Calf circumference change and all-cause mortality among community-dwelling Chinese older people

Wang, Xiaoxiao; Ying, Youyou; Pei, Minyue; Ma, Xianghua; Sun, Yuehao; Wang, Yupeng; Li, Nan

doi:10.1016/j.clnu.2023.01.002

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…The CC mean or median values found herein are within the normal range, according to the adopted reference standard 34 . levels of CC were associated with a higher risk of mortality 33,36 ; such observations also point to the relevance of using the CC indicator in hospital clinical practice. Another important aspect is the presence of wasting syndrome and its associated factors in OiP, as observed in another work that indicated a high prevalence of this syndrome associated with clinical, biochemical, and nutritional variables, including CC 11 .…”

Section: Discussionmentioning

confidence: 70%

“…Another recent article also showed that only NRS was an independent predictor of unfavorable clinical outcomes in OiP 12 . The CC investigation and its association with mortality was also investigated in a recent systematic review and meta-analysis, showing that low levels of CC were associated with a higher risk of mortality 33 , 36 ; such observations also point to the relevance of using the CC indicator in hospital clinical practice. Another important aspect is the presence of wasting syndrome and its associated factors in OiP, as observed in another work that indicated a high prevalence of this syndrome associated with clinical, biochemical, and nutritional variables, including CC 11 .…”

Section: Discussionmentioning

confidence: 99%

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Is Calf Circumference Associated With Clinical and Nutritional Outcome in Older Patients?

MAZZINI,

AQUINO,

CAMARGO

et al. 2023

ABCD, arq. bras. cir. dig.

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BACKGROUND: Previous studies have shown a relationship between calf circumference (CC) and outcomes in hospitalized patients. AIMS: To investigate the relationship between CC and clinical and nutritional outcomes in older in-patients (OiP) in a surgery ward. METHODS: This was a cross-sectional study with 417 OiP in a surgery ward. Clinical variables, anthropometry, and nutritional screening instruments such as subjective global assessment (SGA), mini nutritional assessment (MNA), and nutritional risk screening (NRS) were used in the investigation. The tests Pearson’s chi-square, Mann-Whitney, Kruskal-Wallis, and Spearman’s coefficient, and multiple linear regression analyses were used to review the factors associated with CC. RESULTS: Lower CC values were found in the age group 80 years and over (p<0.0001), presence of complications (p=0.0269), NRS (p<0.0001), SGA (p<0.0001), and MNA (p<0.0001). Gender (p=0.0011; partial R2=0.01151), age (p=0.0002; partial R2=0.06032), body mass index (p≤0.0001; partial R2=0.40820), and arm circumference (p≤0.0001; partial R2=0.11890) are variables that together were associated with CC. There was also a relationship between SGA (p=0.0166; partial R2=0.00605) and absence of complications during hospitalization (p=0.0047; R2=0.01154) with CC. CONCLUSIONS: Gender, age, body mass index, and arm circumference were jointly associated with CC, in addition to SGA and absence of complications. The CC is a relevant indicator for OiP in the clinical practice.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Is Calf Circumference Associated With Clinical and Nutritional Outcome in Older Patients?

MAZZINI,

AQUINO,

CAMARGO

et al. 2023

ABCD, arq. bras. cir. dig.

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show abstract

“…This result aligns with previous studies that have identified CC as a marker of muscle mass [ 28 ], which is associated with better physical performance [ 29 ] and a lower risk of mortality [ 30 ]. However, most prior studies have investigated the relationship between CC and all-cause mortality [ 31 – 33 ]. Only one study that included 418 Brazilian older adults examined the association of CC with cause-specific mortality and found that CC was negatively correlated with all-cause mortality but not with deaths related to CVD or cancer [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, a higher WCR may also indicate lower muscle mass. Low muscle mass, in turn, is associated with a higher risk of functional decline, disability [ 29 ], worse metabolic health [ 38 ], and mortality [ 31 ]. In contrast, higher muscle mass may be protective against chronic inflammation, which is a common feature of many chronic diseases [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Association of waist-calf circumference ratio, waist circumference, calf circumference, and body mass index with all-cause and cause-specific mortality in older adults: a cohort study

Dai,

Xia,

et al. 2023

BMC Public Health

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Background Waist circumference (WC), calf circumference (CC), and body mass index (BMI) have been independently linked to mortality. However, it's not yet clear how the waist-calf circumference ratio (WCR) relates to mortality. This study aims to investigate the relationship between WCR, WC, CC, and BMI with all-cause and cause-specific mortality in older adults. Methods In the 2014 Chinese Longitudinal Healthy Longevity Survey, 4627 participants aged 65 years and older were included, and they were subsequently followed up in 2018. Cox proportional hazards models were utilized to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause and cause-specific mortality, based on WCR, WC, CC, and BMI. Results During a median follow-up of 3.4 years, 1671 deaths (36.1%) occurred. Compared to the second quartile of WCR, the highest quartile had a higher risk of mortality from all causes (HR 1.42, 95%CI 1.24–1.64), cardiovascular disease (CVD) (HR 1.88, 95%CI 1.38–2.56), and other causes (HR 1.37, 95%CI 1.15–1.63). The first and fourth quartiles of WC had HRs of 2.19 (1.00–4.79) and 2.69 (1.23–5.89), respectively, for cancer mortality. The highest quartile of CC was associated with a lower risk of all-cause and other-cause mortality, whereas the lowest quartile was associated with a higher risk of all-cause, CVD, and other-cause mortality compared to the second CC quartile. Additionally, the lowest quartile of BMI was associated with a higher risk of all-cause and respiratory disease mortality. Interaction analyses showed that the effects of CC on all-cause and CVD mortality were more pronounced in adults aged ≥ 80 years (P-interaction < .05). Conclusions Higher WCR and lower CC increased the risk of all-cause, CVD, and other-cause mortality. Lower BMI was associated with higher all-cause and respiratory disease mortality risk, while WC only predicted cancer mortality.

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Nutritional status and its correlation to prognosis of nasopharyngeal carcinoma patients in different ages in China: a multicenter cohort study

Jia,

Wu,

Shen

et al. 2023

Support Care Cancer

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Calf circumference change and all-cause mortality among community-dwelling Chinese older people

Cited by 5 publications

References 26 publications

Is Calf Circumference Associated With Clinical and Nutritional Outcome in Older Patients?

Is Calf Circumference Associated With Clinical and Nutritional Outcome in Older Patients?

Association of waist-calf circumference ratio, waist circumference, calf circumference, and body mass index with all-cause and cause-specific mortality in older adults: a cohort study

Nutritional status and its correlation to prognosis of nasopharyngeal carcinoma patients in different ages in China: a multicenter cohort study

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