat. Int J Eat Disord. 1995, 18: 91-97. 10.1002/1098-108X(199507)18:1<91::AID-EAT2260180110>3.0.CO;2-M.CrossRefPubMed Hannan WJ, Wrate RM, Cowen SJ, Freeman CP: Body mass index as an estimate of body fat. Int J Eat Disord. 1995, 18: 91-97. 10.1002/1098-108X(199507)18:1<91::AID-EAT2260180110>3.0.CO;2-M.CrossRefPubMed
27.
go back to reference Gallagher D, Ruts E, Visser M, Heshka S, Baumgartner RN, Wang J, Pierson RN, Pi Sunyer FX, Heymsfield SB: Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab. 2000, 279 (2): E366-375.PubMed Gallagher D, Ruts E, Visser M, Heshka S, Baumgartner RN, Wang J, Pierson RN, Pi Sunyer FX, Heymsfield SB: Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab. 2000, 279 (2): E366-375.PubMed
28.
go back to reference Kamadjeu RM, Edwards R, Atanga JS, Kiawi EC, Unwin N, Mbanya JC: Anthropometry measures and prevalence of obesity in the urbanadult population of Cameroon: an update from the CameroonBurden of Diabetes Baseline Survey. BMC Public Health. 2006, 6: 228-10.1186/1471-2458-6-228.CrossRefPubMedPubMedCentral Kamadjeu RM, Edwards R, Atanga JS, Kiawi EC, Unwin N, Mbanya JC: Anthropometry measures and prevalence of obesity in the urbanadult population of Cameroon: an update from the CameroonBurden of Diabetes Baseline Survey. BMC Public Health. 2006, 6: 228-10.1186/1471-2458-6-228.CrossRefPubMedPubMedCentral
29.
go back to reference Wannamethee SG, Shaper AG, Lennon L, Whincup PH: Decreased muscle mass and increased central adiposity are independently related to mortality in older men. Am J Clin Nutr. 2007, 86 (5): 1339-1346.PubMed Wannamethee SG, Shaper AG, Lennon L, Whincup PH: Decreased muscle mass and increased central adiposity are independently related to mortality in older men. Am J Clin Nutr. 2007, 86 (5): 1339-1346.PubMed
30.
go back to reference Shah SM, Nanan D, Rahbar MH, Rahim M, Nowshad G: Assessing obesity and overweight in a high mountain Pakistani population. Trop Med Int Health. 2004, 9 (4): 526-532. 10.1111/j.1365-3156.2004.01220.x.CrossRefPubMed Shah SM, Nanan D, Rahbar MH, Rahim M, Nowshad G: Assessing obesity and overweight in a high mountain Pakistani population. Trop Med Int Health. 2004, 9 (4): 526-532. 10.1111/j.1365-3156.2004.01220.x.CrossRefPubMed
31.
go back to reference Nanan DJ: The obesity pandemic-implications for Pakistan. Pak Med Assoc. 2000, 52: 342-6. Nanan DJ: The obesity pandemic-implications for Pakistan. Pak Med Assoc. 2000, 52: 342-6.
32.
go back to reference Khattak IA, Ullah N, Abbas M, Parvez PI, Khan S: Prisoners' women and children - from Nutrition perspective. Sar J Agr. 2008, 24 (1): 123-127. Khattak IA, Ullah N, Abbas M, Parvez PI, Khan S: Prisoners' women and children - from Nutrition perspective. Sar J Agr. 2008, 24 (1): 123-127.
33.
go back to reference Alam I, Bangash F: Oral health and nutritional status of the free-living elderly in Peshawar, Pakistan. Saudi Med J. 2010, 31 (6): 713-715.PubMed Alam I, Bangash F: Oral health and nutritional status of the free-living elderly in Peshawar, Pakistan. Saudi Med J. 2010, 31 (6): 713-715.PubMed
34.
go back to reference James PT: Obesity: The worldwide epidemic. Clin Dermatol. 2004, 22 (4): 276-280. 10.1016/j.clindermatol.2004.01.010.CrossRefPubMed James PT: Obesity: The worldwide epidemic. Clin Dermatol. 2004, 22 (4): 276-280. 10.1016/j.clindermatol.2004.01.010.CrossRefPubMed
35.
go back to reference Wahlqvist ML, Hsu-Hage BH-H, Kouris-Blazos A, Lukito W: Food habits in later life-An Overview of Key Findings. Asia Pac J Clin Nutr. 1995, 4: 1-11.PubMed Wahlqvist ML, Hsu-Hage BH-H, Kouris-Blazos A, Lukito W: Food habits in later life-An Overview of Key Findings. Asia Pac J Clin Nutr. 1995, 4: 1-11.PubMed
36.
go back to reference Endoy MP: Anorexia among older adults. American Journal for Nurse Practitioners. 2005, 9 (5): 31-8. Endoy MP: Anorexia among older adults. American Journal for Nurse Practitioners. 2005, 9 (5): 31-8.
37.
go back to reference Ritz P: Factors affecting energy and macronutrient requirements in elderly people. Public Health Nutr. 2001, 4 (2B): 561-568.CrossRefPubMed Ritz P: Factors affecting energy and macronutrient requirements in elderly people. Public Health Nutr. 2001, 4 (2B): 561-568.CrossRefPubMed
38.
go back to reference Akhtar P: Radiology hazards and health impact of daily diet for Pakistani population using standard models. 2005, PhD thesis, University of Engineering & Technology/Physics, Lahore, Pakistan Akhtar P: Radiology hazards and health impact of daily diet for Pakistani population using standard models. 2005, PhD thesis, University of Engineering & Technology/Physics, Lahore, Pakistan
39.
40.
go back to reference Solomons N: Plant-based diets are traditional in developing countries: 21st century challenges for better nutrition and health. Asia Pacific J Clin Nutr. 2001, 9 (Suppl): S41-S54. Solomons N: Plant-based diets are traditional in developing countries: 21st century challenges for better nutrition and health. Asia Pacific J Clin Nutr. 2001, 9 (Suppl): S41-S54.
41.
go back to reference Institute of Medicine: Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. 2001, National Academy Press, Washington, D.C Institute of Medicine: Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. 2001, National Academy Press, Washington, D.C
42.
go back to reference Hallberg L, Hulthen L: Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr. 2000, 71 (5): 1147-1160.PubMed Hallberg L, Hulthen L: Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am J Clin Nutr. 2000, 71 (5): 1147-1160.PubMed
43.
go back to reference Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP: The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001, 286: 1195-200. 10.1001/jama.286.10.1195.CrossRefPubMed Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP: The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001, 286: 1195-200. 10.1001/jama.286.10.1195.CrossRefPubMed
44.
go back to reference Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM: Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004, 291: 2847-50. 10.1001/jama.291.23.2847.CrossRefPubMed Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM: Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004, 291: 2847-50. 10.1001/jama.291.23.2847.CrossRefPubMed
45.
go back to reference Muller DC, Elahi D, Tobin JD, Andres R: The effect of age on insulin resistance and secretion: a review. Semin Nephrol. 1996, 16: 289-98.PubMed Muller DC, Elahi D, Tobin JD, Andres R: The effect of age on insulin resistance and secretion: a review. Semin Nephrol. 1996, 16: 289-98.PubMed
Metadata
Title
Relationship between anthropometric variables and nutrient intake in apparently healthy male elderly individuals: A study from Pakistan
Authors
Iftikhar Alam
Anis Larbi
Graham Pawelec
Parvez I Paracha
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2011
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-10-111

Other articles of this Issue 1/2011

Nutrition Journal 1/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.