title: The nutritional status of 1081 elderly people residing in publicly funded shelter homes in Peninsular Malaysia.
abstract: OBJECTIVE
  The aim of this study was to determine the: (1) prevalence of undernutrition as determined by the 'DETERMINE Your Nutritional Health Checklist' (NHC) and (2) factors independently associated with undernutrition among the older residents of these publicly funded shelter homes in Peninsular Malaysia.
  
  
  METHODS
  A total of 1081 elderly people (59%M) over the age of 60 y were surveyed using questionnaires determining baseline demographics, nutritional and cognitive status, physical function and psychological well-being.
  
  
  METHODS
  Shelter homes, Peninsular Malaysia.
  
  
  RESULTS
  In all, 41.4% (n = 447) were nourished (score <3), 32.1% (n = 347) at moderate risk (score between 3 and 5) and 26.6% (n = 287) were at high risk of undernutrition (score>5) according to the NHC. A large proportion of subjects were underweight with 14.3% of subjects recording a low body mass index (BMI) <18.5 kg/m2 and a further 18.2% recording a BMI between 18.5 and 20 kg/m2. The residential geriatric depression score (GDS-12R) (relative risk (RR) = 1.03 (95% confidence interval (CI) 1.01-1.05); P = 0.002) and the number of illnesses (RR = 1.14 (95% CI 1.07-1.21); P < 0.001) were found to be independently associated with nutritional risk (NHC score > or = 3). Using a BMI < 18.5 kg/m2 as an objective marker for nutritional risk, the NHC was shown to have a sensitivity of 66.4% (95% CI 58.0-74.2%), specificity of 42.7% (95% CI 39.3-46.1%), positive predictive value of 16.2% (95% CI 13.3-19.5%) and a negative predictive value of 88.4% (95% CI 84.9-91.4%).
  
  
  CONCLUSIONS
  Many elderly people residing in publicly funded shelter homes in Malaysia may be at-risk of undernutrition, and were underweight. The NHC is better used as an awareness tool rather than as a screening tool.
authors.affiliation: Department of Geriatric and Rehabilitation Medicine, Royal Adelaide Hospital, Adelaide, South Australia. renuka.visvanathan@adelaide.edu.au
authors.forename: R
authors.initials: R
authors.lastname: Visvanathan
authors.forename: A
authors.initials: A
authors.lastname: Zaiton
authors.forename: M S
authors.initials: MS
authors.lastname: Sherina
authors.forename: Y A
authors.initials: YA
authors.lastname: Muhamad
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D016001:Confidence Intervals; D003863:Depression / Q000453:epidemiology*; D005260:Female; D015577:Geriatric Assessment; D006306:Health Surveys; D006703:Ill-Housed Persons; D006801:Humans; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000453:epidemiology*; D009749:Nutrition Surveys; D009752:Nutritional Status; D016017:Odds Ratio; D012307:Risk Factors; D011795:Surveys and Questionnaires