Correlation of dietary intake and physical activity with nutritional status, body composition and hand grip strength in elderly

2021 ◽  
Vol 10 (1) ◽  
pp. 21-27
Author(s):  
Etisa Adi Murbawani ◽  
Hertanto Wahyu Subagio ◽  
Niken Puruhita ◽  
Enny Probosari ◽  
Aryu Candra

ABSTRACT               Background: Increased life expectancy has both positive and negative impacts. Elderly group are prone to nutritional issues and body function disorder such as sarcopenia. Factors including dietary intake and physical activity are contributors of sarcopenia.Objectives: The purpose of this study is to analyze the correlation of dietary intake and physical activity with nutritional status, body composition and hand grip strength (HGS) in elderly.Materials and Methods: The study was held on July-October 2020 at the Panti Wredha Dharma Bakti Surakarta. This was a cross-sectional study of 54 elderly subjects. Subjects were selected by purposive sampling method. The data included height was measured using microtoise, while weight and body composition was measured using Bioelectrical Impedance Analyzer (BIA). Dietary intake was obtained through comstock observation. Physical activity was measured by the International Physical Activity Questionnaire. Hand grip strength values was measured by hand grip dynamometer. Data normality analyzed by Kolmogorov-Smirnov test. Bivariate test analyzed by Rank Spearman test.Results: Energy, carbohydrate and fat intake had no correlation with nutritional status, total body fat percentage, subcutaneous fat percentage and skeletal muscle mass percentage (p value > 0.05), but there was a relationship between energy (p value = 0.33), carbohydrate (p value = 0.016) and fat intake (p value = 0.047) with visceral fat percentage. Physical activity had relation with nutritional status (p = 0.048) but had no relationship with total body fat percentage, visceral fat percentage, subcutaneous fat percentage and skeletal muscle mass percentage. Protein intake also had no relationship with HGS value (p value> 0.05).Conclusions: Dietary intake only correlated with visceral fat percentage, but had no correlation with other body composition parameters. Physical activity correlated with nutritional status, but had no correlation with all of body composition parameters. Protein intake also had no correlation with HGS.

2005 ◽  
Vol 2 (3) ◽  
pp. 298-306 ◽  
Author(s):  
Maija Hassinen ◽  
Pirjo Komulainen ◽  
Timo A. Lakka ◽  
Sari B. Väisänen ◽  
Rainer Rauramaa

Background:The epidemic of sedentary lifestyle and obesity increases the risk of disability with aging. We studied the relationships of body composition, physical activity, and muscular fitness with balance and walking ability.Methods:Men and women, age 70 to 74 y (n = 146), were randomly selected from the Finnish population register. Body composition [body weight, body-mass index (BMI), waist circumference], physical activity (questionnaire), muscular fitness (hand-grip strength), balance (commonly used field tests), and walking ability (20 m walking test) were assessed.Results:BMI (r = –0.287, P < 0.001), waist circumference (r = –0.260, P = 0.002), physical activity (r = 0.206, P = 0.013), and hand-grip strength (r = 0.244, P = 0.003) correlated with balance. BMI (r = 0.330, P < 0.001), waist circumference (r = 0.237, P = 0.004), physical activity (r = –0.252, P = 0.002), and hand-grip strength (r = –0.307, P < 0.001) also correlated with walking time.Conclusions:Overweight and central obesity as well as low muscular fitness associate with impaired balance and walking ability in the elderly.


