The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversa...

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Autores principales:	Itxaso Mugica-Errazquin, Idoia Zarrazquin, Jesús Seco-Calvo, Javier Gil-Goikouria, Ana Rodriguez-Larrad, Janire Virgala, Nagore Arizaga, Beatriz Matilla-Alejos, Jon Irazusta, Maider Kortajarena
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	nutritional status functional status physical performance physical activity frailty older adults Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/6a3592dc27b3441fa7c7b6a27846ee99
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spelling	oai:doaj.org-article:6a3592dc27b3441fa7c7b6a27846ee992021-11-25T18:33:23ZThe Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty10.3390/nu131137162072-6643https://doaj.org/article/6a3592dc27b3441fa7c7b6a27846ee992021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3716https://doaj.org/toc/2072-6643Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.Itxaso Mugica-ErrazquinIdoia ZarrazquinJesús Seco-CalvoJavier Gil-GoikouriaAna Rodriguez-LarradJanire VirgalaNagore ArizagaBeatriz Matilla-AlejosJon IrazustaMaider KortajarenaMDPI AGarticlenutritional statusfunctional statusphysical performancephysical activityfrailtyolder adultsNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3716, p 3716 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nutritional status functional status physical performance physical activity frailty older adults Nutrition. Foods and food supply TX341-641
spellingShingle	nutritional status functional status physical performance physical activity frailty older adults Nutrition. Foods and food supply TX341-641 Itxaso Mugica-Errazquin Idoia Zarrazquin Jesús Seco-Calvo Javier Gil-Goikouria Ana Rodriguez-Larrad Janire Virgala Nagore Arizaga Beatriz Matilla-Alejos Jon Irazusta Maider Kortajarena The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
description	Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.
format	article
author	Itxaso Mugica-Errazquin Idoia Zarrazquin Jesús Seco-Calvo Javier Gil-Goikouria Ana Rodriguez-Larrad Janire Virgala Nagore Arizaga Beatriz Matilla-Alejos Jon Irazusta Maider Kortajarena
author_facet	Itxaso Mugica-Errazquin Idoia Zarrazquin Jesús Seco-Calvo Javier Gil-Goikouria Ana Rodriguez-Larrad Janire Virgala Nagore Arizaga Beatriz Matilla-Alejos Jon Irazusta Maider Kortajarena
author_sort	Itxaso Mugica-Errazquin
title	The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
title_short	The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
title_full	The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
title_fullStr	The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
title_full_unstemmed	The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
title_sort	nutritional status of long-term institutionalized older adults is associated with functional status, physical performance and activity, and frailty
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6a3592dc27b3441fa7c7b6a27846ee99
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The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

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