Nutritional status, physical performance and disability in the elderly of the Peruvian Andes

Tramontano, Alessandra; Veronese, Nicola; Giantin, Valter; Manzato, Enzo; Rodríguez-Hurtado, Diana; Trevisan, Caterina; Zaiacomo, Francesca De; Sergi, Giuseppe

doi:10.1007/s40520-016-0591-9

Cited by 26 publications

(18 citation statements)

References 21 publications

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“…Therefore, results may provide evidence for further investigation into the impact of malnutrition on discrete measures of muscle power as the physical performance tests in the current study involve multiple systems and muscle functions. Our study confirms the previously reported associations between malnutrition and CST, gait speed, TUG, and SPPB Score [25][26][27][28][29][30][31][32], with the added novel component of comparing the effects of the associations. We expected that malnutrition would show the strongest association with HGS as a direct measure of muscle function, i.e., strength.…”

Section: Discussionsupporting

confidence: 90%

Malnutrition is associated with dynamic physical performance

et al. 2019

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Background Malnutrition and poor physical performance are both conditions that increase in prevalence with age; however, their interrelation in a clinically relevant population has not been thoroughly studied. Aims This study aimed to determine the strength of the association between malnutrition and measures of both static and dynamic physical performance in a cohort of geriatric outpatients. Methods This cross-sectional study included 286 older adults (mean age 81.8, SD 7.2 years, and 40.6% male) who were referred to geriatric outpatient mobility clinics. The presence of malnutrition was determined using the Short Nutritional Assessment Questionnaire (SNAQ, cutoff ≥ 2 points). Measures of dynamic physical performance included timed up and go (TUG), 4-m walk test, and chair stand test (CST). Static performance encompassed balance tests and hand grip strength (HGS). Physical performance was standardized into sex-specific Z-scores. The association between malnutrition and each individual measure of physical performance was assessed using linear regression analysis. Results 19.9% of the cohort was identified as malnourished. Malnutrition was most strongly associated with CST and gait speed; less strong but significant associations were found between malnutrition and TUG. There was no significant association between malnutrition and HGS or balance. Discussion Physical performance was associated with malnutrition, specifically, dynamic rather than static measures. This may reflect muscle power being more impacted by nutritional status than muscle strength; however, this needs to be further addressed. Conclusions Malnutrition is associated with dynamic physical performance in geriatric outpatients, which should inform diagnosis and treatment/prevention strategies.

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Section: Discussionsupporting

confidence: 90%

Malnutrition is associated with dynamic physical performance

et al. 2019

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“…In addition, a recent systematic review conducted by Correia, Perman, and Waitzberg (2017) pointed to a high prevalence of malnutrition among patients undergoing abdominal surgery (61.5%), colon surgery (63.6%), and hernia surgery (55%). Previous studies suggest that older people's nutritional status influences their functional capacity (Abd-Al-Atty et al, 2012;Tramontano et al, 2016). In this study, the MNA-SF scores had a greater statistically significant correlation with the BI scores than with the LBS scores.…”

Section: Discussionmentioning

confidence: 41%

“…Souza et al (2015) concluded that older people's independence to perform basic and instrumental activities of daily living was associated with a healthy weight. Similarly, Tramontano et al (2016) reported that the physical performance and functional status of older people were significantly associated with their nutritional status. In a study conducted with 230 older adults who had been recently hospitalized, Abd-Al-Atty, Abou-Hashem, and Elaziz (2012) reported that the nutritional status, which was assessed using the Mini Nutritional Assessment -Short Form (MNA-SF) and biochemical markers, was an important risk factor for the decline in the functional capacity to perform both activities of daily living (ADL) and instrumental activities of daily living (IADL).…”

Section: Introductionmentioning

confidence: 96%

Functional and nutritional status of older adults admitted to a general surgery ward

Preto

Lopes²,

Mendes

et al. 2018

Rev. Enf. Ref.

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“…Among a total of 1501 participants, we excluded those who had missing data for RFS ( n = 166), physical performances ( n = 265), and the covariates ( n = 84). We also excluded subjects who had musculoskeletal disorders ( n = 364), such as osteoarthritis, osteoporosis, backache, sciatic neuralgia, and herniated cervical disc, based on the fact that these subjects were also excluded in other studies that examined the association between diet and physical performance [16, 35, 36]. Finally, 622 subjects (294 men and 328 women) aged over 65 years were included in the analysis.…”

Section: Methodsmentioning

confidence: 99%

Associations of recommended food score and physical performance in Korean elderly

Jeong¹,

Kim²,

Park³

et al. 2019

BMC Public Health

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BackgroundA single nutrient or dietary pattern has been associated with physical performance. However, little is still known about the association of overall dietary quality with physical performance. This study aimed to investigate the link between the recommended food score (RFS), defined as an indicator of overall diet quality, and physical performance among the Korean elderly aged over 65 years.MethodsThe study subjects consisted of 622 participants (294 men and 328 women) aged over 65 years from the 2014–2015 National Fitness Award project.ResultsThe mean value of RFS was higher in elderly women (30.7 ± 7.6) than elderly men (29.5 ± 8.8), but the difference was only marginally significant (P = 0.065). In elderly women, multiple regression linear models, adjusted for potential confounders, showed that RFS was positively related to absolute hand grip strength (kg) (ß = 0.066, 95% CI = 0.010 to 0.122) and relative hand grip strength (%) (ß =0.109, 95% CI = 0.016 to 0.201); other physical performance indicators did not show any association with RFS. In elderly men, none of the physical performance indexes were associated with RFS.ConclusionsThese results suggest that a better overall diet quality may be associated with improved grip strength among elderly women in Korea.

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Nutritional status, physical performance and disability in the elderly of the Peruvian Andes

Abstract: Poor nutritional status was found significantly associated with poor physical performance and poor functional status in elderly Peruvian individuals.

Cited by 26 publications

References 21 publications

Malnutrition is associated with dynamic physical performance

Malnutrition is associated with dynamic physical performance

Functional and nutritional status of older adults admitted to a general surgery ward

Associations of recommended food score and physical performance in Korean elderly

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