The Effects of a Nutrition Literacy Enhancement Program to Food Consumption Behaviour and Muscle Mass for Older Persons with Malnutrition in Lampang Province

Authors

  • Tayarat Phuttimanee Boromarajonani College of Nursing, Nakhon Lampang
  • Sitirat Butdee Boromarajonani College of Nursing, Nakhon Lampang
  • Ammarittra Samran Boromarajonani College of Nursing, Nakhon Lampang
  • Dusit Sakulpiyatewan Phraboromarajchanok Institute

Keywords:

nutrition literacy, food consumption behaviour, muscle mass, older persons with malnutrition

Abstract

This quasi-experimental study aimed to examine the effects of a nutrition literacy promotion program on nutrition literacy, dietary behavior, and muscle mass in malnutrition older adults in Lampang Province. A total of 54 participants were randomly assigned to either the experimental group (n = 27) or the control group (n = 27). The experimental group received a group-based nutrition literacy program, while the control group received routine care. Data were collected using include nutrition literacy programs, nutrition literacy questionnaire for older persons with malnutrition and a dietary behavior questionnaire for older persons with malnutrition, with reliability coefficients of .86 and .92. Descriptive statistics, independent t-tests, and paired t-tests were used for data analysis.
The results indicated that participants in the experimental group had significantly higher scores in nutrition literacy, food consumption behaviour, and muscle mass compared to the control group (p < .05) and showed significant improvements from pre-intervention scores (p < .01). These findings suggest that providing nutrition education program according to literacy levels can effectively enhance dietary behavior, including adequate protein and nutrient intake, which in turn increases muscle mass.
The program can be applied by healthcare personnel to promote nutrition literacy among malnutrition older adults, enabling them to manage their own nutrition and make appropriate dietary choices, thereby supporting better health outcomes.

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References

Morley JE. Defining undernutrition (malnutrition) in older persons. Journal of Nutrition, Health & Aging. 2018;22(3):308–10.

Krishnamoorthy Y, Vijayageetha M, Kumar SG, Rajaa S, & Rehman T. Prevalence of malnutrition and its associated factors among elderly population in rural Puducherry using mini-nutritional assessment questionnaire. Journal of Family Medicine and Primary Care. 2018;7(6):1429-33.

Nutrition Division, Department of Health, Ministry of Public Health. Annual report on nutrition surveillance 2023. Nonthaburi: Ministry of Public Health; 2023 (in Thai)

Panutat S, Chuto C, Nuntawan C, Pumsrisawat A, & Pruksacheva T. Caring for the Elderly with malnutrition. Journal of Ratchathani Innovative Health Sciences. 2017;1(1):1-15 (in Thai)

Norman K, Haß U, & Pirlich M. Malnutrition in older adults – recent advances and remaining challenges. Nutrients. 2021;13(8):2764.

Pourhassan M, Rommersbach N, Lueg G, Klimek C, Schnatmann M, Liermann D, et al. Impact of malnutrition on acute muscle wasting in frail older hospitalized patients. Nutrients. 2020;12(5):1387.

Buakaeo P, Chaichanawirote U, & Chairat R. Factors associated with fall risks among older inpatients in a secondary hospital. Journal of The Royal Thai Army Nurses. 2023;25(3): 276–84 (in Thai)

Luemsaisuk C, & Puechpol W. Nutrition knowledge and healthy eating behaviors of students at Suratthani Rajabhat University. Panyapiwat Journal. 2018;10(3):73-83 (in Thai)

Thongsuk T. Food consumption behaviors of elderly in the 4.0 era. Journal of Humanities and Social Sciences, Rajapruk University. 2019;5(3):232-44 (in Thai)

Vrinten J, Royen K.V, Pabian S, Backer C.D, & Matthys C. Development and validation of a short nutrition literacy scale for young adults. Frontiers in Nutrition. 2023;10:1008971:1-10

Supannee P. Factors influencing food consumption behavior of the elderly in Northeastern region. Malaysian Journal of Nutrition. 2020;26(2): 203-13.

Auppakaw S, Panuthai S, & Thamdee D. Food literacy and eating behaviors among dependent elderly. Nursing Journal CMU. 2023;50(2):300–9 (in Thai)

Bahramfard T, Salehi SO, Toori MA, Pourmahmoudi A, Jowshan M, Parvin S, et al. Nutrition literacy status and its related factors in students of Yasuj University of Medical Sciences. Journal of Clinical Nutrition and Hospital Dietetics. 2020;40(4):55-62.

Prado CM, Ford KL, Gonzalez MC, Murnane LC, Gillis C, Wischmeyer PE, et al. Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient. Journal of Parenteral and Enteral Nutrition. 2023;47(1): 54-68.

Tongma S, Klinpudtan N, Sawangchit S, Bandansin J, & Srithumsuk W. Nurses’ role in home care for older people with sarcopenia. Journal of The Royal Thai Army Nurses. 2021; 22(1), 65–73 (in Thai)

Al Banna MH, Khan MSI, Rezyona H, Seidu AA, Abid MT, Ara T, et al. Assessment of food safety knowledge, attitudes and practices of food service staff in Bangladeshi hospitals: a cross-sectional study. Nutrients. 2022;14(12): 1-18.

Khamluang P, & Inmanee P. Nutrition literacy and health promotion among the elderly. Academic Journal of Science and Technology. 2022;16(1):16-27 (in Thai)

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000; 15(3):259-67.

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Published

06-05-2026

How to Cite

1.
Phuttimanee T, Butdee S, Samran A, Sakulpiyatewan D. The Effects of a Nutrition Literacy Enhancement Program to Food Consumption Behaviour and Muscle Mass for Older Persons with Malnutrition in Lampang Province. J Royal Thai Army Nurses [internet]. 2026 May 6 [cited 2026 May 9];27(2):518-26. available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/283942

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Research Articles