Association between gait abnormality and malnutrition in a community‐dwelling elderly population

Misu, Shogo; Asai, Tsuyoshi; Doi, Takehiko; Sawa, Ryuichi; Ueda, Yuya; Saito, Takashi; Nakamura, R.; Murata, Shunsuke; Sugimoto, Toshiyuki; Yamada, Minoru; Ono, Rei

doi:10.1111/ggi.12839

Cited by 33 publications

(38 citation statements)

References 30 publications

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“…Malnutrition and weight loss, body mass index (BMI) values lower than 20 kg/m 2 , reduced food intake in general and reduced protein intake specifically are established independent factors which negatively influence functional parameters in older people [3,4]. While nutritional status and its association with functionality has been well examined in community-dwelling older individuals [5][6][7], in older hospital patients [2,8] and in nursing home residents [9,10], only scarce information is available in geriatric rehabilitation. The majority of patients in a geriatric rehabilitation setting is significantly older than 70 years, multimorbid and has a reduced functional status, which necessitates nursing care for activities of daily living [11].…”

Section: Introductionmentioning

confidence: 99%

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

et al. 2020

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Aim This systematic review and meta-analysis aims to characterize the nutritional status of geriatric rehabilitation patients and its association with functional parameters. Findings Malnutrition is prevalent in a relevant percentage of geriatric rehabilitation patients, whereas body mass index (BMI) is in the normal to overweight range. Furthermore, data suggest that protein and energy intake is reduced and vitamin D deficiency is prevalent in this population. Decreased physical function is associated with malnutrition according to Mini-Nutritional Assessment (MNA) and MNA short form, whereas BMI did not show any clear association. Message Nutritional status is reduced in a relevant percentage of geriatric rehabilitation patients and associated with decreased physical function which emphasizes the need for screening and targeted interventions.

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Section: Introductionmentioning

confidence: 99%

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

et al. 2020

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“…GS, as a relevant functional status indicator, is another objective measure that is expected to be associated with nutrition status. It was advanced that in older adults undernutrition could affect lateral trunk control during walking . A low GS has also been proposed both as a marker of undernutrition, identified using MNA‐SF, and overweight and obesity, which were assessed through BMI …”

Section: Introductionmentioning

confidence: 99%

“…It was advanced that in older adults undernutrition could affect lateral trunk control during walking. 14 A low GS has also been proposed both as a marker of undernutrition, identified using MNA-SF, 15,16 and overweight and obesity, which were assessed through BMI. 16,17 Nutrition status assessments are not always carried out considering both objective nutrition and functional indicators.…”

Section: Introductionmentioning

confidence: 99%

Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

Mendes

Afonso

Moreira

et al. 2018

J Parenter Enteral Nutr

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“…The proprioceptive sensation of the periodontal ligament plays an important role in controlling body balance when walking . As an indirect mechanism, malnutrition may lead to declines in walking . Our cross‐sectional study reported that insufficient protein intake is associated with walking speed .…”

Section: Discussionmentioning

confidence: 64%

“…24 As an indirect mechanism, malnutrition may lead to declines in walking. 25 Our cross-sectional study reported that insufficient protein intake is associated with walking speed. 13 Previous studies reported that older Japanese adults with fewer occlusal supports on their natural teeth or lower occlusal force had significantly lower intake levels of multiple nutrients, including protein, and vitamins A, D and E. 26,27 Shortages of these nutrients may play important roles in declines in muscle mass, muscle strength and physical performance.…”

Section: Previous Research Suggests Several Plausible Mechanisms To Ex-mentioning

confidence: 77%

Lack of posterior occlusal support predicts the reduction in walking speed in 80‐year‐old Japanese adults: A 3‐year prospective cohort study with propensity score analysis by the SONIC Study Group

et al. 2019

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Objective To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80‐year‐old Japanese adults using propensity score matching. Background data discussing the present status of the field Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross‐sectional design. Material and method This study included 353 community‐dwelling Japanese people aged 79‐81 years. Low walking speed was defined as ≤0.8 m/s, and participants with a low walking speed at baseline were excluded. The participants were divided into two groups: with or without posterior occlusal support by residual teeth at baseline. Propensity score matching was used to reduce the effects of bias by matching participants with and without posterior occlusal support according to similar background factors at baseline. Conditional logistic regression was conducted to determine low walking speed at the 3‐year follow‐up, which included posterior occlusal support as an independent variable with matching data. Results Before matching for posterior occlusal support, significant differences existed between the groups in terms of sex, years of education, height, weight and grip strength. However, after matching, there was no significant difference between the groups in any characteristic. Logistic regression analysis showed that posterior occlusal support is a significant variable (odds ratio = 1.88; P = 0.04) associated with reduced walking speed. Conclusion Lack of posterior occlusal support at baseline independently predicted the incidence of reduced walking speed over 3 years.

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Association between gait abnormality and malnutrition in a community‐dwelling elderly population

Abstract: In community-dwelling older adults, malnutrition is related to decreased walking smoothness in the ML direction, suggesting that nutritional status affects lateral trunk control during walking. Geriatr Gerontol Int 2017; 17: 1155-1160.

Cited by 33 publications

References 30 publications

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

Association of Anthropometric and Nutrition Status Indicators with Hand Grip Strength and Gait Speed in Older Adults

Lack of posterior occlusal support predicts the reduction in walking speed in 80‐year‐old Japanese adults: A 3‐year prospective cohort study with propensity score analysis by the SONIC Study Group

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