2016 ◽  
Vol 53 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Juliana Paula BRUCH ◽  
Mário Reis ÁLVARES-DA-SILVA ◽  
Bruna Cherubini ALVES ◽  
Valesca DALL'ALBA

ABSTRACT Background Hepatitis C is a liver disease that causes significant changes in metabolism, and also has an impact on nutritional status. Objective To evaluate the nutritional status and cardiovascular risk in patients with chronic hepatitis C. Methods This cross-sectional study investigated 58 patients with chronic hepatitis C, non-cirrhotic and were not under active pharmacological treatment. Patients with significant alcohol consumption (greater than 10 g ethanol/day) were excluded. Patients underwent nutritional assessment through anthropometric measurements and functional assessment using hand grip strength by dynamometry. The physical activity was assessed using the International Physical Activity Questionnaire. Patients also underwent clinical and laboratory evaluation. Cardiovascular risk was calculated by the Framingham score. Results The mean age of patients was 51.6±9.7 years, 55.2% were female, and 79.3% had genotype 1. The most prevalent degree of fibrosis was F1 (37.9%) followed by F2 (27.6%) and F3 (1.7%). The prevalence of overweight/obesity considering the body mass index was 70.7%. However, 57.7% of men and 68.8% of women were considered malnourished according to hand grip strength. These patients also had waist circumference (93.5±10.7 cm) and neck circumference (37.0±3.6 cm) high. Almost 60% of patients were considered sedentary or irregularly active. In relation to cardiovascular risk, 50% of patients had high risk of suffering a cardiovascular event within 10 years. Conclusion Although most patients with hepatitis C presented overweight, associated with high cardiovascular risk, they also have reduced functional capacity, indicative of protein-caloric commitment. Therefore, body mass index can not be considered the only method of assessment for nutritional diagnosis of patients with liver disease. Adopting methods such as hand grip strength can be important for a better understanding of nutritional status of these patients.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026275 ◽  
Author(s):  
Ai Kah Ng ◽  
Noran Naqiah Hairi ◽  
Muhammad Yazid Jalaludin ◽  
Hazreen Abdul Majid

ObjectiveTo examine the role of dietary intake and physical activity in muscle strength among adolescents.DesignCross-sectional analysis.SettingThe Malaysian Health and Adolescents Longitudinal Research Team (MyHeART) study.ParticipantsFifteen-year-old secondary school children who have given consent and who participated in the MyHeART study in 2014.Primary outcome measureMuscle strength was measured in relation to dietary intake (energy and macronutrients) and physical activity by using a hand grip dynamometer.ResultsAmong the 1012 participants (395 male; 617 female), the hand grip strength of the males was higher than that of the females (27.08 kg vs 18.63 kg; p<0.001). Also, males were more active (2.43vs2.12; p<0.001) and consumed a higher amount of energy (2047 kcal vs 1738 kcal; p<0.001), carbohydrate (280.71 g vs 229.31 g; p<0.001) and protein (1.46 g/kg body weight (BW) vs 1.35 g/kg BW; p<0.168). After controlling for ethnicity, place of residency and body mass index, there was a positive relationship between hand grip strength and the intake of energy (r=0.14; p=0.006), carbohydrate (r=0.153; p=0.002) and fat (r=0.124; p=0.014) and the physical activity score (r=0.170; p=0.001) and a negative relationship between hand grip strength and the intake of protein (r=−0.134; p=0.008), for males. However, this was not observed among females.ConclusionsEnergy, carbohydrate and fat intakes and physical activity score were positively correlated with hand grip strength while protein intake was negatively correlated with hand grip strength in males but not in females.


2021 ◽  
pp. jrheum.201301
Author(s):  
Sofia Ajeganova ◽  
Margareta Wörnert ◽  
Ingiäld Hafström

