PMID- 19043647
OWN - NLM
STAT- MEDLINE
DCOM- 20091217
LR  - 20240317
IS  - 1760-4788 (Electronic)
IS  - 1279-7707 (Linking)
VI  - 12
IP  - 10
DP  - 2008 Dec
TI  - The physical functional capacity of frail elderly persons undergoing ambulatory 
      rehabilitation is related to their nutritional status.
PG  - 721-6
AB  - OBJECTIVES: To estimate the prevalence of malnutrition in frail elders undergoing 
      rehabilitation and the association between their nutritional status and physical 
      function. DESIGN: Observational study of new participants undergoing ambulatory 
      rehabilitation. SETTING: Two Geriatric Day Hospitals (GDH) in Montreal, Quebec. 
      PARTICIPANTS: 121 women and 61 men. INTERVENTION: Evaluation of nutritional 
      status, body composition and physical function. MEASUREMENTS: The nutritional 
      status was assessed with a composite index based on anthropometric measurements 
      and serum albumin, as well as using the Mini Nutritional Assessment (MNA) 
      questionnaire. Patients were classified as well-nourished, having mild/at risk of 
      malnutrition or malnourished. Body composition was estimated by bioimpedance and 
      handgrip strength and gait speed by standard methods. RESULTS: 13% of patients 
      were found to be mildly malnourished, whereas 6% were malnourished. Malnourished 
      patients were older and had worse cognition, lower BMI, and % body fat (all 
      p<0.05). Malnourished patients and those with mild malnutrition had lower weight, 
      triceps skinfold thickness, muscle and fat mass (all, p<0.003). Handgrip strength 
      was different according to the nutritional status (p=0.034) and correlated with 
      muscle mass (r=0.65, p<0.001). MNA classified 53% of patients as being at risk 
      whereas 3% were malnourished and it correlated with gait speed (r=0.26, p=0.001). 
      CONCLUSION: There is a high prevalence of patients in GDH at risk or with mild 
      malnutrition. Being malnourished was associated with worse physical performance, 
      which suggests that a nutritional intervention may be of benefit in improving 
      their physical function.
FAU - Chevalier, S
AU  - Chevalier S
AD  - McGill University Health Centre, McGill University, Royal Victoria Hospital, 687 
      Pine Ave West, Room H6.61, Montreal, Quebec, Canada.
FAU - Saoud, F
AU  - Saoud F
FAU - Gray-Donald, K
AU  - Gray-Donald K
FAU - Morais, J A
AU  - Morais JA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - France
TA  - J Nutr Health Aging
JT  - The journal of nutrition, health & aging
JID - 100893366
SB  - IM
MH  - Activities of Daily Living
MH  - Adipose Tissue
MH  - Age Factors
MH  - Aged
MH  - Body Composition
MH  - Body Mass Index
MH  - Body Weight
MH  - Cognition
MH  - Female
MH  - *Frail Elderly/statistics & numerical data
MH  - Gait
MH  - *Geriatric Assessment
MH  - Hand Strength
MH  - Humans
MH  - Male
MH  - Malnutrition/epidemiology/*physiopathology
MH  - *Nutrition Assessment
MH  - *Nutritional Status
MH  - *Physical Fitness
MH  - Prevalence
MH  - Quebec
MH  - Rehabilitation
MH  - Skinfold Thickness
MH  - Walking
EDAT- 2008/12/02 09:00
MHDA- 2009/12/18 06:00
CRDT- 2008/12/02 09:00
PHST- 2008/12/02 09:00 [pubmed]
PHST- 2009/12/18 06:00 [medline]
PHST- 2008/12/02 09:00 [entrez]
AID - S1279-7707(23)02336-9 [pii]
AID - 10.1007/BF03028620 [doi]
PST - ppublish
SO  - J Nutr Health Aging. 2008 Dec;12(10):721-6. doi: 10.1007/BF03028620.