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Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailty

2019Journal article Open access
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dc.contributor.authorMarques, Maria Armanda
dc.contributor.authorFaria, Ana
dc.contributor.authorCebola, Marisa
dc.date.accessioned2020-04-17T23:31:11Z
dc.date.available2020-04-17T23:31:11Z
dc.date.issued2019
dc.description.abstractIntroduction: Malnutrition, sarcopenia and frailty are multifactorial and highly prevalent conditions among institutionalized older adults Objectives: The aim of this study was to asses body mass index and body composition in older adults, according to the diagnosis of malnutrition, sarcopenia and frailty. Methods: Institutionalized older adults with 60 or more years old were included. Nutritional status (Mini Nutritional Assessment), sarcopenia (European Working Group Sarcopenia in Older People criteria) and frailty (Fried Phenotype) were assessed. Body composition was assessed through bioelectrical impedance Results: One-hundred and forty-six individuals, with a mean age of 83 years old and mainly females (63.3%) were included. Malnutrition was diagnosed in 26.2%, sarcopenia in 25.0% and frailty in 61.0%. Mean Body Mass Index (BMI) was 20.7, 25.8 and 26.6kg/m2 in malnourished, at risk and well- nourished individuals, respectively(p = 0.000); 21.6 and 26.8 kg/m2 in sarcopenic and non-sarcopenic individuals(p = 0.000); and 24.3 and 27.7 kg/m2 in fragile and robust individuals(p=0.000). Mean Fat Mass Index was 9.6 and 13.3 kg/m2 in sarcopenic and non-sarcopenic individuals (p=0.007); and 10.3 and 16.0kg/m2 in fragile and robust individuals (p=0.000). Mean Free Fat Mass Index was 12.5, 14.9 and 17.0kg/m2 in malnourished, at risk and well- nourished individuals; 12.0 and 17.0 kg/m2 in sarcopenic and non-sarcopenic individuals(p=0.000); and 14.7 and 17.1kg/ m2 in fragile and robust individuals(p = 0.002) Conclusions: BMI, free fat mass and fat mass were significantly lower in older adults with malnutrition, sarcopenia and frailty. BMI is a practical nutritional status marker, however it needs to be interpreted cautiously in older adults, as it seems that a lower value is associated with a worse prognosis and existing cutoffs may not apply. Nutritional screening and assessment of older adults is essential for a prompt intervention, in order to prevent and reverse these conditionspt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEuropean Journal of Public Health, Volume 29, Issue Supplement_1, April 2019, ckz034.070pt_PT
dc.identifier.doihttps://doi.org/10.1093/eurpub/ckz034.070pt_PT
dc.identifier.issn1464-360X
dc.identifier.urihttp://hdl.handle.net/10400.26/32021
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectÍndice de massa corporalpt_PT
dc.subjectComposição corporalpt_PT
dc.subjectSaúde do idoso institucionalizadopt_PT
dc.subjectIdoso fragilizadopt_PT
dc.subjectDesnutriçãopt_PT
dc.subjectSarcopeniapt_PT
dc.subjectIdosopt_PT
dc.titleBody mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailtypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume29pt_PT
person.familyNameFaria
person.givenNameAna
person.identifier.ciencia-id011A-D273-6021
person.identifier.orcid0000-0002-9125-7690
person.identifier.scopus-author-id55552246200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd7ab2200-9958-4d55-a53a-53b4ab63b3b5
relation.isAuthorOfPublication.latestForDiscoveryd7ab2200-9958-4d55-a53a-53b4ab63b3b5

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