Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study
Slow gait speed is associated with poorer clinical outcomes and higher rates of functional limitation and mortality in older adults, especially when combined with overweight or obesity. Aging is also associated with nutritional deficits. The aim of our study was to assess the potential association b...
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MDPI AG
2024-03-01
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| Series: | Diseases |
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| Online Access: | https://www.mdpi.com/2079-9721/12/3/54 |
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| author | Leila Itani Massimo Pellegrini Dana Saadeddine Hanen Samouda Dima Kreidieh Hana Tannir Marwan El Ghoch |
| author_facet | Leila Itani Massimo Pellegrini Dana Saadeddine Hanen Samouda Dima Kreidieh Hana Tannir Marwan El Ghoch |
| author_sort | Leila Itani |
| collection | DOAJ |
| description | Slow gait speed is associated with poorer clinical outcomes and higher rates of functional limitation and mortality in older adults, especially when combined with overweight or obesity. Aging is also associated with nutritional deficits. The aim of our study was to assess the potential association between dietary practice and gait speed performance in community-dwelling older adults with overweight and obesity. Participants underwent body composition measurement with the Tanita MC-780MA Bioimpedance Analyzer (BIA). Dietary patterns were assessed with the Mini Nutritional Assessment (MNA) questionnaire, and a dietary adequacy (DA) score system was constructed. The four-meter gait speed test was performed in order to assess gait speed. Of 222 participants, aged 67.6 ± 6.6 years, with a body mass index (BMI) of 31.9 ± 4.5 kg/m<sup>2</sup>, 34.7% had reduced gait speed and lower DA compared to those with normal gait speed (2.99 ± 1.12 vs. 3.37 ± 1.07; <i>p</i> < 0.05). The DA score of participants with slower gait speed was more likely to fall below the median than that of participants with normal gait speed (70.1% vs. 51.7%; <i>p</i> < 0.05). Participants with slower gait speed were more likely to be nutritionally at risk of low DA (22.1% vs. 10.3%; <i>p</i> < 0.05). Logistic regression analysis, after adjustment for confounders, showed that the risk of having a slow gait speed was 75% lower among those with a higher DA score (OR = 0.25; 95% CI = 0.11–0.53). Older adults with overweight or obesity in community dwellings might need to be supported with nutritional interventions that can improve their gait speed. |
| first_indexed | 2024-04-24T18:23:16Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2079-9721 |
| language | English |
| last_indexed | 2024-04-24T18:23:16Z |
| publishDate | 2024-03-01 |
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| record_format | Article |
| series | Diseases |
| spelling | doaj.art-3a1cf214fad343c1ad4dae4c3c72bdb62024-03-27T13:33:39ZengMDPI AGDiseases2079-97212024-03-011235410.3390/diseases12030054Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional StudyLeila Itani0Massimo Pellegrini1Dana Saadeddine2Hanen Samouda3Dima Kreidieh4Hana Tannir5Marwan El Ghoch6Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, P.O. Box 11-5020, Beirut 11072809, LebanonCenter for the Study of Metabolism, Body Composition and Lifestyle, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, P.O. Box 11-5020, Beirut 11072809, LebanonDepartment of Precision Health, Nutrition and Health Research Group, Luxembourg Institute of Health, 1A-B, Rue Thomas Edison, Strassen, L-1445 Luxembourg, LuxembourgDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, P.O. Box 11-5020, Beirut 11072809, LebanonDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, P.O. Box 11-5020, Beirut 11072809, LebanonCenter for the Study of Metabolism, Body Composition and Lifestyle, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalySlow gait speed is associated with poorer clinical outcomes and higher rates of functional limitation and mortality in older adults, especially when combined with overweight or obesity. Aging is also associated with nutritional deficits. The aim of our study was to assess the potential association between dietary practice and gait speed performance in community-dwelling older adults with overweight and obesity. Participants underwent body composition measurement with the Tanita MC-780MA Bioimpedance Analyzer (BIA). Dietary patterns were assessed with the Mini Nutritional Assessment (MNA) questionnaire, and a dietary adequacy (DA) score system was constructed. The four-meter gait speed test was performed in order to assess gait speed. Of 222 participants, aged 67.6 ± 6.6 years, with a body mass index (BMI) of 31.9 ± 4.5 kg/m<sup>2</sup>, 34.7% had reduced gait speed and lower DA compared to those with normal gait speed (2.99 ± 1.12 vs. 3.37 ± 1.07; <i>p</i> < 0.05). The DA score of participants with slower gait speed was more likely to fall below the median than that of participants with normal gait speed (70.1% vs. 51.7%; <i>p</i> < 0.05). Participants with slower gait speed were more likely to be nutritionally at risk of low DA (22.1% vs. 10.3%; <i>p</i> < 0.05). Logistic regression analysis, after adjustment for confounders, showed that the risk of having a slow gait speed was 75% lower among those with a higher DA score (OR = 0.25; 95% CI = 0.11–0.53). Older adults with overweight or obesity in community dwellings might need to be supported with nutritional interventions that can improve their gait speed.https://www.mdpi.com/2079-9721/12/3/54BIAnutritional statusdietoverweightobesityphysical performance |
| spellingShingle | Leila Itani Massimo Pellegrini Dana Saadeddine Hanen Samouda Dima Kreidieh Hana Tannir Marwan El Ghoch Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study Diseases BIA nutritional status diet overweight obesity physical performance |
| title | Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study |
| title_full | Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study |
| title_fullStr | Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study |
| title_full_unstemmed | Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study |
| title_short | Association between Dietary Practice and Gait Speed in Community-Dwelling Older Adults with Overweight and Obesity: A Cross-Sectional Study |
| title_sort | association between dietary practice and gait speed in community dwelling older adults with overweight and obesity a cross sectional study |
| topic | BIA nutritional status diet overweight obesity physical performance |
| url | https://www.mdpi.com/2079-9721/12/3/54 |
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