Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

Devinder KA Singh,1 Zahara A Manaf,2 Noor Aini M Yusoff,3 Nur A Muhammad,2 Mei Fang Phan,1 Suzana Shahar2 1Physiotherapy Program, School of Rehabilitation Sciences, 2Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, 3ASIA Metropolitan Uni...

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Autores principales:	Singh DKA, Manaf ZA, Yusoff NAM, Muhammad NA, Phan MF, Shahar S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	under nutrition physical performance falls risks older adults Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a4788608dc0d414e85150c2f8f43e1c7
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spelling	oai:doaj.org-article:a4788608dc0d414e85150c2f8f43e1c72021-12-02T06:32:21ZCorrelation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions1178-1998https://doaj.org/article/a4788608dc0d414e85150c2f8f43e1c72014-08-01T00:00:00Zhttps://www.dovepress.com/correlation-between-nutritional-status-and-comprehensive-physical-perf-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Devinder KA Singh,1 Zahara A Manaf,2 Noor Aini M Yusoff,3 Nur A Muhammad,2 Mei Fang Phan,1 Suzana Shahar2 1Physiotherapy Program, School of Rehabilitation Sciences, 2Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, 3ASIA Metropolitan University, Cheras, Malaysia Purpose: The consequences of combined undernourishment and decreased physical performance in older adults are debilitating and increases cost of care. To date, the information regarding the association between nutritional status and physical performance does not provide a complete picture. Most studies used limited or self-reported measures to evaluate physical performance. The objective of this study was to examine the correlation between nutritional status and comprehensive physical performance measures among undernourished older adults who reside in residential institutions.Methods: Forty-seven older adults (26 males, 21 females) aged ≥60 (69.23±8.63) years who were identified as undernourished from two residential institutions participated in this study. A battery of physical performance tests (10 m gait speed test, dominant hand grip strength test, timed five-repetition sit-to-stand test, ten step test, arm curl test, scratch test, and respiratory muscle strength test), biochemical profiles (serum albumin, hemoglobin, serum ferritin, and prealbumin levels), and falls risk using the short-form Physiological Profile Approach were performed. The Functional Ability Questionnaire and Geriatric Depression Scale were also administered.Results: The results demonstrated that generally older adults with undernourishment scored poorly on the physical performance tests, had depression, and a high risk of falls. Biochemical results demonstrated that 10.9% of the participants were anemic, 63% had hypoalbuminemia (<3.5 g/dL), and 21.7% were at risk of protein energy malnutrition with prealbumin level (100–170 mg/L). A significant correlation (P<0.05) was demonstrated between hand grip strength and ferritin, between self-reported mobility dependence and prealbumin levels, and between self-reported mobility tiredness and body mass index.Conclusion: These results confirm that older adults with undernutrition have poor physical function, higher falls risk, and depression. Clinically, overall health that includes nutritional status, physical function, and depression level should be taken into consideration in the assessment and treatment of older adults residing at residential institutions. Keywords: undernutrition, physical performance, falls risks, older adultsSingh DKAManaf ZAYusoff NAMMuhammad NAPhan MFShahar SDove Medical Pressarticleunder nutritionphysical performancefalls risksolder adultsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1415-1423 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	under nutrition physical performance falls risks older adults Geriatrics RC952-954.6
spellingShingle	under nutrition physical performance falls risks older adults Geriatrics RC952-954.6 Singh DKA Manaf ZA Yusoff NAM Muhammad NA Phan MF Shahar S Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
description	Devinder KA Singh,1 Zahara A Manaf,2 Noor Aini M Yusoff,3 Nur A Muhammad,2 Mei Fang Phan,1 Suzana Shahar2 1Physiotherapy Program, School of Rehabilitation Sciences, 2Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, 3ASIA Metropolitan University, Cheras, Malaysia Purpose: The consequences of combined undernourishment and decreased physical performance in older adults are debilitating and increases cost of care. To date, the information regarding the association between nutritional status and physical performance does not provide a complete picture. Most studies used limited or self-reported measures to evaluate physical performance. The objective of this study was to examine the correlation between nutritional status and comprehensive physical performance measures among undernourished older adults who reside in residential institutions.Methods: Forty-seven older adults (26 males, 21 females) aged ≥60 (69.23±8.63) years who were identified as undernourished from two residential institutions participated in this study. A battery of physical performance tests (10 m gait speed test, dominant hand grip strength test, timed five-repetition sit-to-stand test, ten step test, arm curl test, scratch test, and respiratory muscle strength test), biochemical profiles (serum albumin, hemoglobin, serum ferritin, and prealbumin levels), and falls risk using the short-form Physiological Profile Approach were performed. The Functional Ability Questionnaire and Geriatric Depression Scale were also administered.Results: The results demonstrated that generally older adults with undernourishment scored poorly on the physical performance tests, had depression, and a high risk of falls. Biochemical results demonstrated that 10.9% of the participants were anemic, 63% had hypoalbuminemia (<3.5 g/dL), and 21.7% were at risk of protein energy malnutrition with prealbumin level (100–170 mg/L). A significant correlation (P<0.05) was demonstrated between hand grip strength and ferritin, between self-reported mobility dependence and prealbumin levels, and between self-reported mobility tiredness and body mass index.Conclusion: These results confirm that older adults with undernutrition have poor physical function, higher falls risk, and depression. Clinically, overall health that includes nutritional status, physical function, and depression level should be taken into consideration in the assessment and treatment of older adults residing at residential institutions. Keywords: undernutrition, physical performance, falls risks, older adults
format	article
author	Singh DKA Manaf ZA Yusoff NAM Muhammad NA Phan MF Shahar S
author_facet	Singh DKA Manaf ZA Yusoff NAM Muhammad NA Phan MF Shahar S
author_sort	Singh DKA
title	Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
title_short	Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
title_full	Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
title_fullStr	Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
title_full_unstemmed	Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
title_sort	correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/a4788608dc0d414e85150c2f8f43e1c7
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Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

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