“STATUS OF WOMEN IN EMERGING SOCIAL STRUCTURE – A STUDY ON ELDERLY WOMEN RESIDING IN SURAT CITY OF GUJARAT STATE: INTERPLAY OF SOCIO-DEMOGRAPHIC FACTORS WITH CURRENT NUTRITIONAL STATUS”

Authors

  • Dr. V.N.Solanki, Dr. S.L.Kantharia Mrs. Smita Maniar Associate Professor, Department of Food Science & Nutrition; Sheth P.T. Mahila College of Arts & Home Science; Vanita Vishram, Veer Narmad South Gujarat University; Surat; Gujarat. Professor and Head, Department of Community Medicine, Government Medical College, Veer Narmad South Gujarat University, Surat, Gujarat. Nutritionist, Deputy Director, United Way of Baroda, Vadodara, Gujarat.

Keywords:

population, geographic, anthropometric, measurements, institutionalized.

Abstract

In India, the term “elderly” has been defined as all individuals of 60 years and above (Government of India, 2011). Ageing is a dynamic process that represents the molecular, biochemical, physiological and structural changes when growth stops. Ageing is the intrinsic, inevitable and irreversible age-related process of loss of viability and increase in vulnerability. Ultimately ageing is associated with functional decline of the systems. Ageing also has a gender perspective. Women are more vulnerable.

Population dynamics are changing world over and in India too with the increasing elderly population. Along with the population ageing, social trends are also changing with increasing number of elderly either living alone or in institution. The present study was undertaken in Surat city to understand the differences in the nutritional status of elderly (Man & Woman) residing in their own homes (non-institutionalized) and those residing in institutions.

The knowledge base with regard to demographic, social, economical and nutritional status of elderly is woefully inadequate (UNFPA, 2011). Hence, it is imperative to undertake studies in various geographic locations and settings to gather information about the elderly to address the needs of this growing segment of population in future. Considering this, the present study was undertaken in Surat city of Gujarat State of India with the following objectives.

* The broad objective of the study was to assess the socio-demographic profile, nutritional status of the elderly (60 years and above) and compare among those residing in their own home (Free Living or Non-Institutionalized group) and those residing in old age homes (Institutionalized group).

* The specific objectives of the study were to assess the differences among the Free-living and Institutionalized elderly with regard to the following parameters. 1) Socio-demographic profile 2) Nutritional status using anthropometric measurements, Body Mass Index (BMI), Waist circumference, Waist Hip Ratio (WHR), Demispan, Demiquet and Mindex indices.

The study reveals that: Among the 1005 elderly studied, 794 lived in their own homes and remaining 211 lived in old age homes.Majority of the elderly were literate (83%) with a higher proportion of men being literate (86%) as compared to women (80%).More than half (56%) of the elderly belonged to middle income group, one-fourth were from low income group and one-fifth were from high income group.The mean weight, height, waist and hip circumference was significantly higher among free living elderly as compared to institutionalized elderly. Demiquet Index in men and Mindex index in women revealed that free living elderly had higher means of these indices as compared to institutionalized elderly. On the other hand, mean waist hip ratio was higher among institutionalized elderly. Considering recent BMI classification, a significantly higher proportion of elderly from the institutions were underweight and a significantly higher proportion of free living elderly were obese.

References

Acharya, A. (2012). Depression, Loneliness and Insecurity Feeling among the elderly female, living in old age homes of Agartala. Indian Journal of Gerontology, 26(4): 524-536.

Bagchi, K. (1999). Healthy Ageing and Nutrition. In Mehta, P. and Nambiar, V. (Eds.), Ageing Nutrition and Health, (pp 12-16), Based on the deliberations of the National Conference organized as a mark of celebrating the International Year of the Elderly, Department of Foods and Nutrition, Faculty of Home Science, Maharaja Sayajirao University of Baroda, Vadodara, India.

Basu, M. (2006). Geriatrics: Its Importance and its Present Status in India. Indian Journal of Gerontology, 20(4): 359-368.

Das, NP. and Shah, U. (2004). Study of old age homes in the care of the elderly in Gujarat. Project Report press- .in/writerreaderresearcg/416.htm . Retrieved on March, 2012.

Despres, J. (2007). Association for weight management and obesity prevention: The American Society for nutrition and the American diabetes association. American Journal of Clinical Nutrition, 85: 1197-1202.

Gopalan, C, Rama Sastri, BV. & Balasubramaniam S.C. (2004). Nutritive Value of Indian Foods, National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, India.

Government of India. (1999). National Policy on Older persons, Ministry of Social Justice and Empowerment, Government of India, New Delhi. Retrieved May 12, 2012 from http://socialjustice.nic.in/hindi/pdf/npopcomplete.pdf

Government of India. (2011). National Policy for Senior Persons, Ministry of Social Justice and Empowerment, Government of India, New Delhi. Retrieved May 25, 2013 from http://socialjustice.nic.in/pdf/dnpsc.pdf

Government of India. (2011). Situational Analysis of Elderly in India, Central Statistics Office, Ministry of Statistics and Programme Implementation, Government of India, New Delhi. Retrieved May 15, 2013 from http://mospi.nic.in/mospi_new/upload/elderly_in_india.pdf

Horwath, CC. (1989). Dietary Intake Studies in Elderly People. In Bourne, GH(Ed.). Impact of Nutrition on Health and Disease. World Revolutionary Nutrition Diet. Basel, Karger 59: 1-70.

