Grip Strength, Mental Performance and Nutritional Status as Indicators of Mortality Risk Among Female Geriatric Patients

Phillips, P. A.

doi:10.1093/ageing/15.1.53

Cited by 128 publications

(74 citation statements)

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“…Several studies in different groups of pa tients have shown malnutrition to be associ ated with higher complication rates, and higher morbidity and mortality [56], With regard to body weight or BMI, it has been reported that overnutrition and obesity are associated with lower, and undernutrition and unsatisfactory nutritional status with higher mortality rates in geriatric patients [ 12,57] as well as in healthy elderly [58,59], Relationships between anthropometric data and mortality in geriatric patients have also been reported by Friedman et [12,22,60], Our data show that, in addition, total protein, prealbumin. RBP and transferrin are of prognostic value.…”

Section: Prognostic Significancementioning

confidence: 79%

Malnutrition in Geriatric Patients: Diagnostic and Prognostic Significance of Nutritional Parameters

Volkert¹,

Kruse²,

Oster³

et al. 1992

Ann Nutr Metab

105

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Nutritional status was assessed in 300 geriatric patients aged 75 years or more using clinical, anthropometric, biochemical and immunologic methods. Relations between different assessment methods and their prognostic significance with regard to 18-month mortality were examined. For biochemical variables 10% (prealbumin, vitamin B₆) to 37% (vitamins A and C) were below conventional limits. In 44% of the patients lymphocytes were diminished. 44% were anergic. Judgement of nutritional status by clinical impression resulted in 22% being deemed undernourished. Clinical diagnosis of undernutrition was associated with low anthropometric measurements (p < 0.05 for all parameters) and a high prevalence of low biochemical values (p < 0.05 for albumin, prealbumin, transferrin, vitamin A, vitamin B₁). The mean values of all anthropometric variables, plasma proteins, vitamins A and C were significantly lower in patients who died within the following 18 months compared to survivors. The greatest prognostic significance was related to the clinical diagnosis of malnutrition. We conclude that clinical assessment is useful for the evaluation of nutritional status in geriatric patients and the best of numerous nutritional parameters to estimate risk of long-term mortality.

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Section: Prognostic Significancementioning

confidence: 79%

Malnutrition in Geriatric Patients: Diagnostic and Prognostic Significance of Nutritional Parameters

Volkert¹,

Kruse²,

Oster³

et al. 1992

Ann Nutr Metab

105

View full text Add to dashboard Cite

show abstract

“…Grip strength (GS) is a strong predictor of disability (Ishizaki et al 2000;Kuh et al 2005;Nybo et al 2001;Rantanen et al 1994;Rantanen et al 1999), morbidity (Alfaro-Acha et al 2006;Albrand et al 2003;Klidjian et al 1980;Rantanen et al 1998aRantanen et al , 2000aRantanen et al , 2003, frailty (Syddall et al 2003), and mortality (Fujita et al 1995;Metter et al 2002;Milne and Maule 1984;Philips 1986;Sasaki et al 2007), even in initially healthy middle-aged men followed for 30 years (Rantanen et al 2000a(Rantanen et al , 2000b. GS can thus be seen as a proxy for health; additionally, the measurement of GS is cheap and easily carried out even by trained survey interviewers in nonclinical settings.…”

Section: Introductionmentioning

confidence: 99%

Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study

et al. 2009

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Grip strength (GS) has an age-and genderdependent decline with advancing age. One study comparing GS among extremely old show a North-South gradient with lowest GS in Italy compared to France (intermediary) and Denmark (highest) even after adjusting for confounders. As GS is associated with higher rates of functional decline and mortality, and thus may be used as a health indicator, it is of interest to examine whether the results on extremely old can be reproduced in a large-scale European survey. GS was measured in a cross-sectional population-based sample of 27,456 individuals aged 50? in 11 European countries included in the SHARE survey. We made a cross-country comparison of the age trajectory of GS in both genders. Northern-continental European countries had higher GS than southern European countries even when stratifying by age and gender and controlling for height, weight, education, health and socioeconomic status. The relative excess was found to be 11% and the absolute difference 5.0 kg for 50-to 54-year-old men, increasing to 28% and 6.9 kg among 80? year-old men. The corresponding figures for women were 16% and 4.3 kg, and 21% and 3.5 kg, respectively. Southern European countries have lower GS in the age range 50? year. Gene-environment interactions may explain country-specific differences. The use of GS in cross-national surveys should control not only for age and gender, but also for nationality.

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“…Some prospective studies have also indicated these measures as predictors of mortality [3,5,7,[11][12][13][14][15][16][17]. It has therefore been suggested that physical performance measures should be implemented in clinical as well as research settings to improve the evaluation of older persons.…”

Section: Introductionmentioning

confidence: 99%

Physical Performance Measures as Predictors of Mortality in a Cohort of Community-dwelling Older French Women

et al. 2006

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This prospective cohort study evaluate the predictive value of physical performance measures for mortality in older French women, in particular those with a high health status. The subjects were 7,250 community-dwelling non-disabled French women aged 75 years or older, enrolled in the Epidémiologie de l'ostéoporose (EPIDOS) study. The short physical performance battery (SPPB), including walking speed, repeated chair stands, and balance tests, was administered and handgrip strength was measured. Anthropometric measurements, physical function, cognitive performance, sensory status, smoking, medical history, medication use, subjective self-assessment of health status, and physical activity level were assessed at the baseline visit. During a mean follow-up of 3.8 years, 754 (10.4%) participants died. Complementary analysis was performed on the 2,157 non-disabled healthiest participants (no disease at baseline). The SPPB and handgrip strength distinguished a gradient of risk for mortality from a low to high functional spectrum. Risk of death was 2.04-fold higher in poor (SPPB 0-6) than in good (SPPB 10-12) performers and 1.56-fold higher in participants with lower tertile grip strength. Walking speed alone also distinguished a gradient of mortality risk. After adjustment for confounders, low SPPB, grip strength score and slow walking speed remained significantly associated with death. In the non-disabled healthiest women, no physical performance measure predicted death. In community-dwelling elderly French women, physical performance measures significantly and independently predicted mortality. Increased risk of death was partly explained by baseline health status and was absent in the healthiest elderly.

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Grip Strength, Mental Performance and Nutritional Status as Indicators of Mortality Risk Among Female Geriatric Patients

Cited by 128 publications

References 0 publications

Malnutrition in Geriatric Patients: Diagnostic and Prognostic Significance of Nutritional Parameters

Malnutrition in Geriatric Patients: Diagnostic and Prognostic Significance of Nutritional Parameters

Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study

Physical Performance Measures as Predictors of Mortality in a Cohort of Community-dwelling Older French Women

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