Association between Functional Capacity Decline and Nutritional Status Based on the Nutrition Screening Initiative Checklist: A 2-Year Cohort Study of Japanese Community-Dwelling Elderly

To assess whether nutritional status based on the Nutrition Screening Initiative Checklist is useful for predicting functional capacity decline in community-dwelling Japanese elderly. This two-year observational cohort study included 536 community-dwelling Japanese (65 years and older at baseline) w...

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Veröffentlicht in:PloS one 2016-11, Vol.11 (11), p.e0166037-e0166037
Hauptverfasser: Sugiura, Yumiko, Tanimoto, Yoshimi, Imbe, Ayumi, Inaba, Yuiko, Sakai, Satoshi, Shishikura, Kanako, Tanimoto, Keiji, Hanafusa, Toshiaki
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container_issue 11
container_start_page e0166037
container_title PloS one
container_volume 11
creator Sugiura, Yumiko
Tanimoto, Yoshimi
Imbe, Ayumi
Inaba, Yuiko
Sakai, Satoshi
Shishikura, Kanako
Tanimoto, Keiji
Hanafusa, Toshiaki
description To assess whether nutritional status based on the Nutrition Screening Initiative Checklist is useful for predicting functional capacity decline in community-dwelling Japanese elderly. This two-year observational cohort study included 536 community-dwelling Japanese (65 years and older at baseline) who were independent in both activities and instrumental activities of daily living. Demographic attributes, chronic illness, lifestyle-related habits, nutritional status, functional capacity, and anthropometric measurements were assessed, with decline in functional capacity used as the outcome measure. Subjects were classified into three groups as follows based on the Nutrition Screening Initiative Checklist: low (59.5%), moderate (23.7%), and high (16.8%) nutritional risk. Significant differences were found between nutritional status and the following four baseline variables: age, hypertension, cerebrovascular diseases, and current smoking. However, no significant differences were evident between nutritional status and sex, body mass index, diabetes, drinking habit, or exercise habit. Logistic regression analysis adjusted for age, sex, body mass index, hypertension, cerebrovascular diseases and smoking habit showed that the high nutritional risk group was significantly associated with a decline in both activities of daily living (odds ratio: 4.96; 95% confidence interval (CI): 1.59-15.50) and instrumental activities of daily living (OR: 2.58; 95% CI: 1.31-5.06) compared with the low nutritional risk group. Poor nutritional status based on the Nutrition Screening Initiative Checklist was associated with a decline in functional capacity over a 2-year period in community-dwelling Japanese elderly. These results suggest that the Nutrition Screening Initiative Checklist is a suitable tool for predicting functional capacity decline in community-dwelling elderly.
doi_str_mv 10.1371/journal.pone.0166037
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subjects Activities of Daily Living
Aged
Analysis
Anthropometry
Biology and Life Sciences
Body mass
Body mass index
Body measurements
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Cerebrovascular diseases
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Nutritional assessment
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title Association between Functional Capacity Decline and Nutritional Status Based on the Nutrition Screening Initiative Checklist: A 2-Year Cohort Study of Japanese Community-Dwelling Elderly
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