Document Detail


Anthropometric measurements of mid-upper arm as a mortality predictor for community-dwelling Japanese elderly: the Nagoya Longitudinal Study of Frail Elderly (NLS-FE).
MedLine Citation:
PMID:  17669559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hiromi Enoki; Masafumi Kuzuya; Yuichiro Masuda; Yoshihisa Hirakawa; Mitsunaga Iwata; Jun Hasegawa; Sachiko Izawa; Akihisa Iguchi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-31
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  26     ISSN:  0261-5614     ISO Abbreviation:  Clin Nutr     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-30     Completed Date:  2008-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  597-604     Citation Subset:  IM    
Affiliation:
Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tusruma-cho, Showa-ku, Nagoya 466-8550, Japan.
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MeSH Terms
Descriptor/Qualifier:
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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