| 1. |
- Cameron, Lisa J. H., et al.
(författare)
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Earning Their Keep : The Productivity of Older Women and Men in Rural Bangladesh
- 2010
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Ingår i: Journal of Cross-Cultural Gerontology. - : Springer Netherlands. - 0169-3816 .- 1573-0719. ; 25:1, s. 87-103
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Tidskriftsartikel (refereegranskat)abstract
- In Bangladesh, being active and able to participate in productive activities is often essential to ensure ongoing health and survival. This study aims to describe and explore the patterns of participation in productive activities by older people in Matlab, a rural area of Bangladesh. Data from a cross sectional survey of people over 60 years of age was utilised. Six hundred and twenty five men and women participated in home based interviews providing information about their participation in productive activities including work, domestic activities and community groups. Overall, 94.4% of subjects reported participation in at least one productive activity. Men were the main participants in paid work and community groups, with 62% reporting engagement in paid work and 44% contributing to community groups. Both men (95.4%) and women (91.9%) reported performing at least one domestic activity. Performance of higher numbers of domestic tasks was associated with being younger, female, not requiring any assistance with self care, not married, not living with any children and earning between 100–999 Bangladesh Taka in the past month. Participation in community groups was low with only 26% of the sample reporting any involvement. This study indicates a high level of productivity in the older population in Matlab which benefits the individual, the family and the wider community. The safety and suitability of typical productive activities needs further investigation, in order to inform strategies protecting the older population from the effects of over work and harmful activities.
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| 2. |
- Kabir, Zarina Nahar, et al.
(författare)
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Mini Nutritional Assessment of rural elderly people in Bangladesh : the impact of demographic, socio-economic and health factors
- 2006
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Ingår i: Public Health Nutrition. - 1368-9800 .- 1475-2727. ; 9:8, s. 968-974
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Tidskriftsartikel (refereegranskat)abstract
- Objective: In stating the Millennium Development Goals, the United Nations aims to halve malnutrition around the world by 2015. Nutritional status of the elderly population in low-income countries is seldom focused upon. The present study aimed to evaluate the magnitude of malnutrition among an elderly population in rural Bangladesh. Design and setting: Data collection for a multidimensional cross-sectional study of community-based elderly people aged 60 years and over was conducted in a rural area in Bangladesh. Subjects: Of 850 randomly selected elderly individuals, 625 participated in home interviews. Complete nutritional information was available for 457 individuals (mean age 69 +/- 8 years, 55% female). Nutritional status was assessed using an adapted form of the Mini Nutritional Assessment (MNA) including body mass index (BMI). Age, sex, education, household expenditure on food and self-reported health problems were investigated as potential predictors of nutritional status. Results: BMI < 18.5 kg m(-2), indicating chronic energy deficiency, was found in 50% of the population. MNA revealed a prevalence of 26% for protein-energy malnutrition and 62% for risk of malnutrition. Health problems rather than age had a negative impact on nutritional status. Level of education and food expenditure were directly associated with nutritional status. Conclusion: In order to reduce world hunger by half in the coming decade, it is important to recognise that a substantial proportion of the elderly population, particularly in low-income countries, is undernourished.
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| 3. |
- Kabir, Zarina Nahar, et al.
(författare)
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Mini Nutritional Assessment of Rural Elderly People in Bangladesh: The impact of demographic, socio-economic and health factors.
- 2006
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Ingår i: Public Health Nutrition. - 1368-9800. ; 9:8, s. 968-974
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Tidskriftsartikel (refereegranskat)abstract
- Objective: In stating the Millennium Development Goals, the United Nations aims to halve malnutrition around the world by 2015. Nutritional status of the elderly population in low-income countries is seldom focused upon. The present study aimed to evaluate the magnitude of malnutrition among an elderly population in rural Bangladesh. Design and setting: Data collection for a multidimensional cross-sectional study of community-based elderly people aged 60 years and over was conducted in a rural area in Bangladesh. Subjects: Of 850 randomly selected elderly individuals, 625 participated in home interviews. Complete nutritional information was available for 457 individuals (mean age 69 ^ 8 years, 55% female). Nutritional status was assessed using an adapted form of the Mini Nutritional Assessment (MNA) including body mass index (BMI). Age, sex, education, household expenditure on food and self-reported health problems were investigated as potential predictors of nutritional status. Results: BMI , 18.5 kg m 22, indicating chronic energy deficiency, was found in 50% of the population. MNA revealed a prevalence of 26% for protein–energy malnutrition and 62% for risk of malnutrition. Health problems rather than age had a negative impact on nutritional status. Level of education and food expenditure were directly associated with nutritional status. Conclusion: In order to reduce world hunger by half in the coming decade, it is important to recognise that a substantial proportion of the elderly population, particularly in low-income countries, is undernourished.
