Malnutrition as key predictor of physical frailty among Malaysian older adults

Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerge...

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Main Authors: Norazman, Camilla Wahida, Adznam, Siti Nur’Asyura, Jamaluddin, Rosita
Format: Article
Language:English
Published: Multidisciplinary Digital Publishing Institute 2020
Online Access:http://psasir.upm.edu.my/id/eprint/86635/1/Malnutrition%20as%20key%20predictor%20.pdf
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author Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
author_facet Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
author_sort Norazman, Camilla Wahida
collection UPM
description Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerged were assessed independently of other risk factors. A total of 301 community-dwelling older adults with a mean age of 66.91 ± 5.59 years old were randomly recruited. Fried Criteria and Mini Nutritional Assessment-Short Form (MNA-SF) were used to assess frailty status and malnutrition, respectively. Other related nutritional assessments were assessed (body mass index (BMI), circumference measures, body fat % and skeletal muscle mass). The prevalence of frailty was 14.6% and prefrail was 59.7%; 29.6% were at risk of malnutrition, and 3.3% were malnourished. Malnutrition risk was significantly associated with a higher number of chronic diseases, BMI, circumference of mid-upper arm (MUAC), and calf, (CC)and skeletal muscle mass (SMM) and frailty, whereas frailty was significantly associated with higher number of chronic diseases, SMM and malnutrition. Frailty syndrome can be predicted with increasing age, body fat, lower skeletal muscle and malnutrition. Those who were frail were found to be five times more likely to be at risk of malnutrition. Results suggested that frailty and malnutrition shared considerable overlap, which emphasised the interrelated but discrete concepts. Therefore, the assessment of malnutrition is imperative and could be used as a practical implication in assessing frailty syndrome.
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spelling upm.eprints-866352021-10-16T22:03:31Z http://psasir.upm.edu.my/id/eprint/86635/ Malnutrition as key predictor of physical frailty among Malaysian older adults Norazman, Camilla Wahida Adznam, Siti Nur’Asyura Jamaluddin, Rosita Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerged were assessed independently of other risk factors. A total of 301 community-dwelling older adults with a mean age of 66.91 ± 5.59 years old were randomly recruited. Fried Criteria and Mini Nutritional Assessment-Short Form (MNA-SF) were used to assess frailty status and malnutrition, respectively. Other related nutritional assessments were assessed (body mass index (BMI), circumference measures, body fat % and skeletal muscle mass). The prevalence of frailty was 14.6% and prefrail was 59.7%; 29.6% were at risk of malnutrition, and 3.3% were malnourished. Malnutrition risk was significantly associated with a higher number of chronic diseases, BMI, circumference of mid-upper arm (MUAC), and calf, (CC)and skeletal muscle mass (SMM) and frailty, whereas frailty was significantly associated with higher number of chronic diseases, SMM and malnutrition. Frailty syndrome can be predicted with increasing age, body fat, lower skeletal muscle and malnutrition. Those who were frail were found to be five times more likely to be at risk of malnutrition. Results suggested that frailty and malnutrition shared considerable overlap, which emphasised the interrelated but discrete concepts. Therefore, the assessment of malnutrition is imperative and could be used as a practical implication in assessing frailty syndrome. Multidisciplinary Digital Publishing Institute 2020-06 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/86635/1/Malnutrition%20as%20key%20predictor%20.pdf Norazman, Camilla Wahida and Adznam, Siti Nur’Asyura and Jamaluddin, Rosita (2020) Malnutrition as key predictor of physical frailty among Malaysian older adults. Nutrients, 12 (6). art. no. 1713. pp. 1-12. ISSN 2072-6643 https://www.mdpi.com/2072-6643/12/6/1713 10.3390/nu12061713
spellingShingle Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
Malnutrition as key predictor of physical frailty among Malaysian older adults
title Malnutrition as key predictor of physical frailty among Malaysian older adults
title_full Malnutrition as key predictor of physical frailty among Malaysian older adults
title_fullStr Malnutrition as key predictor of physical frailty among Malaysian older adults
title_full_unstemmed Malnutrition as key predictor of physical frailty among Malaysian older adults
title_short Malnutrition as key predictor of physical frailty among Malaysian older adults
title_sort malnutrition as key predictor of physical frailty among malaysian older adults
url http://psasir.upm.edu.my/id/eprint/86635/1/Malnutrition%20as%20key%20predictor%20.pdf
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