| Anthropometric measurements of mid-upper arm as a mortality predictor for community-dwelling Japanese elderly: the Nagoya Longitudinal Study of Frail Elderly (NLS-FE). | |
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MedLine Citation:
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PMID: 17669559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND & AIMS: It remains controversial whether mid-arm anthropometric measurements (MAAMs) are reflected with physical impairment or useful predictors of mortality in the frail elderly. We examined the following hypotheses: (1) MAAMs in frail community-dwelling elderly are lower than those of independent elderly, (2) the lower MAAMs are associated with physical function impairment, and (3) are independent predictors of 2-year mortality. METHODS: This study was composed of cross-sectional and prospective cohort analyses of 957 community-dwelling elderly. Data included the clients' demographic characteristics, comorbidity, activities of daily living (ADL), and MAAMs at baseline. The mean scores of MAAMs of participants were compared with Japanese Anthropometric Reference Data. Survival analysis of 2-year mortality was conducted using multivariate Cox proportional hazards models. RESULTS: Significantly lower arm muscle area (AMA) and higher triceps skinfold (TSF) levels were observed in most of the age groups of the study participants than those of the standard Japanese population. ADL function was correlated with AMA but not with TSF, both of which were independent risk factors for 2-year mortality in the participants (highest tertile versus lowest, AMA, HR:2.03, 95%CI:1.36-3.02; TSF, HR:1.89, 95%CI:1.30-2.75). CONCLUSIONS: AMA and TSF were independent risk factors for 2-year mortality in the community-dwelling frail elderly. |
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Authors:
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Hiromi Enoki; Masafumi Kuzuya; Yuichiro Masuda; Yoshihisa Hirakawa; Mitsunaga Iwata; Jun Hasegawa; Sachiko Izawa; Akihisa Iguchi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-07-31 |
Journal Detail:
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Title: Clinical nutrition (Edinburgh, Scotland) Volume: 26 ISSN: 0261-5614 ISO Abbreviation: Clin Nutr Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-30 Completed Date: 2008-02-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309603 Medline TA: Clin Nutr Country: England |
Other Details:
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Languages: eng Pagination: 597-604 Citation Subset: IM |
Affiliation:
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Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tusruma-cho, Showa-ku, Nagoya 466-8550, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living* Aged Aged, 80 and over Anthropometry / methods Arm / anatomy & histology* Body Mass Index Cohort Studies Cross-Sectional Studies Female Frail Elderly / statistics & numerical data* Humans Japan / epidemiology Longitudinal Studies Male Mortality* Multivariate Analysis Muscle, Skeletal / anatomy & histology Nutritional Status Predictive Value of Tests Proportional Hazards Models Prospective Studies Risk Factors Skinfold Thickness* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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