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| 4. |
- Khanam, Masuma Akter, et al.
(författare)
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Prevalence and Patterns of Multimorbidity among Elderly People in Rural Bangladesh : A Cross-sectional Study
- 2011
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Ingår i: Journal of Health, Population and Nutrition. - 1606-0997 .- 2072-1315. ; 29:4, s. 406-414
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Tidskriftsartikel (refereegranskat)abstract
- Data on multimorbidity among the elderly people in Bangladesh are lacking. This paper reports the prevalenceand distribution patterns of multimorbidity among the elderly people in rural Bangladesh. This crosssectionalstudy was conducted among persons aged ≥60 years in Matlab, Bangladesh. Information on theirdemographics and literacy was collected through interview in the home. Information about their assets wasobtained from a surveillance database. Physicians conducted clinical examinations at a local health centre.Two physicians diagnosed medical conditions, and two senior geriatricians then evaluated the same separately.Multimorbidity was defined as suffering from two or more of nine chronic medical conditions, suchas arthritis, stroke, obesity, signs of thyroid hypofunction, obstructive pulmonary symptoms, symptomsof heart failure, impaired vision, hearing impairment, and high blood pressure. The overall prevalence ofmultimorbidity among the study population was 53.8%, and it was significantly higher among women, illiterates,persons who were single, and persons in the non-poorest quintile. In multivariable logistic regressionanalyses, female sex and belonging to the non-poorest quintile were independently associated withan increased odds ratio of multimorbidity. The results suggest that the prevalence of multimorbidity is highamong the elderly people in rural Bangladesh. Women and the non-poorest group of the elderly people aremore likely than men and the poorest people to be affected by multimorbidity. The study sheds new lighton the need of primary care for the elderly people with multimorbidity in rural Bangladesh.
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| 5. |
- Khanam, Masuma Akter, et al.
(författare)
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The metabolic syndrome : prevalence, associated factors, and impact on survival among older persons in rural Bangladesh
- 2011
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 6:6, s. e20259-
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To describe the prevalence of the metabolic syndrome (MetS) among older persons in rural Bangladesh, to investigate whether the prevalence varies by age, sex, literacy, marital status, nutritional status and socio-economic status, and to assess the impact of MetS on survival.Methods: The study consisted of 456 persons who were aged ≥60 years living in a rural area of Bangladesh during July 2003-March 2004. Data were collected through interview, clinical examination, and laboratory tests, and their survival status until 30(th) June 2009 was ascertained through the Matlab surveillance system. We defined MetS following the NCEP ATP III criteria, with minor modifications, i.e., presence of any three of the following: hypertension (BP ≥130/85 mm Hg); random blood glucose (RBG) level ≥7.0 mmol/L; hyper-triglyceridemia (≥2.28 mmol/L); low level of HDL-cholesterol (<1.04 mmol/L for men and <1.29 mmol/L for women); and BMI ≥25.0 kg/m(2). Data were analysed with logistic regressions for the influential factors of MetS, and with Cox models for the association of MetS with the survival status.Findings: The overall prevalence of MetS was 19.5%, 20.8% in women, and 18.0% in men. Asset-index and nutritional status were independently associated with MetS. During 4.93 years of follow-up, 18.2% died. In the presence of high RBG, MetS has a significant negative effect on survival (69.4% vs 95.2%, log rank p = 0.02).Conclusion: This study highlights the importance of the metabolic syndrome in rural Bangladesh. Our findings suggest that there is a need for screening programmes involving the metabolic syndrome to prevent diabetes and cardiovascular diseases.
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