Publicação
Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty
| Resumo: | Introduction: Malnutrition, sarcopenia and frailty are multifactorial and highly prevalent conditions among institutionalized older adults Objectives: The aim of this study was to asses body mass index and body composition in older adults, according to the diagnosis of malnutrition, sarcopenia and frailty. Methods: Institutionalized older adults with 60 or more years old were included. Nutritional status (Mini Nutritional Assessment), sarcopenia (European Working Group Sarcopenia in Older People criteria) and frailty (Fried Phenotype) were assessed. Body composition was assessed through bioelectrical impedance Results: One-hundred and forty-six individuals, with a mean age of 83 years old and mainly females (63.3%) were included. Malnutrition was diagnosed in 26.2%, sarcopenia in 25.0% and frailty in 61.0%. Mean Body Mass Index (BMI) was 20.7, 25.8 and 26.6kg/m2 in malnourished, at risk and well- nourished individuals, respectively(p = 0.000); 21.6 and 26.8 kg/m2 in sarcopenic and non-sarcopenic individuals(p = 0.000); and 24.3 and 27.7 kg/m2 in fragile and robust individuals(p=0.000). Mean Fat Mass Index was 9.6 and 13.3 kg/m2 in sarcopenic and non-sarcopenic individuals (p=0.007); and 10.3 and 16.0kg/m2 in fragile and robust individuals (p=0.000). Mean Free Fat Mass Index was 12.5, 14.9 and 17.0kg/m2 in malnourished, at risk and well- nourished individuals; 12.0 and 17.0 kg/m2 in sarcopenic and non-sarcopenic individuals(p=0.000); and 14.7 and 17.1kg/ m2 in fragile and robust individuals(p = 0.002) Conclusions: BMI, free fat mass and fat mass were significantly lower in older adults with malnutrition, sarcopenia and frailty. BMI is a practical nutritional status marker, however it needs to be interpreted cautiously in older adults, as it seems that a lower value is associated with a worse prognosis and existing cutoffs may not apply. Nutritional screening and assessment of older adults is essential for a prompt intervention, in order to prevent and reverse these conditions |
|---|---|
| Autores principais: | Marques, Maria Armanda |
| Outros Autores: | Faria, Ana; Cebola, Marisa |
| Assunto: | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| Ano: | 2019 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Coimbra |
| Idioma: | inglês |
| Origem: | Instituto Politécnico de Coimbra |
| _version_ | 1868801020861087744 |
|---|---|
| author | Marques, Maria Armanda |
| author2 | Faria, Ana Cebola, Marisa |
| author2_role | author author |
| author_facet | Marques, Maria Armanda Faria, Ana Cebola, Marisa |
| author_role | author |
| contributor_name_str_mv | Repositório Comum |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Marques, Maria Armanda\"},{\"Person.name\":\"Faria, Ana\",\"Person.identifier.orcid\":\"0000-0002-9125-7690\"},{\"Person.name\":\"Cebola, Marisa\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Comum |
| datacite.creators.creator.creatorName.fl_str_mv | Marques, Maria Armanda Faria, Ana Cebola, Marisa |
| datacite.date.Accepted.fl_str_mv | 2019-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2020-04-17T23:31:11Z |
| datacite.date.embargoed.fl_str_mv | 2020-04-17T23:31:11Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| datacite.titles.title.fl_str_mv | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| dc.contributor.none.fl_str_mv | Repositório Comum |
| dc.creator.none.fl_str_mv | Marques, Maria Armanda Faria, Ana Cebola, Marisa |
| dc.date.Accepted.fl_str_mv | 2019-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2020-04-17T23:31:11Z |
| dc.date.embargoed.fl_str_mv | 2020-04-17T23:31:11Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.26/32021 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by-nc-sa/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| dc.title.fl_str_mv | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Introduction: Malnutrition, sarcopenia and frailty are multifactorial and highly prevalent conditions among institutionalized older adults Objectives: The aim of this study was to asses body mass index and body composition in older adults, according to the diagnosis of malnutrition, sarcopenia and frailty. Methods: Institutionalized older adults with 60 or more years old were included. Nutritional status (Mini Nutritional Assessment), sarcopenia (European Working Group Sarcopenia in Older People criteria) and frailty (Fried Phenotype) were assessed. Body composition was assessed through bioelectrical impedance Results: One-hundred and forty-six individuals, with a mean age of 83 years old and mainly females (63.3%) were included. Malnutrition was diagnosed in 26.2%, sarcopenia in 25.0% and frailty in 61.0%. Mean Body Mass Index (BMI) was 20.7, 25.8 and 26.6kg/m2 in malnourished, at risk and well- nourished individuals, respectively(p = 0.000); 21.6 and 26.8 kg/m2 in sarcopenic and non-sarcopenic individuals(p = 0.000); and 24.3 and 27.7 kg/m2 in fragile and robust individuals(p=0.000). Mean Fat Mass Index was 9.6 and 13.3 kg/m2 in sarcopenic and non-sarcopenic individuals (p=0.007); and 10.3 and 16.0kg/m2 in fragile and robust individuals (p=0.000). Mean Free Fat Mass Index was 12.5, 14.9 and 17.0kg/m2 in malnourished, at risk and well- nourished individuals; 12.0 and 17.0 kg/m2 in sarcopenic and non-sarcopenic individuals(p=0.000); and 14.7 and 17.1kg/ m2 in fragile and robust individuals(p = 0.002) Conclusions: BMI, free fat mass and fat mass were significantly lower in older adults with malnutrition, sarcopenia and frailty. BMI is a practical nutritional status marker, however it needs to be interpreted cautiously in older adults, as it seems that a lower value is associated with a worse prognosis and existing cutoffs may not apply. Nutritional screening and assessment of older adults is essential for a prompt intervention, in order to prevent and reverse these conditions |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://comum.rcaap.pt/bitstreams/9cd5e0a6-42f1-4a03-ad33-eb6983fc6e55/download |
