Correlation between malnutrition and health-related quality of life (HRQOL) in elderly Iranian adults

J Int Med Res. 2020 Jan;48(1):300060519863497. doi: 10.1177/0300060519863497. Epub 2019 Sep 10.

Abstract

Objectives: We aimed to evaluate the association of nutritional status and health-related quality of life (HRQOL) among elderly Iranian residents.

Methods: We used the 36-item Short Form Health Survey (SF-36) to assess HRQOL among participants with normal nutrition status, at risk of malnutrition, and malnourished.

Results: Mean group scores for the Physical Component Summary (PCS) of the SF-36 were 44, 36.5, and 29.0 for normal, at-risk, and malnourished groups, respectively; for the Mental Component Summary (MCS), these were 47.1, 40.7, and 34.8, respectively. The PCS and MCS displayed significant positive correlation with malnutrition in three models: crude (I); age- and sex-adjusted (II); and adjusted for age, sex, education, occupation, marital status, and residence. Standardized beta coefficients of PCS in Models I–III were 1.35, 1.27, and 1.14, respectively; for MCS, these were 1.11 in all three models; all results were statistically significant. Estimated results of logistic regression were −6.023 for malnourished versus well-nourished and −2.652 for malnourished versus at risk of malnutrition.

Conclusion: Our analyses revealed the crucial impact of nutritional status on both mental and physical components of HRQOL.

Keywords: Health-related quality of life; Mental Component Summary; Physical Component Summary; elderly; malnutrition; nutritional status.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment / methods*
  • Health Status
  • Humans
  • Iran / epidemiology
  • Male
  • Malnutrition / epidemiology*
  • Malnutrition / physiopathology
  • Middle Aged
  • Quality of Life*
  • Surveys and Questionnaires