Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study
This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria...
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| Veröffentlicht in: | Nutrients 2020-04, Vol.12 (4), p.1041 |
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| description | This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults.
Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL).
We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (
= 356) were women, and 83.9% (
= 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (
= 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21;
< 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52;
= 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02;
= 0.015), falls (OR 1.94, 95% CI 1.12, 3.25;
= 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16;
= 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35;
< 0.001).
The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency. |
| doi_str_mv | 10.3390/nu12041041 |
| format | Article |
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Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL).
We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (
= 356) were women, and 83.9% (
= 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (
= 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21;
< 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52;
= 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02;
= 0.015), falls (OR 1.94, 95% CI 1.12, 3.25;
= 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16;
= 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35;
< 0.001).
The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu12041041</identifier><identifier>PMID: 32290060</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Accidental Falls - prevention & control ; Age ; Age Factors ; Aged ; Aged, 80 and over ; ageing ; Albumins ; Anemia ; Biochemical markers ; Body Composition ; Body fat ; Body mass ; Body mass index ; Body size ; Body weight ; Cholesterol ; Cognition ; Cognitive ability ; Comorbidity ; Confidence intervals ; Cross-Sectional Studies ; Female ; Frailty ; Frailty - etiology ; Geriatric Assessment ; Geriatrics ; Health facilities ; Hemoglobin ; Humans ; Independent Living ; Life expectancy ; lifestyle ; Lymphocytes ; Male ; Malnutrition ; Malnutrition - complications ; Markers ; Nurses ; Nutrition Assessment ; Nutrition research ; Nutritional Status ; Older people ; Physical activity ; Polypharmacy ; Population ; Primary care ; Quality of life ; Risk analysis ; Risk Factors ; Sarcopenia ; Sex Factors ; Weight control</subject><ispartof>Nutrients, 2020-04, Vol.12 (4), p.1041</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-a3bca2d2847ffb5cfdaa19ebbc85f3b9df8e27b5563cf9a5579e38650a16edc3</citedby><cites>FETCH-LOGICAL-c538t-a3bca2d2847ffb5cfdaa19ebbc85f3b9df8e27b5563cf9a5579e38650a16edc3</cites><orcidid>0000-0002-3734-2480 ; 0000-0003-1949-3290 ; 0000-0002-2118-9792</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231056/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231056/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32290060$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pérez-Ros, Pilar</creatorcontrib><creatorcontrib>Vila-Candel, Rafael</creatorcontrib><creatorcontrib>López-Hernández, Lourdes</creatorcontrib><creatorcontrib>Martínez-Arnau, Francisco Miguel</creatorcontrib><title>Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults.
Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL).
We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (
= 356) were women, and 83.9% (
= 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (
= 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21;
< 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52;
= 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02;
= 0.015), falls (OR 1.94, 95% CI 1.12, 3.25;
= 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16;
= 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35;
< 0.001).
The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.</description><subject>Accidental Falls - prevention & control</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ageing</subject><subject>Albumins</subject><subject>Anemia</subject><subject>Biochemical markers</subject><subject>Body Composition</subject><subject>Body fat</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cholesterol</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Comorbidity</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Frailty</subject><subject>Frailty - etiology</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Health facilities</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Life expectancy</subject><subject>lifestyle</subject><subject>Lymphocytes</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - complications</subject><subject>Markers</subject><subject>Nurses</subject><subject>Nutrition Assessment</subject><subject>Nutrition research</subject><subject>Nutritional