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Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults

Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerge...

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Autores principales: Norazman, Camilla Wahida, Adznam, Siti Nur’Asyura, Jamaluddin, Rosita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352933/
https://www.ncbi.nlm.nih.gov/pubmed/32521618
http://dx.doi.org/10.3390/nu12061713
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author Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
author_facet Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
author_sort Norazman, Camilla Wahida
collection PubMed
description Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerged were assessed independently of other risk factors. A total of 301 community-dwelling older adults with a mean age of 66.91 ± 5.59 years old were randomly recruited. Fried Criteria and Mini Nutritional Assessment-Short Form (MNA-SF) were used to assess frailty status and malnutrition, respectively. Other related nutritional assessments were assessed (body mass index (BMI), circumference measures, body fat % and skeletal muscle mass). The prevalence of frailty was 14.6% and prefrail was 59.7%; 29.6% were at risk of malnutrition, and 3.3% were malnourished. Malnutrition risk was significantly associated with a higher number of chronic diseases, BMI, circumference of mid-upper arm (MUAC), and calf, (CC)and skeletal muscle mass (SMM) and frailty, whereas frailty was significantly associated with higher number of chronic diseases, SMM and malnutrition. Frailty syndrome can be predicted with increasing age, body fat, lower skeletal muscle and malnutrition. Those who were frail were found to be five times more likely to be at risk of malnutrition. Results suggested that frailty and malnutrition shared considerable overlap, which emphasised the interrelated but discrete concepts. Therefore, the assessment of malnutrition is imperative and could be used as a practical implication in assessing frailty syndrome.
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spelling pubmed-73529332020-07-15 Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults Norazman, Camilla Wahida Adznam, Siti Nur’Asyura Jamaluddin, Rosita Nutrients Article Studies have been carried out on the association between frailty and malnutrition, but the similarities and divergence of the relationship remain debatable. This study aimed to explore the prevalence of malnutrition risk and frailty as well as the overlapping constructs. The associations that emerged were assessed independently of other risk factors. A total of 301 community-dwelling older adults with a mean age of 66.91 ± 5.59 years old were randomly recruited. Fried Criteria and Mini Nutritional Assessment-Short Form (MNA-SF) were used to assess frailty status and malnutrition, respectively. Other related nutritional assessments were assessed (body mass index (BMI), circumference measures, body fat % and skeletal muscle mass). The prevalence of frailty was 14.6% and prefrail was 59.7%; 29.6% were at risk of malnutrition, and 3.3% were malnourished. Malnutrition risk was significantly associated with a higher number of chronic diseases, BMI, circumference of mid-upper arm (MUAC), and calf, (CC)and skeletal muscle mass (SMM) and frailty, whereas frailty was significantly associated with higher number of chronic diseases, SMM and malnutrition. Frailty syndrome can be predicted with increasing age, body fat, lower skeletal muscle and malnutrition. Those who were frail were found to be five times more likely to be at risk of malnutrition. Results suggested that frailty and malnutrition shared considerable overlap, which emphasised the interrelated but discrete concepts. Therefore, the assessment of malnutrition is imperative and could be used as a practical implication in assessing frailty syndrome. MDPI 2020-06-08 /pmc/articles/PMC7352933/ /pubmed/32521618 http://dx.doi.org/10.3390/nu12061713 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Norazman, Camilla Wahida
Adznam, Siti Nur’Asyura
Jamaluddin, Rosita
Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title_full Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title_fullStr Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title_full_unstemmed Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title_short Malnutrition as Key Predictor of Physical Frailty among Malaysian Older Adults
title_sort malnutrition as key predictor of physical frailty among malaysian older adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352933/
https://www.ncbi.nlm.nih.gov/pubmed/32521618
http://dx.doi.org/10.3390/nu12061713
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