Age Difference in the Association Between Nutritional Status and Dynapenia in Older Adults

Nutrients, Journal Year: 2025, Volume and Issue: 17(4), P. 734 - 734

Published: Feb. 19, 2025

Although nutritional status plays a critical role in maintaining muscle strength, limited evidence exists regarding its association with dynapenia. We aimed to investigate the between different statuses and dynapenia among Taiwanese older adults, assessed whether age modifies this relationship. In study, we enrolled individuals aged 65 years living community settings through convenience sampling from 2020 2021, following cross-sectional design. The Mini-Nutritional Assessment Short Form (MNA-SF) was used assess participants were at risk. Standardized assessments measured strength (handgrip measurement), physical performance (6 m walking test), mass (bioelectrical impedance analysis) confirm classifications. interaction terms tested using likelihood ratio tests examine for age. For overall sample subgroup analyses, binary logistic regression employed. Among 211 (mean age: 80.7 ± 7.1 years), after adjusting potential confounders, those risk (OR: 3.11; 95% CI: 1.31-7.36) positively associated dynapenia, whereas higher MNA-SF scores 0.73; 0.57-0.93) negatively associated. Interactions observed group (p = 0.014), significantly only old-old (≥75 years) (OR 4.11, 1.39-12.15). Age is moderator of populations. Nutritional appeared be more profound These findings offer insights monitoring implementing targeted interventions prevent over 75 years. Future studies prospective designs should explore underlying mechanisms linking effectiveness preventing decline.

Language: Английский

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Phase angle and COVID-19: A systematic review with meta-analysis

Reviews in Endocrine and Metabolic Disorders, Journal Year: 2023, Volume and Issue: 24(3), P. 525 - 542

Published: March 24, 2023

Abstract Phase angle (PhA) has been identified as a poor prognostic factor in patients with COVID-19. This study aimed to achieve systematic review, where we discussed the potential role of PhA value marker adverse clinical outcomes such mortality and complication hospitalized SARS-CoV2 infection established strength recommendations for use. A literature review meta-analysis was done main electronic databases from 2020 January 2023. The selected articles had investigate consequences COVID-19 population raw bioimpedance parameters published peer-reviewed journals. GRADE tools regarded quality methodology. protocol registered PROSPERO. Only eight studies, 483 were eligible analysis. In general, differences seen between comparative groups. Patients low experienced outcomes. associated significantly increased risk [RR: 2.44; 95% CI (1.20–4.99), p = 0.01; I2 79% (p 0.0008)] higher complications [OR: 3.47, (1.16 – 10.37), 0.03; 82% 0.004)] patients. Our analysis showed four evidence-based on two strong recommendations, one moderate another low-moderate quality, predicting complications, respectively. We recommend using this population. Although results are promising, future studies must identify cut-off guide therapeutic decisions more precisely. Registration code PROSPERO: CRD42023391044

Language: Английский

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Bioelectrical impedance analysis (BIA) phase angle in stroke patients: a systematic review

Clinical Nutrition, Journal Year: 2024, Volume and Issue: 43(12), P. 63 - 72

Published: Oct. 11, 2024

Language: Английский

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Longitudinal Changes in Physical Function and Their Impact on Health Outcomes in COVID-19 Patients

Nutrients, Journal Year: 2023, Volume and Issue: 15(20), P. 4474 - 4474

Published: Oct. 22, 2023

Background: Coronavirus disease (COVID-19) is correlated with a variety of long-term sequelae that affect different aspects health, including physical function. This study investigated the longitudinal changes in handgrip strength (HGS) over six months post-hospital discharge COVID-19 patients and explores associations between HGS, health-related quality life, dyspnoea, exercise capacity, body mass index (BMI). Methods: Adult were followed up at one, three, after hospital discharge. BMI, life assessed. Data from HGS measurements all three time points analysed. Results: Low was prevalent one month post-discharge (35%). Participants low exhibited more severe (30.5% vs. 5.9% admitted to intensive care unit, p < 0.01), longer stays (median [IQR] 21 [10.0; 40.5] 12.0 [8.0; 20.0] days, greater weight loss (−5.7 [−9.1; −0.6] −3.2 [−5.7; −0.0] kg, = 0.004), reduced capacity (6 min walking test [6 MWT], 95.7 [84.0; 102.0] 100.0 [92.9; 105.0]% predicted, 0.007). Those persistently (40% initial group) had worse (6-MWT 93.3 [78.3; 101.0] 101.0 [95.0; 107.0]% 0.001), dyspnoea (29.0% 2.0% participants, poorer (visual analogue scale score, 75 [50; 75] 85 [75; 95], higher rates problems various health dimensions. 1 only significant predictor improvement 6 (odds ratio [95% CI] 1.11 [1.03; 1.20], 0.008). Conclusions: highlights prevalence function among survivors emphasises importance early identification intervention optimise their health. Monitoring simple reliable tool, can provide valuable insights into patients’ overall function, aiding tailored improved outcomes.

