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Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population.
Eur J Clin Nutr 2006; 60(4):486-93EJ

Abstract

OBJECTIVE

To investigate the relationship between osteoporosis and nutritional status as determined by the Mini-Nutritional Assessment (MNA).

DESIGN

A cross-sectional study.

SETTING

Stockholm, Sweden.

SUBJECTS

A total of 351 elderly free-living women (mean age 73+/-2.3 years).

METHODS

MNA (range 0-30 points; <17 indicates malnutrition, 17.5-23.5 risk of malnutrition and >or=24 well nourished), measurements of bone mineral density of the left hip and lumbar spine using Hologic QDR 4500, and of the heel using Calscan DEXA-T.

RESULTS

The median MNA score was 27 (range 12.5-30). One woman was classified as malnourished and 7.4% were at risk of malnutrition. Osteoporosis of the femoral neck was observed in 22% and a fracture after the age of 50 was reported by 31% of the participants. The following items in the MNA questionnaire exhibited an increased risk of having osteoporosis in the femoral neck and/or total hip: an MNA score of <27 (odds ratio (OR)=2.09; CI=1.14-3.83); a mid-arm circumference of less than 28 cm (OR=2.97; CI=1.29-6.81); and regular use of more than 3 drugs each day (OR=2.12; CI=1.00-4.50). A body weight of more than 70 kg exhibited a decreased risk of having osteoporosis (OR=0.31; CI=0.14-0.70).

CONCLUSIONS

In general, the nutritional status was good in this population of free-living elderly women. Nevertheless, half of the women who displayed an MNA score <27 points had a twofold increased risk of having osteoporosis.

SPONSORSHIP

Karolinska Institutet, Stockholm County Council.

Authors+Show Affiliations

Centre for Family Medicine, Karolinska Institutet, Stockholm, Sweden. helena.salminen@klinvet.ki.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16391579

Citation

Salminen, H, et al. "Nutritional Status, as Determined By the Mini-Nutritional Assessment, and Osteoporosis: a Cross-sectional Study of an Elderly Female Population." European Journal of Clinical Nutrition, vol. 60, no. 4, 2006, pp. 486-93.
Salminen H, Sääf M, Johansson SE, et al. Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population. Eur J Clin Nutr. 2006;60(4):486-93.
Salminen, H., Sääf, M., Johansson, S. E., Ringertz, H., & Strender, L. E. (2006). Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population. European Journal of Clinical Nutrition, 60(4), pp. 486-93.
Salminen H, et al. Nutritional Status, as Determined By the Mini-Nutritional Assessment, and Osteoporosis: a Cross-sectional Study of an Elderly Female Population. Eur J Clin Nutr. 2006;60(4):486-93. PubMed PMID: 16391579.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population. AU - Salminen,H, AU - Sääf,M, AU - Johansson,S-E, AU - Ringertz,H, AU - Strender,L-E, PY - 2006/1/5/pubmed PY - 2006/6/9/medline PY - 2006/1/5/entrez SP - 486 EP - 93 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 60 IS - 4 N2 - OBJECTIVE: To investigate the relationship between osteoporosis and nutritional status as determined by the Mini-Nutritional Assessment (MNA). DESIGN: A cross-sectional study. SETTING: Stockholm, Sweden. SUBJECTS: A total of 351 elderly free-living women (mean age 73+/-2.3 years). METHODS: MNA (range 0-30 points; <17 indicates malnutrition, 17.5-23.5 risk of malnutrition and >or=24 well nourished), measurements of bone mineral density of the left hip and lumbar spine using Hologic QDR 4500, and of the heel using Calscan DEXA-T. RESULTS: The median MNA score was 27 (range 12.5-30). One woman was classified as malnourished and 7.4% were at risk of malnutrition. Osteoporosis of the femoral neck was observed in 22% and a fracture after the age of 50 was reported by 31% of the participants. The following items in the MNA questionnaire exhibited an increased risk of having osteoporosis in the femoral neck and/or total hip: an MNA score of <27 (odds ratio (OR)=2.09; CI=1.14-3.83); a mid-arm circumference of less than 28 cm (OR=2.97; CI=1.29-6.81); and regular use of more than 3 drugs each day (OR=2.12; CI=1.00-4.50). A body weight of more than 70 kg exhibited a decreased risk of having osteoporosis (OR=0.31; CI=0.14-0.70). CONCLUSIONS: In general, the nutritional status was good in this population of free-living elderly women. Nevertheless, half of the women who displayed an MNA score <27 points had a twofold increased risk of having osteoporosis. SPONSORSHIP: Karolinska Institutet, Stockholm County Council. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/16391579/Nutritional_status_as_determined_by_the_Mini_Nutritional_Assessment_and_osteoporosis:_a_cross_sectional_study_of_an_elderly_female_population_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1602341 DB - PRIME DP - Unbound Medicine ER -