Indian Council of Medical Research. (1997). A Report on Mental Health of Elderly. ICMR, New Delhi, India.

Islam, Md.R., Rahman, Md.M. and Islam, Md.R. (2010). Socio-Economic Condition of the rural aged in Bangladesh: A Logistic Regression Analysis. Indian Journal of Gerontology, 24(2): 225-236.

Jelliffe, DB. (1966). The assessment of the nutritional status of the community. WHO Monograph No. 53, Geneva, Switzerland.

Joshi, SW, Menson, KS, Sawant, SM., Laxmi, VA. and Dhar, HL. (2006). Demographic Health Profile in Urban and Rural Elderly Population. Indian Journal of Gerontology, 20(4): 337-346.

Kabir, Z., Ferduos, T., Cederholm, T., Khanom, M., Streatfied, K. and Wahlin, A. (2006). Mini Nutritional Assessment of rural elderly people in Bangladesh: The impact of demographic, socio-economic and health factors. Public Health Nutrition, 9(8): 968-974.

Kagansky, N., Berner, Y., Koren-Morag, N., Perelman, L., Knobler, H. and Levy, S. (2006). Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. American Journal of Clinical Nutrition, 82(4): 784-791.

Kan, K., Park, A. and Chang, M. (2000). A Dynamic Model of Elderly Living Arrangement in Taiwan. Paper presented at Annual Meeting of Population Association of America, Los Angeles, CA, USA.

Kasthuri, A., Ramesh, N., Hegde, SKB., Rao, D., D’Souza, G., Reddy, B. and Chandra, M. (2012). Immunization coverage with selected vaccines in elderly persons in a rural community in southern India. Indian Journal of Gerontology, 26(4): 451-461.

Kuppuswamy’s SES classification (updated in 2005) viewed from http://www.scribd.com/doc/18658493/Kuppuswamys-SES-Classification on April, 2013.

Mahan, K. and Stump, SE. (2000). Nutrition in Ageing. In Saunders (ed.) Food, Nutrition and Diet Therapy, pp 318-337, Elsevier publishing, USA.

Mehta, P. and Manimala, M. (1996). A study on dietary modification of hospitalized elderly with swallowing disorders. Unpublished. M.Sc. Dissertation, department of Food and Nutrition, M. S. University, Vadodara.

Mehta, P. and Mehta, M. (2003). A study on nutrition and disease profile of elderly belonging to three different communities. Indian Journal of Gerontology, 17(3 and 4): 380-388.

Mehta, P. and Reddy, P. (1996). Assessment of health and nutritional status of elderly hospitalized head and neck cancer patients: Diet modification with use of ARF. Unpublished. M.Sc. Dissertation, department of Food and Nutrition, M. S. University, Vadodara.

Mehta, P. (1999). Diet, Nutrition and Health profile of Elderly population of urban Baroda. In Mehta, P. and Nambiar, V. (Eds.), Ageing Nutrition and Health, (pp 12-16), Based on the deliberations of the National Conference organized as a mark of celebrating the International Year of the Elderly, Department of Foods and Nutrition, Faculty of Home Science, Maharaja Sayajirao University of Baroda, Vadodara, India.

Mehta, P. and Laddu, U. (2001). A study on diet, nutrition status and disease profile of the elderly suffering from depression. Indian Journal of Gerontology, 16: 250-257.

Mehta, P. and Shringarpure, B. (2003). A study on life style factors, diet profile and impact of Nutrition Health Education in elderly women with breast cancer. Indian Journal of Gerontology, 17(3 and 4): 366-374.

Mehta, P., Chauhan, K. and Devi, C. (2007). Study on food preferences and taste sensitivity of local elderly women residing in Baroda city and evaluation of selected food items for geriatric group. Indian Journal of Gerontology, 21 (1): 20-29.

World Health Organization. (2000). The Asia-Pacific perspective: Re-defining obesity and its treatment. Regional Office for Western Pacific, International Association for the study of Obesity, Sydney, Australia.

World Health Organization. (2000a). Obesity: Preventing and managing the global epidemic, Report of a WHO Consultation (TRS 894), World Health Organization (WHO), Geneva, Switzerland.

World Health Organization. (2000b). Global strategy for the prevention and control of non-communicable diseases, World Health Organization, Geneva, Switzerland.

World Health Organization (2001). Health and Ageing: A discussion paper. World Health Organization, Geneva, Switzerland.

World Health Organization. (2004). Appropriate body mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403):157-163.

World Health Organization. (2006). Reliability of anthropometric measurements in the WHO Multicentre Growth Reference Study by WHO Multicentre Growth Reference Study Group. Acta Paediatr Suppl. 2006 Apr; 450:38-46. Viewed from PubMed, http://www.ncbi.nlm.nih.gov/pubmed/16817677 on May, 2013.

World Health Organization. (2011). Global Health and Ageing. A publication by National Institute on Ageing, National Institute of Health, US., Department of Health and Human Services, NIH Publications No. 11-7737, WHO, Geneva, Switzerland.

World Health Organization. (2011). Waist Circumference and Waist-Hip Ratio, Report of a WHO Expert Consultation, 8-11 December, 2008, WHO, Geneva, Switzerland.

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2015-06-30

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