Language: Английский

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Malnutrition, Functional Decline, and Institutionalization in Older Adults after Hospital Discharge Following Community-Acquired Pneumonia

Nutrients, Journal Year: 2023, Volume and Issue: 16(1), P. 11 - 11

Published: Dec. 20, 2023

Background and aims: Community-acquired pneumonia (CAP) is a major threat to older adults, but mid-term implications are poorly described. The aim was analyze functional decline, institutionalization, malnutrition, risk factors after hospital admission for CAP. Methods: This prospective observational study included patients over 65 years discharged CAP between May 2019 July 2021. We performed comprehensive geriatric assessment general nutritional 30–60 days the MNA blood test with trace elements vitamins. main outcomes were malnutrition. Multivariate logistic regression used analyses. Results: In total, 144 of 77.15 ± 7.91 years, 55.6% male, 9% previously institutionalized analyzed. At admission, Charlson Comorbidity Index (CCI) 1.5 1.6, Pneumonia Severity 98.1 25.9, previous Barthel (BI) 93.06 17.13. Hospital stay 9.72 7.88 days. After 44.6 14.4 days, 48.6% showed decline 19.4% institutionalized. Age (OR 1.17; CI 95% 1.09–1.26), institutionalization (29.1; 3.7–224.7), BI (1.09; 1.05–1.14), CCI (1.5; 1.1–2.1), length (1.1, 1.02–1.18) independently associated decline. only predictors new (0.96; 0.93–0.99) (1.06; 1.00–1.13). indicated malnutrition in 28% community-dwelling 67.9% those institutionalized, being 45.7% 9.5%, respectively, an average diagnosis. (10.62; 2.20–51.21), (0.95; 0.92–0.98), (1.12; 1.04–1.20). Micronutrient deficiencies mainly zinc (61.8%), vitamin D (54.5%), C (45.1%). An score < 17 points or hypoalbuminemia good specificity identify these deficiencies. Conclusions: rates high. Longer common factor all outcomes. presence should prompt suspicion micronutrients, such as D, C, zinc.

Language: Английский

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Phase angle is associated with nutritional risk in subacute stroke patients at the beginning of rehabilitation

Nutrition, Journal Year: 2024, Volume and Issue: 131, P. 112637 - 112637

Published: Nov. 15, 2024

Malnutrition in stroke is associated with poor clinical outcomes. Bioelectrical impedance analysis-derived phase angle (PhA) widely used for assessing nutritional status as an index of muscle quality. This study aimed to evaluate the associations between whole body and limb PhAs risk patients. PhA predictors were also identified.

Language: Английский

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Can vitamin D positively impact one or more postacute-COVID-19 syndrome musculoskeletal and cognitive complications?

International Physical Medicine & Rehabilitation Journal, Journal Year: 2023, Volume and Issue: 8(1), P. 1 - 5

Published: Jan. 1, 2023

The coronavirus disease known as COVID-19 has persisted in various forms now for three years without any major reduction on its detrimental health outcomes. This mini review highlights some aspects of the condition post-acute or long syndrome that recently been seen to emerge among a fair percentage survivors. It asks whether efforts ensure vitamin D intake exposure levels can impact one more manifestations way. Using key words: Vitamin D, Long COVID Post-acute PUBMED, PubMed Central, and Google Scholar were explored articles relevance. Described narrative form, these data reveal while this topic not yet articulated degree most management December 2022, challenges musculoskeletal alone appear warrant due consideration.

Language: Английский

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Quality of life in patients with novel coronavirus infection: association with disease severity and change depending on rehabilitation regimens after inpatient treatment

Remedium Journal about the Russian market of medicines and medical equipment, Journal Year: 2022, Volume and Issue: 26(4), P. 303 - 307

Published: Dec. 6, 2022

Objective. Imbalance of vitamin and mineral substances is considered as one the leading functional conditions in patients with post-COVID syndrome.Materials Methods. Тotal 195 consecutively recruited were examined. The average age surveyed was 54 (12.1) years. After discharge from hospital, randomly recommended four rehabilitation regimens: Group A - standard rehabilitation, mainly including anticoagulant therapy (n = 47); B where, addition to methods, preparations administered 49); C 48); D vitamins 51). quality life assessed using scales SF-36 questionnaire.Results. Patients severe COVID-19 had a lower on admission hospital than those moderate disease. Rehabilitation activities within 6 months after an acute coronavirus infection, increased by 10-20%. most pronounced result observed group D, who used trace elements combination vitamins.Conclusion. Intake vitamin-mineral complexes into regimens improves syndrome.

Language: Английский

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