Viktorija Prodanovska-Stojchevska, Tanja Jovanovska, Biljana Bogdanova, Maja Belevska, Domnika Rajchanovska, Izabela Filov


Introduction: Adding years to life is a great achievement when this is accompanied by a good level of health and well-being and independence. Major indicators for prediction mortality risk in older adults are the nutrition status and physical functional ability. The aim of this study is to present the nutritive and functional status among institutionalized elderlies and the relatedness with certain risk factors. Material and methods: Cross-sectional study has been conducted at certain nursing homes with participation of individuals over 60 years old. As for the research Scale of Daily Living Activities (ADL) has been used to present the functional capacity of the elderly and MNA has been used to detect the nutrition status. Results: The results from the research conducted among elderlies have shown the following socio-demographic characteristics: out of 127 participants, most of them were females- 77% and 69% at the age between 75 and 84. Most of the elderlies (in 68%) have completed secondary education. The results from MNA have shown that 69, 2 % are well- nourished, 27,6% are at risk for malnutrition and 3,2% are malnourished. There is a relatedness of the nutrition status with the gender (р˂0,001) and the level of education (р˂0,001).ADL scale among 127 elderly participants has shown that 37% are independent, 45% are with a moderate impairment and 18% are with severe functional impairment. In comparison with the females, the males show higher level of functional ability in all ADL components except the continence. Conclusion: The results from the research have shown that the nutrition status among elderlies is satisfactory, emphasizing the factors such as gender, education level and functional ability as key points for the level of nutrition status at the elderlies.


malnutrition, functional capacity, elderly.

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Ageing in the twenty-first century: a celebration and a challenge. United Nations Population Fund (UNFPA) and Help Age International, 2012.

Tolson D, Rolland Y, Andrieu S, Aquino JP, Beard J, Benetos A, et al. International Association of and Geriatrics: a global agenda for clinical research and quality of care in nursing homes. J Am Med Dir Assoc. 2011; 12(3):184-9.

Tsai AC, Lee LC, Wang JY. Complementarity of the mini-nutritional assessment and activities of daily living for predicting follow-up mortality risk in elderly Taiwanese. Br J Nutr. 2013; 109(4): 658–66.

Thomas DR, Kamel H, Azharrudin M, Ali AS, Khan A, Javaid U, et al. The relationship of functional status, nutritional assessment,and severity of illness to in-hospital mortality. J Nutr Health Aging. 2005; 9(3): 169–75.

Manton KG. A longitudinal study of functional change and mortality in the United States. J Gerontol Soc Sci . 1988; 43(5): S153–61.

Beck AM, Ovesen L, Osler M. The “Mini Nutritional Assessment” (MNA) and the “Determine Your NutritionalHealth” Checklist (NSI Checklist) as predictors of morbidity and mortality in an elderly Danish population. Br J Nutr. 1999; 81(1):31–6.

Persson MD, Brismar KE, Katzarski KS, Nordenström J, Cederholm TE. Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. J Am Geriatr Soc. 2002;50(12):1996-2002.

Donini LM, Savina C, Rosano A, De Felice MR, Tassi L, De Bernardini L et al. MNA predictive value in the follow-up of geriatric patients. J Nutr Health Aging. 2003; 7(5):282–93.

Vellas B, Guigoz Y, Garry RJ, Nourhashemi F, Bennahum D, Lauque Set al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition.1999; 15(2): 116–22.

Chan M, Lim YP, Ernest A, Tan TL. Nutritional assessment in an Asian nursing home and its association with mortality. J Nutr Health Aging. 2010; 14(1):23–8.

Long-term Care for Older People. The OECD Health Project [Internet]. OECD Publishing; 2005 Jun 30; Available from:

Akner G: Analysis of multi morbidity in individual elderly nursing home residents. Development of a multi morbidity matrix. Arch Gerontol Geriatr. 2009; 49(3):413–19.