| id | ipc_bb8f776fbfdf6cecb02f6a43fea7d72c |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.26/32021 |
| instacron_str | ipc |
| institution | Instituto Politécnico de Coimbra |
| instname_str | Instituto Politécnico de Coimbra |
| language | eng |
| network_acronym_str | ipc |
| network_name_str | Instituto Politécnico de Coimbra |
| oai_identifier_str | oai:comum.rcaap.pt:10400.26/32021 |
| organization_str_mv | urn:organizationAcronym:ipc |
| person_str_mv | Marques, Maria Armanda Faria, Ana Faria, Ana https://www.ciencia-id.pt/011A-D273-6021 011A-D273-6021 http://orcid.org/0000-0002-9125-7690 0000-0002-9125-7690 Cebola, Marisa |
| publishDate | 2019 |
| reponame_str | Instituto Politécnico de Coimbra |
| repository_id_str | urn:repositoryAcronym:ipc |
| service_str_mv | urn:repositoryAcronym:ipc |
| spelling | engpt_PTIntroduction: Malnutrition, sarcopenia and frailty are multifactorial and highly prevalent conditions among institutionalized older adults Objectives: The aim of this study was to asses body mass index and body composition in older adults, according to the diagnosis of malnutrition, sarcopenia and frailty. Methods: Institutionalized older adults with 60 or more years old were included. Nutritional status (Mini Nutritional Assessment), sarcopenia (European Working Group Sarcopenia in Older People criteria) and frailty (Fried Phenotype) were assessed. Body composition was assessed through bioelectrical impedance Results: One-hundred and forty-six individuals, with a mean age of 83 years old and mainly females (63.3%) were included. Malnutrition was diagnosed in 26.2%, sarcopenia in 25.0% and frailty in 61.0%. Mean Body Mass Index (BMI) was 20.7, 25.8 and 26.6kg/m2 in malnourished, at risk and well- nourished individuals, respectively(p = 0.000); 21.6 and 26.8 kg/m2 in sarcopenic and non-sarcopenic individuals(p = 0.000); and 24.3 and 27.7 kg/m2 in fragile and robust individuals(p=0.000). Mean Fat Mass Index was 9.6 and 13.3 kg/m2 in sarcopenic and non-sarcopenic individuals (p=0.007); and 10.3 and 16.0kg/m2 in fragile and robust individuals (p=0.000). Mean Free Fat Mass Index was 12.5, 14.9 and 17.0kg/m2 in malnourished, at risk and well- nourished individuals; 12.0 and 17.0 kg/m2 in sarcopenic and non-sarcopenic individuals(p=0.000); and 14.7 and 17.1kg/ m2 in fragile and robust individuals(p = 0.002) Conclusions: BMI, free fat mass and fat mass were significantly lower in older adults with malnutrition, sarcopenia and frailty. BMI is a practical nutritional status marker, however it needs to be interpreted cautiously in older adults, as it seems that a lower value is associated with a worse prognosis and existing cutoffs may not apply. Nutritional screening and assessment of older adults is essential for a prompt intervention, in order to prevent and reverse these conditionsapplication/pdfpt_PTBody mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailtyMarques, Maria ArmandaPersonalFaria, AnaDSpacehttp://dspace.org/items/d7ab2200-9958-4d55-a53a-53b4ab63b3b5DSpacehttp://dspace.org/items/d7ab2200-9958-4d55-a53a-53b4ab63b3b5FariaAnaCiência IDhttps://www.ciencia-id.pt011A-D273-6021ORCIDhttp://orcid.org0000-0002-9125-7690Scopus Author IDhttps://www.scopus.com55552246200Cebola, MarisaHostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptISSNIsPartOf1464-360XDOIIsPartOfhttps://doi.org/10.1093/eurpub/ckz034.0702020-04-17T23:31:11Z20192019-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/32021http://purl.org/coar/access_right/c_abf2open accessÍndice de massa corporalComposição corporalSaúde do idoso institucionalizadoIdoso fragilizadoDesnutriçãoSarcopeniaIdoso85650 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2019http://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://comum.rcaap.pt/bitstreams/9cd5e0a6-42f1-4a03-ad33-eb6983fc6e55/downloadEuropean Journal of Public Health29 |
| spellingShingle | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty Marques, Maria Armanda Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| status | SINGLETON |
| subject.fl_str_mv | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| title | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| title_full | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| title_fullStr | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| title_full_unstemmed | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| title_short | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| title_sort | Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty |
| topic | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| topic_facet | Índice de massa corporal Composição corporal Saúde do idoso institucionalizado Idoso fragilizado Desnutrição Sarcopenia Idoso |
| url | http://hdl.handle.net/10400.26/32021 |
| visible | 1 |