Relationship between frailty, nutrition, body composition, quality of life, and gender in institutionalized older people.

Autor: Jyväkorpi SK; University of Helsinki, Clinicum, Finland. satu.jyvakorpi@gery.fi., Lindström M; City of Helsinki Department of Social Services and Health Care, Geriatric Clinic, Helsinki Hospital, Helsinki, Finland., Suominen MH; University of Helsinki, Clinicum, Finland., Kautiainen H; University of Helsinki, Clinicum, Finland., Salminen K; University of Helsinki, Clinicum, Finland., Niskanen RT; University of Helsinki, Clinicum, Finland., Pitkälä KH; University of Helsinki, Clinicum, Finland., Roitto HM; City of Helsinki Department of Social Services and Health Care, Geriatric Clinic, Helsinki Hospital, Helsinki, Finland.
Jazyk: angličtina
Zdroj: Aging clinical and experimental research [Aging Clin Exp Res] 2022 Jun; Vol. 34 (6), pp. 1357-1363. Date of Electronic Publication: 2022 Feb 11.
DOI: 10.1007/s40520-022-02077-0
Abstrakt: Our aim was to explore the relationship between frailty, nutrition, body composition, and how gender modifies this relationship among long-term care facility residents. We further investigated how body composition correlates with health-related quality of life (HRQoL) in both genders. In all, 549 residents (> 65 years of age) were recruited from 17 long-term care facilities for this cross-sectional study. Demographic information, diagnoses, use of medications, and nutritional supplements were retrieved from medical records. Participants' frailty status, cognition, nutritional status, HRQoL, and body composition were determined. Energy, protein, and fat intakes were retrieved from 1- to 2-day food diaries. The final sample consisted of 300 residents (77% women, mean age 83 years). The majority of participants, 62% of women and 63% of men, were identified as frail. Frail participants in both genders showed lower body mass index (p = 0.0013), muscle mass (MM) (p < 0.001), poorer nutritional status (p = 0.0012), cognition (p = 0.0021), and lower HRQoL (p < 0.001) than did prefrail participants. Women had higher fat mass, whereas men exhibited higher MM. The HRQoL correlated with the MM in both women, r = 0.48 [95% CI 0.38, 0.57] and men r = 0.49 [95% CI 0.38, 0.58]. Interventions aimed at strengthening and retaining MM of long-term residents may also support their HRQoL.
(© 2022. The Author(s).)
Databáze: MEDLINE
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