Lobo A, Santos P, Carvalho J, Mota J. Relationship between intensity of physical activity and health-related quality of life in Portuguese institutionalized elderly. Geriatr Gerontol Int. 2008; 8(4):284–90.

Drageset J, Natvig GK, Eide GE, Clipp EC, Bondevik M, Nortvedt MW, et al. Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway. J Clin Nurs. 2008; 17(9):1227–36.

Donini LM, Scardella P, Piombo L, Neri B, Asprino R, Proietti AR, et al.A malnutrition in elderly: Social and economic determinants. J Nutr Health Aging. 2013; 17(1):9–15.

Vandewoude M, VanGossum A.Nutritional screening strategy in nonagenarians: the value of the MNA-SF (mini nutritional assessment short form) in NutriAction. J Nutr Health Aging. 2013; 17(4):310–4.

Guigoz Y. The mini nutritional assessment (MNA) Review of the literature – What does tell us?. J Nutr Health Aging. 2006; 10 (6):466–87.

Tsai AC, Ho CS, Chang MC. Assessing the prevalence of malnutrition with the Mini Nutritional Assessment (MNA) in a nationally representative sample of elderly Taiwanese. J Nutr Health Aging. 2008; 12(4):239–43.

Guigoz Y, Garry JP. Mini nutritional assessment: A practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol. 1994; 4(2):15-59.

Morris JN, Fries BE, Morris SA. Scaling ADLs within the MDS. J. Gerontol. A Biol.Sci.Med.Sci. 1999; 54:(11) M546–53.

Snowden M, McCormick W, Russo J, Srebnik D, Comtois K, Bowen J, Teri L et al. Validity and responsiveness of the minimum data set. J. Am. Geriatr. Soc. 1999; 47(8): 1000-4.

Woo E, Han C, Jo SA, Park MK, Kim S, Kim E at all. Morbidity and related facgors among elderly people in South Korea: results from the Ansan Geriatric (AGE) cohort study. BMC Public Health. 2007; 7:10.

Serrano-Urrea R, Garcia-Mesequer MJ. Malnutrition in an elderly population without cognitive impairment living in nursing homes in Spain: study of prevalence using the Mini Nutritional Assessment test. Gerontology. 2013; 59(6):490–8.

Amorim Sena Pereira ML, de Almeida Moreira P, Cunha de Oliveira C, Carneiro Roriz AK, Teresópolis Reis Amaral M, Lima Mello A at all. Nutitional status of institutionalized elderly Brazilians: a study with the MNA. Nutr Hosp. 2014; 31(3):1198-204.

de Menezes TN, Marucci MD. Avaliação antropométrica de idosos residentes em Instituições de Longa Permanência de Fortaleza-CE. Rev Bras. Geriatr Gerontol. 2010; 13(2): 235-43.

Pereira Machado RS, Santa Cruz Coelho MA. Risk of malnutrition among Brazilian institutionalized elderly: a study with the Mini Nutritional Assessment (MNA) questionnaire. J Nutr Health Aging. 2011; 15(7): 532-5.

Barreto SM, Passos VMA, Lima-Costa MFF. Obesity and underweight among Brazilian elderly: the Bambuí Health and Aging Study. Cad Saude Publica. 2003; 19(2): 605-12.

Doumit JH, Nasser RN, Hanna DR. Nutritional and health status among nursing home residents in Lebanon: comparison across gender in a national cross sectional study. BMC Public Health. 2014; 14:629.

Stratton RJ, Green CJ, Elia M. Disease-related Malnutrition: an evidencebased approach to treatment. CABI Publishing. 2003; 93-155.

Abdelbasset WK, Subash GN. Relationship between physical activity and health-related quality of life in elderly people: a cross section study. Sanamed. 2017; 12(2): 87-92.

Moreira PL, Villas Boas PJF. Avaliação nutricional e capacidade functional de idosos institucionalizados em Botucatu/SP. Geriatria Gerontologia. 2011; 5(1): 19-23.



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