Risk of Malnutrition Evaluated by Mini Nutritional Assessment and Sarcopenia in Noninstitutionalized Elderly People

Autor: Gennaro Russo, Domenico Bonaduce, Giulia Bulli, Gaetano Gargiulo, Michele Cellurale, Luisa Aran, Pasquale Abete, Gianluca Testa, Ilaria Liguori, Francesco Cacciatore, Francesco Curcio, David Della-Morte
Přispěvatelé: Liguori, I, Curcio, F, Russo, G, Cellurale, M, Aran, L, Bulli, G, Della-Morte, D, Gargiulo, G, Testa, G, Cacciatore, F, Bonaduce, D, Abete, P.
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Mini nutritional assessment
Sarcopenia
Multivariate analysis
aged
elderly
malnutrition
muscle strength
nutrition assessment
nutritional status
sarcopenia
Aged
Aged
80 and over
Body Composition
Cross-Sectional Studies
Electric Impedance
Female
Humans
Independent Living
Malnutrition
Prevalence
Risk Factors
Geriatric Assessment
Hand Strength
Muscle
Skeletal
Nutrition Assessment
Nutritional Status
Elderly
Muscle strength
Nutrition assessment
Nutritional status
Medicine (miscellaneous)
Nutrition and Dietetics
Settore MED/09
030209 endocrinology & metabolism
03 medical and health sciences
0302 clinical medicine
Internal medicine
80 and over
medicine
Elderly people
030212 general & internal medicine
business.industry
Confounding
Skeletal
musculoskeletal system
medicine.disease
Comorbidity
Muscle
business
human activities
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 33(6)
ISSN: 1941-2452
Popis: BACKGROUND: Malnutrition indices and muscle mass and strength in the elderly are poorly investigated. Moreover, malnutrition seems to be 1 of the more important factors in the cause of sarcopenia. The presence of sarcopenia and its relationship with malnutrition indices were studied in noninstitutionalized elderly people who underwent Comprehensive Geriatric Assessment (CGA). METHODS: A total of 473 elderly subjects (mean age, 80.9 ± 6.6 years) admitted to CGA were studied. Malnutrition risk was evaluated with Mini Nutritional Assessment (MNA) score, whereas muscle mass and muscle strength were evaluated by bioimpedentiometry and hand grip, respectively. Sarcopenia was assessed as indicated in the European Working Group on Sarcopenia in Older People (EWGSOP) consensus. RESULTS: Overall prevalence of sarcopenia was 13.1%, and it increased from 6.1% to 31.4% as MNA decreased (P < .001). MNA score was lower in elderly subjects with sarcopenia (15.4 ± 4.2) than without sarcopenia (22.0 ± 4.0) (P = .024). Linear regression analysis showed that MNA score is linearly related both with muscle mass (r = 0.72; P < .001) and strength (r = 0.42; P < .001). Multivariate analysis, adjusted for several confounding variables including comorbidity and disability, confirmed these results. CONCLUSIONS: MNA score is low in noninstitutionalized elderly subjects with sarcopenia, and it is linearly related to muscle mass and muscle strength. These data indicate that MNA score, when evaluated with muscle mass and strength, may recognize elderly subjects with sarcopenia.
Databáze: OpenAIRE
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