Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

ANTHROPOMETRIC MEASUREMENTS OF THE GERIATRIC MEDICAL PATIENTS IN PENINSULAR MALAYSIA

Author

Tan SL, Sakinah H

Institution

Universiti Sains Malaysia

Abstract

Objectives: To evaluate the anthropometric characteristics among geriatric medical patients in general hospitals Peninsular Malaysia.

Methods: A cross-sectional study was conducted at four general hospitals from each of the region in Peninsular Malaysia from January 2011 to January 2012. Anthropometric measurements included weight, height, body mass index (BMI), mid-upper arm circumference (MUAC) and calf circumference (CC) were taken using standard procedures. Clinical diagnosis was obtained through medical record.

Results: A total of 303 geriatric patients (male, n=154; female, n=149) aged 65 years and above (mean age=73.68±5.63) were recruited. The most frequent diseases were circulatory diseases (43.2%), respiratory diseases (23.8%), endocrine, nutritional and metabolic diseases (13.9%) and blood diseases (5.3%). There was a significant age- related decline in all anthropometric variables. Based on BMI classification, 43.9% of patients were overweight/obese (=25.0kg/m 2 ) and 8.6% were underweight (<18.5kg/m 2 ). 10.6% and 14.2% of patients were malnourished/muscle-wasted according to MUAC (<23.0/22.0cm for men/women) and CC (<0.1/27.3cm) respectively. Overweight/obesity was shown to have higher proportion in women than in men (51.0% v.37.0%; p=0.036), whereas malnourishment/muscle- wasting was higher in men (14.9% v. 6.0%; p=0.012). Regression analysis revealed that MUAC and CC were significant predictors of BMI (R 2 =0.672).

Conclusion: All the anthropometric parameters decreased significantly with age in both genders. The significant relationship between MUAC and CC with BMI suggesting their use in classify malnourishment as alternative to BMI among geriatric patients.