Sarcopenia, physical frailty, undernutrition and obesity cooccurrence among Portuguese community-dwelling older adults: results from Nutrition UP 65 cross-sectional study
| Autor: | Sousa Santos, AR, Afonso, C, Afonso, Cláudia, Borges, Nuno, Borges, N, Santos, Alejandro, Santos, A, Padrão, Patrícia, Padrão, P, Moreira, Pedro, Moreira, P, Amaral, Teresa, F Amaral, T |
|---|---|
| Přispěvatelé: | Instituto de Saúde Pública da Universidade do Porto, Faculdade de Ciências da Nutrição e Alimentação, Instituto de Investigação e Inovação em Saúde |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
obesity Sarcopenia Multivariate analysis Epidemiology Cross-sectional study lcsh:Medicine frailty Comorbidity Frailty / epidemiology sarcopenia Sarcopenia / epidemiology medicine Humans Portugal / epidemiology Obesity / epidemiology Geriatric Assessment Aged Multinomial logistic regression Frailty Portugal business.industry Health sciences Medical and Health sciences lcsh:R Ciências médicas e da saúde General Medicine medicine.disease Obesity language.human_language undernutrition Malnutrition Cross-Sectional Studies Nutrition Assessment Phenotype coexistent conditions Medical and Health sciences language Female Independent Living Ciências da Saúde Ciências médicas e da saúde Portuguese business Body mass index Demography |
| Zdroj: | BMJ Open, Vol 10, Iss 6 (2020) Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP BMJ Open |
| Popis: | Objectives. To investigate the coexistence of sarcopenia, frailty, undernutrition and obesity and to identify the factors associated with the cooccurrence of these conditions in an older population. Design. Cross-sectional. Setting. Portugal. Participants. 1454 older adults with 65 years or older, from Nutrition UP 65 study. Primary and secondary outcome measures. Sarcopenia was identified using the European Working Group on Sarcopenia in Older People 2 guidelines and physical frailty using Fried phenotype. Mini-Nutritional Assessment-Short Form was used to ascertain undernutrition, and obesity was evaluated by body mass index. Results. 57.3% presented at least one condition, 38.0% were identified with one and 19.3% were identified with two or more conditions. When all preconditions were considered, 95.7% of the older adults presented at least one of these preconditions or conditions. Multinomial logistic regression multivariate analysis revealed that being male (OR 0.61; 95% CI 0.43 to 0.88), being married or in a common-law marriage (OR 0.58; 95% CI 0.40 to 0.84) and having a higher educational level (OR 0.23; 95% CI 0.07 to 0.73) were inversely associated with having two or more conditions, while age >75 years (OR 1.60; 95% CI 1.14 to 2.24), a poor self-perception of health status (OR 5.61; 95% CI 3.50 to 9.01), ≥5 medications (OR 3.11; 95% CI 1.77 to 5.46) and cognitive impairment (OR 1.84; 95% CI 1.37 to 2.48) were directly associated. Conclusions. Almost three out of five older adults presented at least one of the conditions related to nutritional status, and about one in five had two or more of these occurrences. However, the low coexistence observed between all of these reinforces the need to assess them all individually during the geriatric assessment. The present project was 85% funded by the Public Health Initiatives Programme (PT06), financed by EEA Grants Financial Mechanism 2009–2014 and 15% funded by Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto. Also, Ana Rita Sousa-Santos as a PhD student received a scholarship from FCT—Fundação para a Ciência e a Tecnologia, financing programme POCH—Programa Operacional Capital Humano, under the project (SFRH/BD/138362/2018). |
| Databáze: | OpenAIRE |
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