Status</subject><subject>Older people</subject><subject>Physical activity</subject><subject>Polypharmacy</subject><subject>Population</subject><subject>Primary care</subject><subject>Quality of life</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sarcopenia</subject><subject>Sex Factors</subject><subject>Weight control</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNpdkl1rFDEUhoMotqy98QdIwBsRRvMxSWa8EMrqaqFYsb0PZzLJmu3MZE0yyv57s25dW0MgIXl4eDnnIPSckject-TtNFNGalr2I3TKiGKVlDV_fO9-gs5S2pD9UkRJ_hSdcMZaQiQ5Rbdf5hx99mGCAV9nyHPCMPX4m0-3eAUmh5iwCxGvIvgh77Cf8DKM4zz5vKs-_LLD4Kc1vhp6G_FXG7aDfYfP8TKGlKpra47mud89Q08cDMme3Z0LdLP6eLP8XF1efbpYnl9WRvAmV8A7A6xnTa2c64RxPQBtbdeZRjjetb1rLFOdEJIb14IQqrW8kYIAlbY3fIEuDto-wEZvox8h7nQAr_88hLjWELM3g9Wu2FUHjtakqxtKQYJkQoJoa1KDZcX1_uDazt1Y5HbKEYYH0oc_k_-u1-GnVoxTUhIu0Ks7QQw_ZpuyHn0ypWow2TAnzUoPqWgEowV9-R-6CXMs1SuUYqpmsqn31OsDZfYljtYdw1Ci9xOh_01EgV_cj39E__af_wZ0MLID</recordid><startdate>20200410</startdate><enddate>20200410</enddate><creator>Pérez-Ros, Pilar</creator><creator>Vila-Candel, Rafael</creator><creator>López-Hernández, Lourdes</creator><creator>Martínez-Arnau, Francisco Miguel</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3734-2480</orcidid><orcidid>https://orcid.org/0000-0003-1949-3290</orcidid><orcidid>https://orcid.org/0000-0002-2118-9792</orcidid></search><sort><creationdate>20200410</creationdate><title>Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study</title><author>Pérez-Ros, Pilar ; Vila-Candel, Rafael ; López-Hernández, Lourdes ; Martínez-Arnau, Francisco Miguel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-a3bca2d2847ffb5cfdaa19ebbc85f3b9df8e27b5563cf9a5579e38650a16edc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ageing</topic><topic>Albumins</topic><topic>Anemia</topic><topic>Biochemical markers</topic><topic>Body Composition</topic><topic>Body fat</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cholesterol</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Frailty</topic><topic>Frailty - etiology</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Health facilities</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Life expectancy</topic><topic>lifestyle</topic><topic>Lymphocytes</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - complications</topic><topic>Markers</topic><topic>Nurses</topic><topic>Nutrition Assessment</topic><topic>Nutrition research</topic><topic>Nutritional Status</topic><topic>Older people</topic><topic>Physical activity</topic><topic>Polypharmacy</topic><topic>Population</topic><topic>Primary care</topic><topic>Quality of life</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Sarcopenia</topic><topic>Sex Factors</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pérez-Ros, Pilar</creatorcontrib><creatorcontrib>Vila-Candel, Rafael</creatorcontrib><creatorcontrib>López-Hernández, Lourdes</creatorcontrib><creatorcontrib>Martínez-Arnau, Francisco Miguel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pérez-Ros, Pilar</au><au>Vila-Candel, Rafael</au><au>López-Hernández, Lourdes</au><au>Martínez-Arnau, Francisco Miguel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2020-04-10</date><risdate>2020</risdate><volume>12</volume><issue>4</issue><spage>1041</spage><pages>1041-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults.
Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL).
We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (
= 356) were women, and 83.9% (
= 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (
= 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21;
< 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52;
= 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02;
= 0.015), falls (OR 1.94, 95% CI 1.12, 3.25;
= 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16;
= 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35;
< 0.001).
The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32290060</pmid><doi>10.3390/nu12041041</doi><orcidid>https://orcid.org/0000-0002-3734-2480</orcidid><orcidid>https://orcid.org/0000-0003-1949-3290</orcidid><orcidid>https://orcid.org/0000-0002-2118-9792</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Accidental Falls - prevention & control Age Age Factors Aged Aged, 80 and over ageing Albumins Anemia Biochemical markers Body Composition Body fat Body mass Body mass index Body size Body weight Cholesterol Cognition Cognitive ability Comorbidity Confidence intervals Cross-Sectional Studies Female Frailty Frailty - etiology Geriatric Assessment Geriatrics Health facilities Hemoglobin Humans Independent Living Life expectancy lifestyle Lymphocytes Male Malnutrition Malnutrition - complications Markers Nurses Nutrition Assessment Nutrition research Nutritional Status Older people Physical activity Polypharmacy Population Primary care Quality of life Risk analysis Risk Factors Sarcopenia Sex Factors Weight control |
| title | Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study |
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