Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Turkish Adaptation of Nutritional Form for the Elderly: A Methodological Study
Yaşlılar için Beslenme Formu'nun Türkçeye Uyarlanması: Metodolojik Bir Çalışma
Hülya KAMARLI ALTUNa, Gülen SUNAa, Seda ÇİFTÇİb
aDepartment of Nutrition and Dietetics, Akdeniz University Faculty of Health Sciences, Antalya, Türkiye
bDepartment of Nutrition and Dietetics, İzmir Democracy University Faculty of Health Sciences, İzmir, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1135-42
doi: 10.5336/healthsci.2022-91423
Article Language: EN
Full Text
ABSTRACT
 Objective: To establish the validity and reliability of the Nutrition Form for the Elderly (NUFFE), which is a new, inexpensive, useful, and easily applicable malnutrition assessment tool for the elderly. Material and Methods: The study was conducted on 150 individuals aged 65 and over living in the community. The questionnaire form containing NUFFE and Mini Nutritional Assessment (MNA) form, which was validated and reliable in Turkish, was used to evaluate sociodemographic characteristics, anthropometric measurements as data collection tool. NUFFE is a form consisting of 15 items and 3 answer options for each question. The scale was first translated from English to Turkish by experts, and then reverse translated by different experts. Being evaluated by 10 experts with the Davis technique, the validity, reliability and internal consistency and correlation between MNA of the applied form were evaluated. Results: The mean age of the participants was 70.68±5.39 years. The suitability of the sample size for factor analysis was tested with Kaiser-Meyer-Olkin and the value of 0.778. Due to the low factor loads in the explanatory factor analysis, three items (N6, N8, N14) were removed from the scale and the remaining 12-item were collected in two sub-dimensions. The Cronbach's alpha coefficient of NUFFE-TR was found to be 0.741. A negative correlation was found between NUFFE-TR and total MNA scores (r=- 0.778; p<0.05). Conclusion: NUFFE-TR is a valid and reliable, simple, practical, and quick-to-apply form to assess the nutritional status of older adults living in Turkish society.

Keywords: Malnutrition; aged; validation studies; nutrition assessment; geriatric assessment
ÖZET
 Amaç: Yaşlı bireyler için yeni, ucuz, yararlı ve kolay uygulanabilir bir malnütrisyon değerlendirme aracı olan Yaşlılar İçin Beslenme Formu'nun [Nutrition Form for the Elderly (NUFFE)] geçerlilik ve güvenirliğinin yapılması amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya toplumda yaşayan 65 yaş ve üstü 150 birey dâhil edilmiş, veri toplama aracı olarak sosyodemografik özellikler, antropometrik ölçümler, Türkçe geçerlik ve güvenirliği yapılan NUFFE ile Mini Nütrisyonel Değerlendirme [Mini Nutritional Assessment (MNA)] Formu'nun bulunduğu anket formu kullanılmıştır. NUFFE, 15 madde ve her soru için 3 cevap şıkkından oluşan bir formdur. Ölçeğin uzmanlar tarafından önce İngilizceden Türkçeye çevirisi yapılmış, sonrasında farklı uzmanlar tarafından ters çevirisi yapılmıştır. Davis tekniği ile 10 uzman tarafından değerlendirildikten sonra son şekli verilerek, uygulanan formun geçerlilik, güvenirlik, iç tutarlılığı ve MNA ile arasındaki korelasyon değerlendirilmiştir. Bulgular: Katılımcıların yaş ortalaması 70,68±5,39'dur. Örneklem büyüklüğünün faktör analizine uygunluğu Kaiser-Meyer-Olkin ile test edilmiş ve bulunan 0,778 değeri örneklem sayısının yeterli olduğunu göstermiştir. Açıklayıcı faktör analizinde faktör yüklerinin düşük olması nedeniyle ölçekten 3 madde (N6, N8, N14) çıkarılmış ve kalan 12 madde, 2 alt boyutta toplanmıştır. On iki maddelik NUFFE-TR'nin Cronbach alfa katsayısı 0,741 bulunmuştur. NUFFE-TR ile toplam MNA puanları arasındaki negatif yönde bir korelasyon bulunmuştur (r=-0,778; p<0,05). Sonuç: NUFFE-TR, Türk toplumunda yaşayan yaşlı erişkinlerin beslenme durumunu değerlendirmek için geçerli ve güvenilir, basit, pratik ve hızlı uygulanabilecek bir formdur.

Anahtar Kelimeler: Malnütrisyon; yaşlı; geçerlilik çalışması; beslenme değerlendirmesi; geriatrik değerlendirme
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