Joana Mendes1,2, Cláudia Afonso3, Pedro Moreira3,4,5, Patrícia Padrão3,4, Alejandro Santos2,3, Nuno Borges3,6, Rita Negrão1,2, Teresa F Amaral3,7. 1. Department of Biomedicine, Biochemistry Unit, Faculty of Medicine, University of Porto, Portugal. 2. I3S - Institute for Research and Innovation in Health, University of Porto, Porto, Portugal. 3. Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal. 4. EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal. 5. The Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal. 6. CINTESIS - Centre for Health Technology and Services Research, Porto, Portugal. 7. System Integration and Process Automation Unit (UISPA), Mechanical Engineering Institute (IDMEC), Faculty of Engineering, University of Porto, Porto, Portugal.
Abstract
BACKGROUND: How nutrition status indicators relate to function in older adults is an issue that needs to be explored. This study aimed to quantify the associations of anthropometric parameters and nutrition status indicators with hand grip strength (HGS) and gait speed (GS) in older adults. METHODS: A cross-sectional observational study was conducted in a population-based sample of 1500 older adults ≥65 years old. Logistic regression models were used to explore the associations between anthropometric, nutrition, and functional measures. RESULTS: Lower values of height, mid-arm muscle circumference, and calf circumference, as well as higher values of waist circumference, were associated with both low GS and HGS. The adjusted odds ratio (OR) for low GS was around 2-fold higher in participants presenting risk for undernutrition or undernutrition. The adjusted OR (95% confidence interval) for low HGS was 1.54 (1.01-2.36) in women and 1.57 (0.91-2.72) in men at risk for undernutrition/undernutrition. CONCLUSIONS: In older adults, lower values of height and calf circumference, as well as higher waist circumference, were associated with both low GS and HGS. Lower values of mid-arm muscle circumference were also associated with low values of both functional parameters only in men. The risk for undernutrition/undernutrition was more strongly associated with low GS than with low HGS in both women and men.
BACKGROUND: How nutrition status indicators relate to function in older adults is an issue that needs to be explored. This study aimed to quantify the associations of anthropometric parameters and nutrition status indicators with hand grip strength (HGS) and gait speed (GS) in older adults. METHODS: A cross-sectional observational study was conducted in a population-based sample of 1500 older adults ≥65 years old. Logistic regression models were used to explore the associations between anthropometric, nutrition, and functional measures. RESULTS: Lower values of height, mid-arm muscle circumference, and calf circumference, as well as higher values of waist circumference, were associated with both low GS and HGS. The adjusted odds ratio (OR) for low GS was around 2-fold higher in participants presenting risk for undernutrition or undernutrition. The adjusted OR (95% confidence interval) for low HGS was 1.54 (1.01-2.36) in women and 1.57 (0.91-2.72) in men at risk for undernutrition/undernutrition. CONCLUSIONS: In older adults, lower values of height and calf circumference, as well as higher waist circumference, were associated with both low GS and HGS. Lower values of mid-arm muscle circumference were also associated with low values of both functional parameters only in men. The risk for undernutrition/undernutrition was more strongly associated with low GS than with low HGS in both women and men.
Authors: Charlotte S Kramer; Inge Groenendijk; Sonja Beers; Hugo H Wijnen; Ondine van de Rest; Lisette C P G M de Groot Journal: Curr Dev Nutr Date: 2022-01-29