scholarly journals Serum Albumin Level and Activities of Daily Living in Centenarians.

1998 ◽  
Vol 35 (10) ◽  
pp. 741-747 ◽  
Author(s):  
Hiroyuki Nozaki ◽  
Yumiko Nohara ◽  
Ryoko Zukeran ◽  
Ikuya Ashitomi ◽  
Tetsuya Inafuku ◽  
...  
2010 ◽  
Vol 13 (2) ◽  
pp. 189-195 ◽  
Author(s):  
Shu-Ju Wu ◽  
Hsiu-Hung Wang ◽  
Kuei-Min Chen ◽  
Shu-Hui Yeh

The purpose of this study was to explore the nutritional status of nursing home residents. A convenience sample of 111 residents from four nursing homes in Kaohsiung, Taiwan, was recruited. The residents’ nutritional status was assessed on the basis of body mass index (BMI) and serum albumin level. Data on demographic characteristics, cognitive function, activities of daily living, and mode of feeding were collected and examined for association with nutritional status. Among the subjects, 41.1% had a BMI of less than 18.5 kg/m2 and 18.9% had a serum albumin level of less than 3.5 g/dl. Mode of feeding was a significant predictor of malnutrition. When compared with residents on oral feedings, those on nasogastric (NG) feedings had four times the risk of a low BMI and about eight times the risk of a low albumin level. In conclusion, it is important to regularly assess the physical function and nutritional status of nursing home residents and adjust their dietary intake accordingly.


2020 ◽  
Author(s):  
Ke Han ◽  
Shengshu Wang ◽  
Wangping Jia ◽  
Wenzhe Cao ◽  
Miao Liu ◽  
...  

Abstract Background Objective deterioration in activities of daily living (ADLs) exists among older people, and particularly worsens with age. Considering the criterion standard of positive aging and longevity, little information focusing on centenarians is available. The present study aimed to examine the relationship between serum albumin and ADLs among centenarians in long-lived areas. Methods This population-based cross-sectional study investigated a complete sample of Chinese persons aged ≥100 years in Hainan, the longest-lived area of China (n=1002). We assessed serum albumin levels and basic and instrumental activities of daily living (BADLs and IADLs). Results Of 1002 participants included in the analysis, 287 (28.64%) had BADL disabilities and 648 (64.67%) had IADL disabilities. The median serum albumin level was 38.5 g/L (interquartile range, 36.2–41.3). The multivariable analyses controlling for socio-demographic characteristics, lifestyle, morbidities, and other influential factors showed that albumin level was associated with the total score of BADL ( standard β=0.335, P<0.001) and IADL ( standard β=0.206, P<0.001). With the increasing of albumin level, the risk of ADLs disability decreased (BADL: odds ratios [OR] = 0.835, 95% Confidence interval [CI]: 0.797-0.876; IADL: OR=0.863, 95%CI: 0.824-0.905). In the stratified analyses, similar results were found in both sex, but were more prominent in women. Conclusions Higher levels of serum albumin was a protective factor for the decline of ADLs in centenarians. This association can be observed in both genders and is more pronounced in women.


2010 ◽  
Vol 49 (21) ◽  
pp. 2283-2288 ◽  
Author(s):  
Naoyuki Tominaga ◽  
Ryo Shimoda ◽  
Ryuichi Iwakiri ◽  
Nanae Tsuruoka ◽  
Yasuhisa Sakata ◽  
...  

2011 ◽  
Vol 16 (3) ◽  
pp. 411-414 ◽  
Author(s):  
Kazunari Kaneko ◽  
Takahisa Kimata ◽  
Shoji Tsuji ◽  
Tomohiko Shimo ◽  
Masaya Takahashi ◽  
...  

2018 ◽  
Vol 128 (4) ◽  
pp. 1115-1122 ◽  
Author(s):  
Kyungmi Kim ◽  
Ji-Yeon Bang ◽  
Seon-Ok Kim ◽  
Saegyeol Kim ◽  
Joung Uk Kim ◽  
...  

OBJECTIVEHypoalbuminemia is known to be independently associated with postoperative acute kidney injury (AKI). However, little is known about the association between the preoperative serum albumin level and postoperative AKI in patients undergoing brain tumor surgery. The authors investigated the incidence of AKI, impact of preoperative serum albumin level on postoperative AKI, and death in patients undergoing brain tumor surgery.METHODSThe authors retrospectively reviewed the electronic medical records and laboratory results of 2363 patients who underwent brain tumor surgery between January 2008 and December 2014. Postoperative AKI was defined according to Kidney Disease: Improving Global Outcomes Definition and Staging (KDIGO). Multivariate logistic regression analysis was used to identify demographic, preoperative laboratory, and intraoperative factors associated with AKI development. Cox proportional hazards models were used to investigate the adjusted odds ratio and hazard ratio for the association between preoperative serum albumin level and outcome variables.RESULTSThe incidence of AKI was 1.8% (n = 43) using KDIGO criteria. The incidence of AKI was higher in patients with a preoperative serum albumin level < 3.8 g/dl (3.5%) than in those with a preoperative serum albumin level ≥ 3.8 g/dl (1.2%, p < 0.001). The overall mortality was also higher in the former than in the latter group (5.0% vs 1.8%, p < 0.001). After inverse probability of treatment-weighting adjustment, a preoperative serum albumin level < 3.8 g/dl was also found to be associated with postoperative AKI (OR 1.981, 95% CI 1.022–3.841; p = 0.043) and death (HR 2.726, 95% CI 1.522–4.880; p = 0.001).CONCLUSIONSThe authors’ results demonstrated that a preoperative serum albumin level of < 3.8 g/dl was independently associated with AKI and mortality in patients undergoing brain tumor surgery.


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