Muscle strength and bone mineral density in well-nourished and malnourished elderly
Keywords:
Body composition, Malnutrition, Aging, Muscle strength, Aged, Body weightAbstract
Objective
The present study investigated the possible association of nutritional status with handgrip strength and bone mineral density in elderly men.
Methods
The study included 41 elderly males of which 20 were well-nourished (weight: M=69.6, SD=8.4kg; BMI: M=25.7, SD=2.2) and 21 were malnourished (weight: M=50.9, SD=6.1kg; BMI: M=18.7, SD=1.8). They were subjectivity classified by the Mini Nutritional Assessment. Anthropometric measurements included weight, height and arm and calf circumferences. Body composition was determined by dual energy x-ray absorptiometry and presence of osteoporosis was determined according to the World Health Organization’s criteria. Muscle strength was assessed by a handheld dynamometer.
Results
The malnourished group presented significantly lower anthropometric and body composition measurements than the well-nourished group (p<0.005). Furthermore, the occurrence of osteoporosis was significantly higher (p<0.01) among malnourished individuals in all studied body areas: femoral neck, total hip and spine. The handgrip strength of malnourished individuals was significantly lower than that of well-nourished individuals (M=23.1, SD=6.8 and M=30.3, SD=8.4, respectively; p<0.005).
References
Moriguti JC, Moriguti EKU, Ferriolli E, Cação JC, Iucif Junior N, Marchini JS. Involuntary weight loss in elderly individuals: assessment and treatment. São Paulo Med J. 2001; 119(2):72-7. doi: 10.1590/ S1516-31802001000200007.
Banks M, Bauer J, Graves N, Ash S. Malnutrition and pressure ulcer risk in adults in Australian health care facilities. Nutrition. 2010; 26(9):896-901. doi: 10.1016/j.nut.2009.09.024
Sergi G, Perissinotto E, Pisent C, Buja A, Maggi S, Coin A, et al. An adequate threshold for body mass index to detect underweight condition in elderly persons: the Italian longitudinal study on aging. J Gerontol A Biol Sci Med Sci. 2005; 60(7):866-71. doi: 10.1093/gerona/60.7.866.
Ozeraitiene V, Butenaite V. The evaluation of bone mineral density based on nutritional status, age, and anthropometric parameters in elderly women. Medicina (Kaunas). 2006; 42(10):836-42.
Otero UB, Rozenfeld S, Gadelha AMJ, Carvalho MS. Mortalidade por desnutrição em idosos, região Sudeste do Brasil, 1980-1997. Rev Saúde Pública. 2002; 36(2):141-8. doi: 10.1590/S0034-89102002 000200004.
Luna-Heredia E, Martín-Peña G, Ruiz-Galiana J. Handgrip dynamometry in healthy adults. Clin Nutr. 2005; 24(2):250-8. doi: 10.1016/j.clnu.2004.10.0 07.
Gaskill D, Black L J, Isenring EA, Hassal S, Sanders F, Bauer J. Malnutrition prevalence and nutrition issues in residential aged care facilities. Aust J Ageing. 2009; 27(4):189-94. doi: 10.1111/j.1741-6 612.2008.00324.x
Jakobsen LH, Rask IK, Kondrup J. Validation of handgrip strength and endurance as a measure of physical function and quality of life in healthy subjects and patients. Nutrition. 2010; 26(5): 542-50. doi: 10.1016/j.nut.2009.06.015.
Baumgartner RN, Stauber PM, Koehler KM, Romero L, Garry PJ. Associations of fat and muscle masses with bone mineral in elderly men and women. Am J Clin Nutr. 1996; 63(3):365-72
Pereira FA, Castro JAS, Santos JE, Foss MC, Paula FJA. Impact of marked weight loss induced by bariatric surgery on bone mineral density and remodeling. Braz J Med Biol Res. 2007; 40(4): 509-17. doi: 10.1590/S0100-879X2006005000 073
Guigoz Y, Vellas B, Garry PJ. Mini nutritional assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol. 1994; (Suppl 2):15-59.
World Health Organization. Expert Committee. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Geneva: WHO; 1994. WHO Technical Report Series; 843.
Montgomery DC. Design and analysis of experiments. New York: John Wiley-Sons; 1996.
