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Background: Older adults are known to suffer from chronic illnesses and anemia. Northern indigenous vegetables with high iron content can help reduce the incidence of anemia among older adults with chronic diseases.
Objectives: This study was conducted to explore the effectiveness of local food recipes on anemia among the elderly in Northern Thailand.
Method: This one group pre-post test quasi-experimental design involved the selection of 120 older participants by convenience sampling. The methods included interview, time up and go test, and laboratory tests for hemoglobin and ferritin. The participants then consumed local food recipes for 4 months. After 4 months, interviews, time up and go tests, and laboratory tests were repeated. The data collection instruments were questionnaires of general information and anemia-related symptoms, Mini Nutrition Assessment, Timed up and Go Test, the laboratory analysis for hemoglobin, ferritin and a local food recipes notebook. Data were analyzed by descriptive statistics and Paired t-tests.
Results: There was no statistical difference in hemoglobin level of the sample group before and after the program. (p>0.05). However, considering the 49 participants with anemia, females had a statistically significant higher of hemoglobin level after treatment than before (t = -2.09, p < .05) and increased in average hemoglobin level. In contrast, for men there were no significant differences. The participants had no statistically significant differences in ferritin level. Females had a statistically significantly higher level of ferritin than before (t = -2.91, p < 0.05) while men had no statistically significant differences.
Conclusion: Therefore, healthcare providers should promote the consumption of local recipes along with fruits high in vitamin C.
Office of the national economic and social development Board. Elderly population 1990-2030 [Internet]. 2011 [cited 2019 Aug 7]; Available from: http://social. nesdb.go.th/SocialStat/StatReport_Final. aspx?reportid=192&template=2R1C&yeartype=M&subcatid=27.
Ministry of social development and human security. Situation the elderly Thailand [Internet]. 2005 [cited 2019 Aug 7]; Available from: https://www.msociety. go.th/article_attach/3680/4111.pdf.
Tiaotrakul N. Anemia in older adults. J Hematol Transfus. 2011;21(4):267-72.
Halawi R, Moukhadder H, Taher A. Anemia in the elderly: a consequence of aging?. Expert Rev Hematol. 2017;10(4) :327-35.
Praison P, Sareeso P, Aree P, Satheannoppakao W, Chaimin Y, Poolviwat P. Anaemia in elderly people in upper-northern Thailand. Thai Journal of Nursing Council. 2017;32(1):133-45. (in Thai).
Praison P, Sareeso P, Aree P, Satheannoppakao W, Chaimin Y, Poolviwat P. Northern native recipes with high iron and vitamin C for the elderly. Journal of The Royal Thai Army Nurses. 2019;20(3):383-90. (in Thai).
Thongchim N. An implementation of nurse practitioner project management of rural older adults with anemia [Dissertation]. Nakhon Si Thammarat: Walailak University; 2008. (in Thai).
Nilmanat K, Naka K, Kong-in W, Sai-jew A, Chailungka P, Boonphadh P. Nutritional conditions of elderly people in the three southernmost border provinces. Thai Journal of Nursing Council. 2013;28(1): 75-84. (in Thai).
Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Time Up & Go Test. Phys Ther. 2000;80 (9):896-903.
Pheankul K. Prevalence of anemia and factors leading to iron deficiency anemia among elderly at Meafaekmal sub-district, San Sai district, Chiang Mai Province [Dissertation]. Chiang Mai: Chiang Mai University; 2002. (in Thai).
Chen Z, Thomson CA, Aickin M, Nicholas JS, Van WD, Lewis CE, et al. The relationship between incidence of fracture and anemia in older multiethnic women. J Am Geriatr Soc. 2010;58(12):2337-44.
Lopez CMJ, Zamora PS, Lopez MA, Marin JF, Zamora S, Perez LF. Dietary intake and iron status of institutionalized elderly people: relationship with different factors. J Nutr Health Aging. 2010;14(10) :816-21.
Alwar V, Reethi K, Rameshkumar K. Geriatric anemia: An Indian perspective. Indian J Hematol Blood Transfus. 2011; 27(1):26-32.
Sareeso P. Anemia in older people: An often overlooked problem. Thai Journal of Nursing. 2012;27(4):5-15. (in Thai).
Patel KV. Epidemiology of anemia in older adults. Semin Hematol. 2008;45(4):210-7.
Stauder R., Valent P., & Theurl I. Anemia at older age: etiology, clinical implication and management. Blood. 2018;131(5):505-14.
Malouf R, Sastre AA. Vitamin B12 for cognition [Internet]. 2009 [cited 2019 Aug 7]; Available from: http://www.The cochran elibrary.com.
Sabol VK, Resnick B, Galik E, Baldini AG, Morton PG, Hicks GE. Anemia and it impact on function in nursing home residents: What do we know. J Am Acad Nurse Pract. 2010;22:3-16.
Kito A, Imai E. The association with dietary patterns and risk of anemia in Japanese elderly. J Nutr Sci Vitaminol (Tokyo). 2020;66(1):32-40.
Bianchi VE. Role of nutrition on anemia in elderly. Clin Nutr ESPEN. 2016;11:e1-11.