Publication:

Comprehensive assessment of elderly population in North India during era of SARS-CoV-2 pandemic

Background Elderly form a vulnerable population, during SARS-CoV-2 pandemic they are especially at risk due to immuno-senescence and increased number of comorbidities. The aim of this study was to assess the nutritional, physical and mental status of elderly living in urban areas of north India during the lockdown period.

Methods A questionnaire was made in Google forms based on R-MAPP and MNA Score. The assessment was carried out using telecommunication and self-assessment Google forms.

Results Amongst the elderly people, 91% suffered from comorbidities (e.g. hypertension and diabetes) with 37% having >2 comorbidities. The 8% of elderly were   underweight, 45% were normal and 47% were overweight as per BMI. Out of total, 5% elderly were malnourished, 26% were at risk of mal nutritional and 69% had normal nutritional status. 38% of elderly observed a change in eating pattern during lockdown which included eating healthier food for many and increased snacking in some. The water intake was below 1.5 litres in 29%, 1.75-2.5 litres in 47% and >2.5 litres in 24% of the study population. Twenty percent suffered from high levels of anxiety and stress during this lock down period. Five percent of these had very high levels of stress or anxiety. Some were in the extreme range. Twenty six percent complained of loneliness.

Conclusions The elderly population needs to be actively monitored for physical and mental wellbeing during lockdown periods by applying algorithms that effectively use telemedicine as a tool for regular check-ups.