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Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People : A Cross-Sectional Study

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Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People : A Cross-Sectional Study

dc.contributor.author	Pérez Ros, Pilar
dc.contributor.author	Martínez Arnau, Francisco Miguel
dc.contributor.author	López Hernandez, Lourdes
dc.contributor.author	Vila Candel, Rafael
dc.date.accessioned	2021-03-08T19:48:03Z
dc.date.available	2021-03-08T19:48:03Z
dc.date.issued	2020
dc.identifier.citation	Pérez Ros, Pilar Martínez Arnau, Francisco Miguel López Hernandez, Lourdes Vila Candel, Rafael 2020 Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People : A Cross-Sectional Study Nutrients 12 1041
dc.identifier.uri	https://hdl.handle.net/10550/78202
dc.description.abstract	Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: 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). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 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 (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 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; p < 0.001). Conclusions: 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.
dc.language.iso	eng
dc.relation.ispartof	Nutrients, 2020, vol. 12, p. 1041
dc.subject	Nutrició
dc.subject	Edats de la vida
dc.subject	Salut
dc.title	Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People : A Cross-Sectional Study
dc.type	journal article	es_ES
dc.date.updated	2021-03-08T19:48:04Z
dc.identifier.doi	10.3390/nu12041041
dc.identifier.idgrec	139005
dc.rights.accessRights	open access	es_ES