Hubungan Anemia dengan Status Kognitif dan Kefungsian Warga Tua di Rembau, Negeri Sembilan

Shahidan, Norshazila and Aris, Norliyana and Abdul Rahman, Suriah (2009) Hubungan Anemia dengan Status Kognitif dan Kefungsian Warga Tua di Rembau, Negeri Sembilan. Sains Malaysiana, 38 (6). pp. 953-958. ISSN 01266039

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Abstract

The prevalence of anaemia and nutritional status was evaluated among 88 Malay elderly (20 men and 68 women) aged 60 to 85 years (mean age 69 .8 ± 6.0 years) from four villages in Rembau district. Negeri Sembilan. In addition, the relationship between hemoglobin with nutrient intake, cognitive and functional status of the elderly were also investigated. Subjects were interviewed to obtain information on demographic and nutrient intake. Cognitive status was assessed using Elderly Cognitive Assessment Questionnaire (ECAQ) while functional status was measured using Instrumental Activity Daily Living (IADL) and hand grip measurement. Hemoglobin level was determined using HemoCue method. The findings indicated that the prevalence of anaemia was 22.7%. Prevalence of anaemia for male subject was 30.0% with mean of hemoglobin as 11.7 ±1.0 g/dl while 20.6% of female subject was anaemic with mean of hemoglobin as 11.2 ± 05 g dl. As much as 21.6% of the subjects have cognitive impairment with the prevalence is high in old-old age group (57.9%) compared to the young-old age group (11.6%).Results from functional assessment showed that mean for IADL score was 11 ±3.The IADL score was lower in old-old age group (9 ±4) compared to the young-old age group (12 ±2). For hand grip measurement, overall mean was 16.8 ± 8.7 kg (14.2 ± 8.4 kg for old-old age group and 17.6 ± 8.7 kg for young-old age group). Nutrient analysis showed that the mean calorie intake for men (1310 ±448 kcallday) and women (1180 ± 300 kcal) were lower than the Malaysian Recommanded Nutrient Intake (RNI).However, only intakes of iron,niacin and vitamin A achieved the RNI. Correlation between hemoglobin and nutrients was only showed with calorie intake (r=0.486, p=0.048) and not with other nutrients. Besides that, there was no correlation between hemoglobin with ECAQ and IADL scores but hemoglobin was correlated with hand grip strength (r=0.265, p=0.013).As a conclusion, 22.7% case of anaemia was reported in this study. However. correlations were only formed between hemoglobin with calorie intake and hemoglobin with handgrip. Anaemia in elderly increases the inability of the elderly to live independently.

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