Nutritional Practices, Quality of Life and, Health Status of Elderly in Rural Communities in Owo Local Government Area, Ondo State, Nigeria

Abstract

The study investigates the nutrition practices, health status, and quality of life of elderly individuals in Owo, Ondo State, Nigeria. It involves a descriptive cross-sectional design with 346 elderly participants aged 60-90, systematically sampled from six rural communities. Data were collected via structured, interviewer-administered questionnaires on demographics, medical and lifestyle histories, daily activities, health-seeking behaviors, food consumption, and nutritional care practices. Nutritional status and high blood pressure were assessed using anthropometric indices and a digital sphygmomanometer. Key findings indicate that 37.6% of participants were aged 60-64. Significant differences were noted between sexes in socio-demographic variables. Alcohol consumption, tobacco sniffing, and cigarette smoking were reported by 15.3%, 11.0%, and 4.6% respectively. Additionally, 23.1% were on hypertensive drugs and 20.1% were confirmed diabetics. Meal frequency varied, with 16.5% eating less than three times daily and 59.2% eating three times daily. Lunch (58.0%) and breakfast (36.6%) were the most skipped meals, and 15% ate outside the home. Dietary diversity scores revealed 66.5% with medium and 27.5% with good diversity. Significant gender differences were observed in dietary diversity and consumption patterns of cereals, roots, tubers, and fruits. Nutritional care practices and daily living activities scores showed 90.2% and 80.6% with fair practices and good activity scores, respectively, while 46.2% demonstrated good health-seeking behavior. Common health complaints included body and joint pain. Central obesity rates were 33.8% (WC), 30.3% (WHtR), and 30.6% (WHR). Elevated systolic and diastolic blood pressure were found in 36.7% and 23% of participants, respectively. Only 31.2% reported a good quality of life. Significant positive correlations were found between nutritional status, quality of life, nutritional care practices, and functionality. Malnutrition, poor quality of life, and inadequate care practices among the elderly in rural areas highlight a public health challenge requiring targeted interventions.