Analysis of elderly outpatients in relation to nutritional status, sarcopenia, renal function, and bone density

Salmaso, Franciany Viana; Vigário, Patrícia dos Santos; Mendonça, Laura Maria Carvalho de; Madeira, Miguel; Netto, Leonardo Vieira; Guimarães, Marcela Rodrigues Moreira; Farias, Maria Lucia Fleiuss de

doi:10.1590/0004-2730000002580

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artigos originais • Arq Bras Endocrinol Metab 58 (3) • Apr 2014 • https://doi.org/10.1590/0004-2730000002580 copy

Analysis of elderly outpatients in relation to nutritional status, sarcopenia, renal function, and bone density

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objectives

: To evaluate relationships between nutritional status, sarcopenia and osteoporosis in older women.

Subjects and methods

: We studied 44 women, 67-94 years, by mini-nutritional assessment (MAN), glomerular filtration corr. 1.73 m², body mass index (BMI), arm circumference and calf (CP and CB), bone mineral density and body composition, DXA (fat mass MG; lean MM). We gauge sarcopenia: IMM MM = MSS + MIS/height². We used the Pearson correlation coefficient, p < 0.05 as significant.

Results

: MNA and IMM were positively correlated with BMI, CP, CB and MG. Age influenced negatively FG corr., BMI, FM, IMM and CP. Fourteen had a history of osteoporotic fractures. The lowest T-score was directly related to MAN and MG.

Conclusions

The aging caused the decline of FG, fat mass and muscle; the calf circumference, and brachial reflected nutritional status and body composition; and major influences on BMD were nutritional status and fat mass.Arq Bras Endocrinol Metab. 2014;58(3):226-31

Nutrition; sarcopenia; bone mineral density; osteoporosis; aging

	Idade	MNA	IMM
IMC (kg/m²)	r = - 0,319; p = 0,035	r = 0,408; p = 0,006	r = 0,719; p = 0,000
C panturrilha (cm)	r = - 0,384; p = 0,010	r = 0, 632; p = 0,000	r = 0,678; p = 0,000
C braquial (cm)	r = - 0,288; p = 0,058	r = 0,306; p = 0,044	r = 0,597; p = 0,000
Massa gorda (kg)	r = - 0,334; p = 0,027	r = 0,352; p = 0,019	r = 0,576; p = 0,000
Massa magra (kg)	r = - 0,194; p = 0,206	r = 0,104; p = 0,503	r = 0,815; p = 0,000
MNA	r = - 0,077; p = 0,619	–	r = 0,271; p = 0,075

	Mais baixo T-score	T-score coluna lombar	T-score colo fêmur	T-score fêmur total
Idade (anos)	r = - 0,175, p = 0,257	r = 0,002, p = 0,991	r = - 0,193, p = 0,210	r = - 0,261, p = 0,086
FG corr (ml/min/1,73 m²)	r = 0,224, p = 0,143	r = 0,026, p = 0,868	r = 0,335, p = 0,026	r = 0,353, p = 0,019
Log PTH (pg/mL)	r = - 0,021, p = 0,910	r = - 0,069, p = 0,712	r = - 0,143, p = 0,442	r = - 0,131, p = 0,483
IMC (kg/m²)	r = 0,274, p = 0,072	r = 0,338, p = 0,025	r = 0,047, p = 0,761	r = 0,215, p = 0,161
MAN	r = 0,378, p = 0,011	r = 0,350, p = 0,020	r = 0,198, p = 0,198	r = 0,254, p = 0,096
C panturrilha (cm)	r = 0,213, p = 0,165	r = 0,201, p = 0,191	r = 0,049, p = 0,754	r = 0,168, p = 0,276
C braquial (cm)	r = 0,237, p = 0,121	r = 0,297, p = 0,050	r = 0,002, p = 0,989	r = 0,194, p = 0,207
Massa gorda (kg)	r = 0,305, p = 0,044	r = 0,349, p = 0,020	r = 0,099, p = 0,522	r = 0,244, p = 0,110
Massa magra (kg)	r = 0,253, p = 0,098	r = 0,324, p = 0,032	r = 0,086, p = 0,579	r = 0,245, p = 0,110
IMM (kg/m²)	r = 0,258, p = 0,091	r = 0,228, p = 0,137	r = 0,152, p = 0,325	r = 0,324, p = 0,032

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[1] Correspondência para: Franciany Viana Salmaso Departamento de Endocrinologia, Serviço de Endocrinologia Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro Rua Professor Rodolpho Paulo Rocco, 255, 9º andar Rio de Janeiro, RJ, Brasil 21941-913 – Rio de Janeiro, RJ, Brasil francianyufrj@hotmail.com