Body composition of patients with Alzheimer's disease

Low body weight is frequently reported in patients with Alzheimer's disease. We sought to discover why by comparing the body composition of 28 cognitively normal elders and 23 institutionalized individuals with Alzheimer's disease. Body mass index was calculated from standing height and we...

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Veröffentlicht in:Journal of the American Dietetic Association 1993, Vol.93 (1), p.47-52
Hauptverfasser: Renvall, Marian J, Spindler, Audrey A, Nichols, Jeanne F, Ramsdell, Joe W
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container_issue 1
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container_title Journal of the American Dietetic Association
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creator Renvall, Marian J
Spindler, Audrey A
Nichols, Jeanne F
Ramsdell, Joe W
description Low body weight is frequently reported in patients with Alzheimer's disease. We sought to discover why by comparing the body composition of 28 cognitively normal elders and 23 institutionalized individuals with Alzheimer's disease. Body mass index was calculated from standing height and weight. Percentages of lean body mass, body fat, and body water were derived from bioimpedance measurements of resistance and reactance. Skinfold thickness was measured at seven body sites to estimate regional fat distribution. Variables were analyzed by analysis of variance with subjects grouped by cognitive status within gender. Activity level and age were not significant covariates. Both women and men with Alzheimer's disease weighed less than control subjects. Differences in body composition were more pronounced in women with Alzheimer's disease, who had lower body mass index (22.0 ± 3.0 vs 26.1 ± 5.1), higher percentage of lean body mass (73.8 ± 5.1 vs 66.9 ± 6.5), lower percentage of body fat (26.1 ± 5.1 vs 33.1 ± 6.5), and higher percentage of body water (55.8 ± 5.0 vs 49.3 ± 6.5) compared with control women. Except for lower body weight, the body composition of men with Alzheimer's disease was not significantly different from that of control men. Patients of both sexes with Alzheimer's disease had less truncal body fat compared with controls, which gave them a youthful body habitus. These differences were not accounted for by age, diet, or activity. Our findings indicate that patients with Alzheimer's disease have lower body weight and may require higher energy intake than cognitively normal elders.
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We sought to discover why by comparing the body composition of 28 cognitively normal elders and 23 institutionalized individuals with Alzheimer's disease. Body mass index was calculated from standing height and weight. Percentages of lean body mass, body fat, and body water were derived from bioimpedance measurements of resistance and reactance. Skinfold thickness was measured at seven body sites to estimate regional fat distribution. Variables were analyzed by analysis of variance with subjects grouped by cognitive status within gender. Activity level and age were not significant covariates. Both women and men with Alzheimer's disease weighed less than control subjects. Differences in body composition were more pronounced in women with Alzheimer's disease, who had lower body mass index (22.0 ± 3.0 vs 26.1 ± 5.1), higher percentage of lean body mass (73.8 ± 5.1 vs 66.9 ± 6.5), lower percentage of body fat (26.1 ± 5.1 vs 33.1 ± 6.5), and higher percentage of body water (55.8 ± 5.0 vs 49.3 ± 6.5) compared with control women. Except for lower body weight, the body composition of men with Alzheimer's disease was not significantly different from that of control men. Patients of both sexes with Alzheimer's disease had less truncal body fat compared with controls, which gave them a youthful body habitus. These differences were not accounted for by age, diet, or activity. Our findings indicate that patients with Alzheimer's disease have lower body weight and may require higher energy intake than cognitively normal elders.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8417092</pmid><doi>10.1016/0002-8223(93)92130-P</doi><tpages>6</tpages></addata></record>
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subjects ABSORCION DE SUBSTANCIAS NUTRITIVAS
ABSORPTION DE SUBSTANCES NUTRITIVES
Adipose Tissue - pathology
Adult and adolescent clinical studies
Aged
AGUA METABOLICA
Alzheimer Disease - pathology
Alzheimer's disease
Biological and medical sciences
Body Composition
Body Weight
CALIFORNIA
CALIFORNIE
EAU METABOLIQUE
ENERGIA
ENERGIE
ENFERMEDADES HUMANAS
ENVEJECIMIENTO
Female
FEMME
HOMBRES
HOMME
Humans
MALADIE DE L'HOMME
Male
Medical research
Medical sciences
Middle Aged
Motor Activity
MUJERES
NUTRICION HUMANA
NUTRITION HUMAINE
Older people
Organic mental disorders. Neuropsychology
PERSONNE AGEE
PESO
POIDS
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sex Factors
Skinfold Thickness
TEJIDO ADIPOSO
TERCERA EDAD
TISSU ADIPEUX
VIEILLISSEMENT
Weight
title Body composition of patients with Alzheimer's disease
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