Objective We investigated effect of team-rehabilitation in inflammatory arthritis on body composition and physical functions. Further, we examined whether body composition and physical functions are associated with disability and cardiorespiratory fitness(CRF). Methods The participants of a 4-week team-rehabilitation program, 149 patients with chronic arthritis, aged 53(13) years, 74% women, disease duration 21(13) years, were evaluated prerehabilitation, after 3 and 12 months. Body composition was assessed by bioelectrical impedance analysis and CRF by the Åstrand 6-minute cycle test. ANCOVA with Bonferroni correction and linear mixed models were applied. Results After 3 and 12 months there were significant reductions in waist circumference and measures of fat, adjusted for age, sex and baseline measures. The prevalence of adiposity and central obesity decreased after 12 months. Hand-grip strength and timed sit-to-stand(TST) improved together with reduction in Health Assessment Questionnaire (HAQ) and increased VO2max after 3 and 12 months. HAQ over time was associated with pre-rehabilitation measures of lean mass of legs, hand-grip strength, TST and physical activity, as well as with changes in hand-grip strength, physical activity and sedentary time, but not with changes of body composition. VO2max over time was associated with pre-rehabilitation BMI, waist circumference, measures of fat and lean mass, changes in BMI, waist circumference and measures of fat. Conclusion In patients with inflammatory arthritis, 4-week team-rehabilitation benefited body composition, level of physical functioning, activity and CRF for up to 12 months. Measures of physical function and activity were linked to HAQ over time, whereas body composition was linked to CRF.


2011 ◽  
Vol 30 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Kristina Norman ◽  
Nicole Stobäus ◽  
M. Cristina Gonzalez ◽  
Jörg-Dieter Schulzke ◽  
Matthias Pirlich

2017 ◽  
Vol 6 ◽  
Author(s):  
Francisco Mardones ◽  
Pilar Arnaiz ◽  
Johana Soto-Sánchez ◽  
Juana Saavedra ◽  
Angélica Domínguez ◽  
...  

AbstractThis paper describes a 4-month pilot study that tested the suitability of a physical activity intervention for first graders (children aged 6 and 7 years) in a public school in Santiago, Chile. Teachers were trained to deliver the programme in the classroom during the school day. Teachers were surveyed to determine if this intervention fit within their curriculum and classroom routines and they reported in a focus group that it was suitable for them. All children actively participated in the programme and positive changes in their attitudes towards physical activity were observed by their teachers. Anthropometrics, blood pressure and hand grip strength were measured in the students. A significant reduction was observed in children with high waist circumference ≥ 90th percentile, and in mean systolic blood pressure. However, statistical power values for those comparisons were rather low. Anthropometry and hand grip strength were not modified. The latter calculations and the lack of a control group are showing the weaknesses of this pilot study and that further research with a larger sample size and an experimental design is strongly needed.


2020 ◽  
Vol 49 ◽  
Author(s):  
D. P. Kurmayev ◽  
S. V. Bulgakova ◽  
N. O. Zakharova

Rationale: The progressive decline in skeletal muscle strength and function during aging can lead to disability and premature death. It is of interest to evaluate the potential of bioimpedance phase angle (PhA) as an instrumental marker of sarcopenia in clinical practice.Aim: To identify an association between the phase angles determined by the bioimpedance analysis of body composition, with functional activity parameters in elderly women with multiple comorbidities.Materials and methods: The study included 146  elderly women (aged 75 to 84  years, mean age 79.44±2.56  years). Assessments consisted of the Charlson comorbidity index, “Vozrast ne pomekha” (Age is not a hindrance) questionnaire, the Barthel index, the sit-to-stand five-repeat test, the standardized 4-meter walking speed test, and bioimpedance analysis of body composition (ABC02, Medass, Russia). Muscle strength parameters were assessed by wrist dynamometry with a mechanical wrist dynamometer. The hand dynamometry index was calculated by dividing the hand grip strength by the patient's squared height. According to the EWGSOP2 guidelines for the critical cur-off for hand dynamometry, the patients were divided into two groups: those with the hand grip strength>16 kg (n=41) and those with<16 kg (n=105).Results: There were significant correlations of PhA with age (r=-0.369; p=0.017), the results of the screening questionnaire “Vozrast ne pomekha” (Age is not a hindrance) (r=-0.359; p=0.023), Barthel index (r=0.375; p=0.018), hand dynamometry (r=0.395; p=0.014), hand dynamometry index (r=0.340; p=0.021), lean body mass (r=0.414; p=0.009), musculoskeletal mass (r=0.819; p<0.001), proportion of musculoskeletal mass (r=0.796; p<0.001), walking speed (r=0.670; p<0.001), and the results of the sit-to-stand test (r=-0.541; p<0.001). Sarcopenia was diagnosed in 61 women (41.8%). There were also significant differences in age, hand dynamometry results, hand dynamometry index, walking speed and results of the sit-to-stand test between the two groups depending on their hand grip strength.Conclusion: The use of hand dynamometry, physical activity tests, and bioimpedance phase angle can be used in clinical practice to diagnose sarcopenia.


