Influence of Mental and Physical Conditions and Use of In-Home Services upon Dietary Balance of the Elderly

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  • Nobuhara Hiroaki
    Department of Nursing, Faculty of Health and Welfare Science, Okayama Prefectural University
  • Kitazono Akie
    Department of Nursing, Faculty of Health and Welfare Science, Okayama Prefectural University
  • Watanabe Yumi
    Department of Public Health, Showa University School of Medicine
  • Anzai Masaya
    Department of Community Social Work, Faculty of Sociology and Social Welfare, Ryukoku University

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Other Title
  • 高齢者の食事バランスに及ぼす心身の状況および在宅サービスの利用状況等の影響
  • コウレイシャ ノ ショクジ バランス ニ オヨボス シンシン ノ ジョウキョウ オヨビ ザイタク サービス ノ リヨウ ジョウキョウ トウ ノ エイキョウ

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Abstract

Purpose : To contribute to health maintenance and improvement in QOL of the elderly, we analyzed influence of various factors on dietary balance of the elderly including the use state of in-home health and welfare services which relate to dietary habits such as meal delivery service. Method : 10,538 of 70 years old or more were analyzed from the data of "At home counseling work supporting the strategy for reducing the bedridden elderly to zero in fiscal 1996" which All Japan Federal of National Health Insurance Organization had executed for "the elderly who might become bedridden" extracted by receipts in 75 municipalities of 10 prefectures. Dietary balance of the elderly was evaluated by the nourishment diagnosis score used by the National Nutrition Survey in 1990 and the each question which constitutes it. As the factors which exerted the influence on dietary balance of the elderly, the use state of home help service, day care, day service, and meal delivery service was taken up, in addition to sex, age class, health status, dementia's presence, family member, and receiving medical care, and the examination was carried out through the multiple logistic regression analysis. Result : The dietary balance in female was better then that in male and it in the elder was also better than that in the younger. Moreover, bedridden, dementia's presence, living alone, and non-receiving medical care were risk factors for good dietary balance. The dietary balance of home help service users was especially worse than that of non-users. Conclusion : Since none of at home services for the elderly which were taken up in this study did not show enough contribution for the dietary habits improvements of the elderly, we thought the necessity of appropriate dietary support to the elderly.

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