Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

Mendes, Joana; Afonso, Cláudia; Moreira, Pedro; Padrão, Patrícia; Santos, Alejandro; Borges, Nuno; Negrão, Rita; Amaral, Teresa

doi:10.1002/jpen.1424

Cited by 30 publications

(25 citation statements)

References 49 publications

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“…Keeping in line with our observations, GS has shown significant associations with low height [ 52 ], higher BMI [ 53 ] and low bone mineral density (BMD) [ 54 ]. The associations seen between GS and height and BMI are understandable.…”

Section: Discussionsupporting

confidence: 70%

Factors associated with measures of sarcopenia in pre and postmenopausal women

et al. 2021

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Background Menopause associated low serum estradiol marks varieties of derangements in muscle mass and functions leading to sarcopenia. This cross-sectional study was carried out to examine the factors associated with measures of sarcopenia; skeletal muscle mass (SMM), muscle strength and physical performance (PP) in a group of premenopausal (PrMW) and postmenopausal women (PMW) selected from Sri Lanka. Methods Randomly selected 184 PrMW and 166 PMW from Galle district, Sri Lanka were studied. SMM was measured with duel energy X ray absorptiometry and relative appendicular SMM index (RSMI; kg/m2) was calculated. Other measurements made include handgrip strength (HGS; kg) and gait speed (GS; m/s), anthropometric indices, consumption of macro and micronutrients, and pattern of physical activities (PA). A serum sample was analyzed for fasting insulin, serum estradiol and vitamin D. Variables which significantly correlated with RSMI, HGS and GS of PrMW and PMW were separately entered into multiple linear regression models to extract the associated factors. Results Mean (SD) age of PrMW and PMW were 42.4 (6.0) and 55.8 (3.8) years respectively. In the regression analysis, RSMI in PrMW showed significant associations with body mass index (BMI), HGS, total-body-fat-mass (TBFM) and weight (adjusted R2 = 0.85) and in PMW with BMI, weight, TBFM, hip-circumference and fasting insulin (adjusted R2 = 0.80). BMI showed the strongest association with RSMI in both PrMW (r = 0.87, R2 = 0.76) and in PMW (r = 0.87, R2 = 0.76). HGS in PrMW showed significant associations with appendicular SMM (ASMM), total-body-bone-mineral-content, vigorous PA score, age and weight (adjusted R2 = 0.33) and in PMW with ASMM and height (adjusted R2 = 0.23). ASMM showed the strongest association with HGS in both PrMW (r = 0.44, R2 = 0.20) and PMW (r = 0.44, R2 = 0.20). GS in PrMW showed significant associations with height, BMI and energy consumption (adjusted R2 = 0.13) while in PMW, with carbohydrate consumption and total-body-bone-mineral-density (adjusted R2 = 0.09). While in PrMW, height showed the strongest association with GS (r = 0.28, R2 = 0.08) in PMW, it was carbohydrate consumption (r = 0.24, R2 = 0.06). Conclusions Factors that are associated with different measures of sarcopenia are not uniform and vary widely from anthropometry to nutrient intake indicating that these measures are somewhat independent and are governed by different factors.

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Section: Discussionsupporting

confidence: 70%

Factors associated with measures of sarcopenia in pre and postmenopausal women

et al. 2021

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“…First, some factors related to muscle strength, such as the nutritional status of the participants, were not included in this study. These factors may be included in future following-up studies with home-visit interventions 32 . Second, for the HGS test, most of the older adults took the measurements in a standing position, with the exception of some older people who took the procedure in a sitting position to prevent falls.…”

Section: Discussionmentioning

confidence: 99%

Normative data and associated factors of hand grip strength among elderly individuals: The Yilan Study, Taiwan

Pan

Lin

Yang

et al. 2020

Sci Rep

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Weak grip strength is associated with subsequent mortality in elderly populations. the normative data and associated factors of HGS in community-dwelling elderly taiwanese populations require further evaluation. From February 2012 until the end of 2016, all residents of Yilan City, Taiwan aged 65 years or older were randomly selected for a population-based community health survey. A total of 2,470 older adults were enrolled in this study. the relationships between HGS and various anthropometric and sociodemographic correlates were examined. the results showed that HGS was higher in men than in women. the mean HGS exhibited a decreasing trend with advanced age in both men and women. HGS was significantly associated with height, weight, and exercise habits. The physical as well as the mental component summary measures of health-related quality of life (HRQoL) were positively associated with HGS. After HRQoL was integrated into the regression model, female sex, age, waist circumference, and diabetes mellitus were significantly negatively associated with HGS. In conclusion, HGS significantly decreased with advanced age. among community-dwelling taiwanese elderly people, Various factors had different effects on HGS.

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“…These results are in line with previous research that HGS and gait speed were reported as good predictors of functional disability, morbidity, and mortality in older adults. 58 According to the literature, a gait speed 0.8 m/s might be used to identify older adults with mobility impairment because this cutoff predicts disability and reduced overall survival. 59 The present study results revealed that worse nutritional and functional statuses were directly associated with a higher risk of mortality in community-dwelling older adults with mild-to-moderate AD.…”

Section: Discussionmentioning

confidence: 99%

Nutritional and Functional Indicators and Their Association With Mortality Among Older Adults With Alzheimer’s Disease

Sousa

Mendes

Amaral

2020

Am J Alzheimers Dis Other Demen

Self Cite

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This study investigated how different nutritional and functional status indicators are associated with mortality in patients with Alzheimer’s disease (AD). A prospective cohort study was conducted among 79 community-dwelling older adults with AD. Follow-up was 60 months. Undernutrition status was evaluated by Mini Nutritional Assessment (MNA), body mass index, mid-arm muscle circumference (MAMC), calf circumference, and phase angle. Functional status was assessed by handgrip strength, and usual gait speed. Twenty-two participants died (27.8%). Results show that undernutrition (hazard ratio [HR] 5.69, 95% confidence interval [CI] 2.21-14.61), weight loss (HR 3.82, 95% CI 1.37-10.63), underweight (HR 3.24, 95% CI 1.18-8.82), low MAMC (HR 4.54, 95% CI 1.65-12.48), calf circumference ≤ 31 (HR 4.27, 95% CI 1.63-11.16), low HGS (HR 3.11, 95% CI 1.18-8.17), and low gait speed (HR 4.73, 95% CI 1.68-13.27) were all associated with mortality. In conclusion, a poor nutritional and functional status was associated with a higher risk of mortality, regardless of sex, age, marital status, education, and cognitive function.

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Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

Cited by 30 publications

References 49 publications

Factors associated with measures of sarcopenia in pre and postmenopausal women

Factors associated with measures of sarcopenia in pre and postmenopausal women

Normative data and associated factors of hand grip strength among elderly individuals: The Yilan Study, Taiwan

Nutritional and Functional Indicators and Their Association With Mortality Among Older Adults With Alzheimer’s Disease

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