Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey

Background This study aimed to determine the prevalence of sarcopenia and its associated factors in community-dwelling older adults at risk of malnutrition based on the Mini Nutritional Assessment (MNA), Prognostic Nutritional Index (PNI), and Geriatric Nutritional Risk Index (GNRI). Methods The stu...

Full description

Bibliographic Details
Main Authors: Hacer Alatas, Yeliz Serin, Nurgül Arslan
Format: Article
Language:English
Published: Korea Geriatrics Society 2023-12-01
Series:Annals of Geriatric Medicine and Research
Subjects:
Online Access:http://www.e-agmr.org/upload/pdf/agmr-23-0064.pdf
_version_ 1797367540736851968
author Hacer Alatas
Yeliz Serin
Nurgül Arslan
author_facet Hacer Alatas
Yeliz Serin
Nurgül Arslan
author_sort Hacer Alatas
collection DOAJ
description Background This study aimed to determine the prevalence of sarcopenia and its associated factors in community-dwelling older adults at risk of malnutrition based on the Mini Nutritional Assessment (MNA), Prognostic Nutritional Index (PNI), and Geriatric Nutritional Risk Index (GNRI). Methods The study participants were 345 adults aged >65 years who visited Geriatric Internal Medicine outpatient clinics. The study included people without acute illness for whom the risk of malnutrition could be assessed and appropriate measurements taken. At the baseline visit, participants’ data and measurements were gathered. The primary data included sociodemographic details, anthropometric measurements, malnutrition screening tests, and functional assessments. Results The participants’ mean age was 76.21±5.59 years, and 57.1% were men (n=97). The prevalence rate of sarcopenia was 45.5%. Compared to individuals without sarcopenia, those with it were older; had lower MNA, PNI, and GNRI scores; and had lower muscle mass, muscle strength, and lower leg circumferences (p<0.001). After adjusting for potential confounding factors, we found that sarcopenia, advanced age, male sex, high risk of malnutrition, calf circumference, and a low PNI score were all significantly associated with a low GNRI score (p<0.001). Conclusion Sarcopenia was significantly associated with advanced age, male sex, and high risk of malnutrition. Patients’ nutritional and functional status should always be assessed for therapeutic interventions and lifestyle changes.
first_indexed 2024-03-08T17:19:50Z
format Article
id doaj.art-5dde7a7ebf5b4f298d63ffab87467ecf
institution Directory Open Access Journal
issn 2508-4798
2508-4909
language English
last_indexed 2024-03-08T17:19:50Z
publishDate 2023-12-01
publisher Korea Geriatrics Society
record_format Article
series Annals of Geriatric Medicine and Research
spelling doaj.art-5dde7a7ebf5b4f298d63ffab87467ecf2024-01-03T07:47:21ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092023-12-0127429330010.4235/agmr.23.00641088Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in TurkeyHacer Alatas0Yeliz Serin1Nurgül Arslan2 Department of Nutrition and Dietetics, Faculty of Health Sciences, Malatya Turgut Ozal University, Malatya, Turkey Department of Nutrition and Dietetics, Faculty of Health Sciences, Cukurova University, Adana, Turkey Department of Nutrition and Dietetics, Ataturk Faculty of Health Sciences, Dicle University, Diyarbakir, TurkeyBackground This study aimed to determine the prevalence of sarcopenia and its associated factors in community-dwelling older adults at risk of malnutrition based on the Mini Nutritional Assessment (MNA), Prognostic Nutritional Index (PNI), and Geriatric Nutritional Risk Index (GNRI). Methods The study participants were 345 adults aged >65 years who visited Geriatric Internal Medicine outpatient clinics. The study included people without acute illness for whom the risk of malnutrition could be assessed and appropriate measurements taken. At the baseline visit, participants’ data and measurements were gathered. The primary data included sociodemographic details, anthropometric measurements, malnutrition screening tests, and functional assessments. Results The participants’ mean age was 76.21±5.59 years, and 57.1% were men (n=97). The prevalence rate of sarcopenia was 45.5%. Compared to individuals without sarcopenia, those with it were older; had lower MNA, PNI, and GNRI scores; and had lower muscle mass, muscle strength, and lower leg circumferences (p<0.001). After adjusting for potential confounding factors, we found that sarcopenia, advanced age, male sex, high risk of malnutrition, calf circumference, and a low PNI score were all significantly associated with a low GNRI score (p<0.001). Conclusion Sarcopenia was significantly associated with advanced age, male sex, and high risk of malnutrition. Patients’ nutritional and functional status should always be assessed for therapeutic interventions and lifestyle changes.http://www.e-agmr.org/upload/pdf/agmr-23-0064.pdfelderlymalnutritionnutrition assessmentnutritional statussarcopenia
spellingShingle Hacer Alatas
Yeliz Serin
Nurgül Arslan
Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
Annals of Geriatric Medicine and Research
elderly
malnutrition
nutrition assessment
nutritional status
sarcopenia
title Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
title_full Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
title_fullStr Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
title_full_unstemmed Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
title_short Nutritional Status and Risk of Sarcopenia among Hospitalized Older Adults Residing in a Rural Region in Turkey
title_sort nutritional status and risk of sarcopenia among hospitalized older adults residing in a rural region in turkey
topic elderly
malnutrition
nutrition assessment
nutritional status
sarcopenia
url http://www.e-agmr.org/upload/pdf/agmr-23-0064.pdf
work_keys_str_mv AT haceralatas nutritionalstatusandriskofsarcopeniaamonghospitalizedolderadultsresidinginaruralregioninturkey
AT yelizserin nutritionalstatusandriskofsarcopeniaamonghospitalizedolderadultsresidinginaruralregioninturkey
AT nurgularslan nutritionalstatusandriskofsarcopeniaamonghospitalizedolderadultsresidinginaruralregioninturkey