Rikkert MGMO, Rigaud AS. Malnutrition research: high time to change the menu. Age Ageing. 2003; 32(3):241-3. doi: 10.1093/ageing/32.3.241.
Sampaio LR. Avaliação nutricional e envelhecimento. Rev Nutr. 2004; 17(4):507-14. doi: 10.15 90/S1415-52732004000400010.
Lewin S, Gouvea CHA, Marone MMS, Wehba S, Malvestiti LF, Bianco AC. Densidade mineral óssea vertebral e femoral de 724 mulheres brancas brasileiras: influência da idade e do peso corporal.Rev Assoc Med Bras. 1997; 43(2):127-36.doi: 10.1590/S0104-42301997000200009.
Edelstein SL, Barrett-Connor E. Relation between body size and bone mineral density in elderly men and women. Am J Epidemiol. 1993; 138(3):160-9
Coin A, Sergi G, Beninca P, Lupoli L, Cinti G, Ferrara L, et al. Bone mineral density and body composition in underweight and normal elderly subjects. Osteoporosis Int. 2000; 11(12):1043-50. doi: 10.1 007/s001980070026
Norman K, Stobäus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr. 2011; 30(2):135-42. doi: 10.1016/j.clnu.2010.09.010.
Newman AB, Haggerty CL, Goodpaster B, Harris T, Kritchevsky S, Nevitt M, et al. Strength and muscle quality ins a well-functioning cohort of older adults: the health, aging and body composition study. J Am Geriatr Soc. 2003; 51(3):323-30. doi: 10.1046/ j.1532-5415.2003.51105.x Russell DM, Leiter LA, Whitwell J, Marliss EB, Jeejeebhoy KN. Am J Clin Nutr. 1983; 37(1):133-8.
Skeletal muscle function during hypocaloric diets and fasting: a comparison with standard nutritional assessment parameters.
Lopes J, Russell DM, Whitwell J, Jeejeebhoy KN. Skeletal muscle function in malnutrition. Am J Clin Nutr. 1982; 36(4):602-10.
Budziareck MB, Duarte RRP, Barbosa-Silva MC. Reference values and determinants for handgrip strength in healthy subjects. Clin Nutr. 2008; 27(3): 357-62. doi: 10.1016/j.clnu.2008.03.008.
Álvares-da-Silva MR, Silveira TR. Comparison between handgrip strength, subjective global assessment, and prognostic index in assessing malnutrition and predicting clinical outcome in cirrhotic outpatients. Nutrition. 2005; 21(2):113-7. doi: 10.1016/j.nut.2004.02.002.
Kruizenga HM, Jonge P, Seidell JC, Neelemaat F, Bodegraven AA, Wierdsma NJ, et al. Are malnourished patients complex patients? health status and care complexity of malnourished patients detected by the Short Nutritional Assessment Questionnaire. Eur J Intern Med. 2006; 17(3):189-94. doi:10.1016/j.ejim.2005.11.019.
Frederiksen H, Hjelmborg J, Mortensen J, McGue M, Vaupel JW, Christensen K. Age trajectories of grip strength: cross-sectional and longitudinal data among 8,342 Danes aged 46-102. Ann Epidemiol. 2006; 16(7):554-62. doi: 10.1016/j.annepidem. 2005.10.006.
Figueiredo FA, Dickson ER, Pasha TM, Porayko MK, Therneau TM, Malinchoc M, et al. Utility of standard nutritional parameters in detecting body cell mass depletion in patients with end-stage liver disease. Liver Transpl. 2000; 6(5):575-81. doi: 10.1 053/jlts.2000.9736
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European working group on sarcopenia in older people. Age Ageing. 2010; 39(4):412-23. doi: 10.1 093/ageing/afq034
Jeejeebhoy KN. Nutritional assessment. Nutrition. 2000; 16(7-8):585-90
Schlussel MM, Anjos LA, Kac GC. A dinamometria manual e seu uso na avaliação nutricional. Rev Nutr. 2008; 21(2):233-5. doi: 10.1590/S1415-527320 080002200009.
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Copyright (c) 2023 Karla Helena Coelho VILAÇA, Eduardo FERRIOLLI, Nereida Kilza da Costa LIMA, Francisco José Albuquerque de PAULA, Julio Sérgio MARCHINI, Julio Cesar MORIGUTI
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