| A longitudinal study on the nutritional state of elderly women at a nursing home in Japan. | |
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MedLine Citation:
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PMID: 17106153 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Elderly people at nursing homes often suffer from malnutrition, which is characterized by a loss of muscle mass and hypoalbuminemia. This malnourished state is closely associated with an impaired activity of daily living (ADL). We analyzed the nutritional state of such elderly individuals longitudinally over 3 years by anthropometry, serum albumin, and muscle and fat volume as estimated by MRI. PATIENTS AND METHODS: The subjects consisted of 16 elderly women aged 83 +/- 7 (mean +/- SD) years who resided at a nursing home in an urban area of central Japan. We determined their ADL levels using the Barthel Index (BI) at entry. Seven women belonged to group A (BI; 65-100), thus implying either a mild or no decline in ADL, while the other 9 were in group B (BI; 0-60) and they demonstrated a severe decline in ADL. We measured the following parameters every year from 2000 to 2003; anthropometry including height, body weight, arm circumference (AC), and arm muscle circumference (AMC), thigh muscle and fat volume as estimated by MRI [thigh muscle volume (TMV) and thigh fat volume (TFV)], serum albumin, and plasma amino acid levels by blood biochemistry. The anthropometric values were converted into percentages of the age- and sex-matched reference values for Japanese. RESULTS: In all subjects, the TMV, %AMC, and serum albumin level decreased significantly during the three-year period (p<0.05, respectively). The change in TMV correlated significantly with those in the %AC and %AMC (p<0.05, respectively). Group B showed significantly larger decreases in the %AMC and serum albumin level than group A. CONCLUSION: Both the muscular and visceral protein levels were found to decrease with aging in the subjects at the nursing home. This decrease depends partly on the ADL level of each subject. |
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Authors:
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Hironori Nakamura; Hideki Fukushima; Yoshiyuki Miwa; Makoto Shiraki; Ikuko Gomi; Masaya Saito; Kazunori Mawatari; Hisamine Kobayashi; Masahiko Kato; Hisataka Moriwaki |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2006-11-15 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 45 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2006 |
Date Detail:
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Created Date: 2006-11-19 Completed Date: 2007-01-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 1113-20 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Gifu University School of Medicine. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Aged Aged, 80 and over Amino Acids / blood Anthropometry Arm / anatomy & histology Body Mass Index Energy Intake Female Humans Japan / epidemiology Leg / anatomy & histology Longitudinal Studies Muscle, Skeletal / anatomy & histology Muscular Atrophy / epidemiology, etiology, pathology Nursing Homes* / statistics & numerical data Nutrition Surveys Nutritional Status* Protein-Energy Malnutrition / blood, epidemiology, pathology Serum Albumin / analysis Skinfold Thickness Thinness / blood, epidemiology |
| Chemical | |
Reg. No./Substance:
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0/Amino Acids; 0/Serum Albumin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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