Author(s):  
Silvia Stagi ◽  
Azzurra Doneddu ◽  
Gabriele Mulliri ◽  
Giovanna Ghiani ◽  
Valeria Succa ◽  
...  

The aim of the study was to analyze total and regional body composition in Tai Chi Chuan (TCC) middle-aged and elderly practitioners. A cross-sectional study on 139 Italian subjects was realized: 34 TCC practitioners (14 men, 20 women; 62.8 ± 7.4 years) and 105 sedentary volunteers (49 men, 56 women; 62.8 ± 6.4 years). Anthropometric measurements (height, weight, arm, waist, and calf circumferences), hand-grip strength, and physical capacity values were collected. Total and regional (arm, leg, and trunk) body composition was analyzed by means of specific bioelectrical impedance vector analysis (specific BIVA). TCC practitioners of both sexes were characterized by a normal nutritional status, normal levels of physical capacity, and normal values of hand-grip strength. Compared to controls, they showed lower percentages of fat mass (lower specific resistance) in the total body, the arm, and the trunk, and higher muscle mass (higher phase angle) in the trunk, but lower muscle mass in the arm. Sexual dimorphism was characterized by higher muscle mass (total body, arm, and trunk) and lower %FM (arm) in men; sex differences were less accentuated among TCC practitioners than in the control. TCC middle-aged and elderly practitioners appear to be less affected by the process of physiological aging and the associated fat mass changes, compared to sedentary people.


2019 ◽  
Vol 42 (4) ◽  
pp. 161-166 ◽  
Author(s):  
Manasi Desai ◽  
Ahmed Mohamed ◽  
Andrew Davenport

Introduction: Haemodialysis patients are at an increased risk of sarcopenia. Physical inactivity is now recognised as a major cause of muscle wasting in haemodialysis patients. It is unclear as to what and how much exercise is required to show benefit. We therefore performed a pilot study of cycling during haemodialysis. Methods: Patients underwent a progressive submaximal individualised cycling exercise, 3× a week during haemodialysis for 4 months using bed-cycle ergometers. Body composition was measured by multifrequency segmental bioimpedance and muscle function by 6-min walking test, and hand grip strength and pinch strength. Results: In total, 56% of patients in a dialysis centre fulfilled exercise study inclusion criteria and 13 (72.2%) of 18 patients completed the exercise programme, with the mean age of 64.0 ± 16.6 years and 76.9% being male. The 6-min walking test increased following exercise from 349 ± 105 to 398 ± 94.2 m, p < 0.05, as did both hand grip strength and pinch strength, with 20.4 ± 9.1 versus 23.4 ± 9.9 kg, p < 0.01, and 4.3 ± 1.8 versus 5.9 ± 2.4 kg, p < 0.05, respectively. There were no changes in appendicular muscle mass or other body composition detected with bioimpedance in either the exercise group, or 21 control patients, propensity matched for body composition, comorbidity and frailty. Muscle strength did not change in the control group. Haemodialysis sessional Kt/Vurea was greater at the end of the exercise programme compared to controls (1.63 ± 0.63 vs 1.21 ± 0.12, p < 0.01). Conclusion: The majority of dialysis centre patients met our exercise study entry criteria and could potentially benefit from cycling during haemodialysis. We found that muscle function and strength improved after a 4-month, thrice weekly cycling exercise programme.


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