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Mezgebu GS, Petros L, Alemayew E, Abebaw G, Feleke FW. Magnitude of undernutrition and its association with dietary diversity among older persons in Ethiopia: a systematic review and meta-analysis, 2023. J Nutr Sci 2023; 12:e102. [PMID: 37771505 PMCID: PMC10523292 DOI: 10.1017/jns.2023.84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 08/15/2023] [Accepted: 09/04/2023] [Indexed: 09/30/2023] Open
Abstract
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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Key Words
- AOR, adjusted odd ratio
- CDC, Centers for Disease Control and Prevention
- CI, confidence interval
- DDS, Dietary Diversity Score
- Dietary diversity
- FAO, Food and Agriculture Organization
- IDA, iron deficiency anaemia
- JBI, Joanna Briggs Institute
- LIC, low-income country
- Malnutrition
- MeSH, Medical Subject Headings
- Meta-analysis
- NGO, Non-Governmental Organization
- Older persons
- PRISMA, Preferred Reporting Items for Systematic Review and Meta-Analysis
- SNNP, Southern Nations, Nationalities, and People's Region
- SSA, sub-Saharan Africa
- Systematic review
- WHO, World Health Organization
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Affiliation(s)
- Getachew Sale Mezgebu
- Department of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, Ethiopia
| | - Legesse Petros
- Department of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, Ethiopia
| | - Etaferaw Alemayew
- Department of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, Ethiopia
| | - Gashaw Abebaw
- Department of Human Nutrition, School of Human Nutrition and Food Science Technology, College of Agriculture, Hawassa University, PO Box 05, Hawassa, Ethiopia
| | - Fentaw Wassie Feleke
- Department 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, Ethiopia
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