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Low skeletal muscle mass index is associated with function and nutritional status in residents in a Turkish nursing home.
Aging Male. 2016 Sep; 19(3):182-186.AM

Abstract

INTRODUCTION

To determine the prevalence of low muscle mass (LMM) and the relationship between LMM with functional and nutritional status as defined using the LMM evaluation method of European Working Group on Sarcopenia in Older People (EWGSOP) criteria among male residents in a nursing home.

METHODS

Male residents aged >60 years of a nursing home located in Turkey were included in our study. Their body mass index (BMI) kg/m2, skeletal muscle mass (SMM-kg) and skeletal muscle mass index (SMMI-kg/m2) were calculated. The participants were regarded as having low SMMI if they had SMMI <9.2 kg/m2 according to our population specific cut-off point. Functional status was evaluated with Katz activities of daily living (ADL) and Lawton Instrumental Activities of Daily Living (IADL). Nutritional assessment was performed using the Mini Nutritional Assessment (MNA). The number of drugs taken and chronic diseases were recorded.

RESULTS

One hundred fifty-seven male residents were enrolled into the study. Their mean age was 73.1 ± 6.7 years with mean ADL score of 8.9 ± 2.0 and IADL score of 8.7 ± 4.6. One hundred twelve (71%) residents were aged >70 years. Thirty-five men (23%) had low SMMI in group aged >60 years, and twenty-eight subjects (25%) in the group aged >70 years. MNA scores were significantly lower in residents with low SMMI compared with having normal SMMI (17.1 ± 3.4 versus 19.6 ± 2.5, p = 0.005). BMI was significantly lower in the residents with low SMMI compared with normal SMMI (19.6 ± 2.7 versus 27.1 ± 4.1, p< 0.001). ADL scores were significantly different between residents with low SMMI and normal SMMI in those aged >70 years (8.1 ± 2.6 versus 9.1 ± 1.6, p = 0.014). In regression analyses, the only factor associated with better functional status was the lower age (p = 0.04) while the only factor associated with better nutrition was higher SMMI (p = 0.01).

CONCLUSIONS

Low SMMI detected by LMM evaluation method of EWGSOP criteria is prevalent among male nursing home residents. There is association of low SMMI with nutritional status and probably with functional status within the nursing home setting using the EWGSOP criteria with Turkish normative reference cut-off value.

Authors+Show Affiliations

a Department of Internal Medicine , Division of Geriatrics, Marmara University Hospital , Istanbul , Turkey.b Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University , Istanbul , Turkey.c Department of Health and Social Services , Kayışdagi Darulaceze Ministry, Istanbul Metropolitan Municipality , Istanbul , Turkey , and.b Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University , Istanbul , Turkey.b Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University , Istanbul , Turkey.b Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University , Istanbul , Turkey.d Department of Internal Medicine , Division of Geriatrics, Erciyes University Hospital , Kayseri , Turkey.b Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University , Istanbul , Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27223484

Citation

Tufan, Asli, et al. "Low Skeletal Muscle Mass Index Is Associated With Function and Nutritional Status in Residents in a Turkish Nursing Home." The Aging Male : the Official Journal of the International Society for the Study of the Aging Male, vol. 19, no. 3, 2016, pp. 182-186.
Tufan A, Bahat G, Ozkaya H, et al. Low skeletal muscle mass index is associated with function and nutritional status in residents in a Turkish nursing home. Aging Male. 2016;19(3):182-186.
Tufan, A., Bahat, G., Ozkaya, H., Taşcıoğlu, D., Tufan, F., Saka, B., Akin, S., & Karan, M. A. (2016). Low skeletal muscle mass index is associated with function and nutritional status in residents in a Turkish nursing home. The Aging Male : the Official Journal of the International Society for the Study of the Aging Male, 19(3), 182-186.
Tufan A, et al. Low Skeletal Muscle Mass Index Is Associated With Function and Nutritional Status in Residents in a Turkish Nursing Home. Aging Male. 2016;19(3):182-186. PubMed PMID: 27223484.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low skeletal muscle mass index is associated with function and nutritional status in residents in a Turkish nursing home. AU - Tufan,Asli, AU - Bahat,Gulistan, AU - Ozkaya,Hilal, AU - Taşcıoğlu,Didem, AU - Tufan,Fatih, AU - Saka,Bülent, AU - Akin,Sibel, AU - Karan,Mehmet Akif, Y1 - 2016/05/25/ PY - 2016/5/26/pubmed PY - 2017/1/18/medline PY - 2016/5/26/entrez KW - EWGSOP KW - low skeletal muscle mass KW - male KW - nursing home KW - nutritional status SP - 182 EP - 186 JF - The aging male : the official journal of the International Society for the Study of the Aging Male JO - Aging Male VL - 19 IS - 3 N2 - INTRODUCTION: To determine the prevalence of low muscle mass (LMM) and the relationship between LMM with functional and nutritional status as defined using the LMM evaluation method of European Working Group on Sarcopenia in Older People (EWGSOP) criteria among male residents in a nursing home. METHODS: Male residents aged >60 years of a nursing home located in Turkey were included in our study. Their body mass index (BMI) kg/m2, skeletal muscle mass (SMM-kg) and skeletal muscle mass index (SMMI-kg/m2) were calculated. The participants were regarded as having low SMMI if they had SMMI <9.2 kg/m2 according to our population specific cut-off point. Functional status was evaluated with Katz activities of daily living (ADL) and Lawton Instrumental Activities of Daily Living (IADL). Nutritional assessment was performed using the Mini Nutritional Assessment (MNA). The number of drugs taken and chronic diseases were recorded. RESULTS: One hundred fifty-seven male residents were enrolled into the study. Their mean age was 73.1 ± 6.7 years with mean ADL score of 8.9 ± 2.0 and IADL score of 8.7 ± 4.6. One hundred twelve (71%) residents were aged >70 years. Thirty-five men (23%) had low SMMI in group aged >60 years, and twenty-eight subjects (25%) in the group aged >70 years. MNA scores were significantly lower in residents with low SMMI compared with having normal SMMI (17.1 ± 3.4 versus 19.6 ± 2.5, p = 0.005). BMI was significantly lower in the residents with low SMMI compared with normal SMMI (19.6 ± 2.7 versus 27.1 ± 4.1, p< 0.001). ADL scores were significantly different between residents with low SMMI and normal SMMI in those aged >70 years (8.1 ± 2.6 versus 9.1 ± 1.6, p = 0.014). In regression analyses, the only factor associated with better functional status was the lower age (p = 0.04) while the only factor associated with better nutrition was higher SMMI (p = 0.01). CONCLUSIONS: Low SMMI detected by LMM evaluation method of EWGSOP criteria is prevalent among male nursing home residents. There is association of low SMMI with nutritional status and probably with functional status within the nursing home setting using the EWGSOP criteria with Turkish normative reference cut-off value. SN - 1473-0790 UR - https://www.unboundmedicine.com/medline/citation/27223484/Low_skeletal_muscle_mass_index_is_associated_with_function_and_nutritional_status_in_residents_in_a_Turkish_nursing_home_ L2 - http://www.tandfonline.com/doi/full/10.1080/13685538.2016.1188069 DB - PRIME DP - Unbound Medicine ER -