Relationship Between Body Composition and Nutritional Status in Brazilian Nonagenarians

Claudia Aline Oliveira Safian, Â. Bós
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Abstract

Introduction Brazil has undergone considerable changes in age distribution, particularly in nonagenarians. Allied to this reality, there is a series of nutritional disorders in this population segment. An important factor related to quality of life and healthy aging is good nutrition throughout life. Objective To observe the possible relationship between nutritional status and body composition in nonagenarians. Methodology This is a descriptive, cross-sectional and analytical study, with participants aged 90 years or older, evaluated using the Mini Nutritional Assessment (MNA), anthropometric parameters, and Bioimpedance. Results The sample consisted of 72 nonagenarians, averaging in age 93.7 years, most female (72%), white (82%) and widowed (64%), 19.4% were in nutritional risk, based on the MNA criteria. All anthropometric parameters presented lower averages among nonagenarians in nutritional risk. Regarding the bioimpedance parameters, in general the risk-free nonagenarians presented higher averages of weight, maximum ideal weight, minimum ideal weight, BMI, lean-mass, fat-mass, percentage of fat-mass and minimum percentage of fat-mass. Conclusions Most nonagenarians were in good nutritional status. Both anthropometric and bioimpedance parameters were effective to discriminate between normal and at nutritional risk nonagenarians. We also concluded that nutritional risk assessment in nonagenarians patients requires a joint analysis of the several existing methods for the nutritional evaluation, in order to obtain global diagnosis and accurate analysis of the nutritional status of the nonagenarians.
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巴西百岁老人身体成分与营养状况的关系
巴西的年龄分布发生了相当大的变化,尤其是在90多岁的老人中。与这一现实相关联的是,这一人群中存在一系列营养失调。与生活质量和健康老龄化相关的一个重要因素是一生中良好的营养。目的探讨老年人营养状况与身体成分之间可能存在的关系。这是一项描述性、横断面性和分析性研究,参与者年龄在90岁或以上,使用Mini营养评估(MNA)、人体测量参数和生物阻抗进行评估。结果根据MNA标准,调查对象为72名90岁以上老年人,平均年龄93.7岁,以女性(72%)、白人(82%)、丧偶(64%)、19.4%的老年人存在营养风险。所有人体测量参数均显示,在营养风险方面,90岁老人的平均值较低。在生物阻抗参数方面,总体而言,无风险老年人的体重、最大理想体重、最小理想体重、BMI、瘦质量、脂肪质量、脂肪质量百分比和最小脂肪质量百分比的平均值较高。结论多数老年人营养状况良好。人体测量学和生物阻抗参数对区分正常和有营养风险的百岁老人是有效的。我们还得出结论,对老年患者进行营养风险评估需要对现有的几种营养评估方法进行综合分析,才能对老年患者的营养状况进行全面诊断和准确分析。
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CiteScore
1.20
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审稿时长
12 weeks
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