Kontakt 2023, 25(4):286-291 | DOI: 10.32725/kont.2023.046
Nutrition, functional independence, and sarcopenia in elderly men and womenNursing - Original article
- University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic
Introduction: Sarcopenia is a severe condition affecting muscle mass, strength, and/or muscle function. It is influenced by various risk factors, including malnutrition. The consequences of this condition are significant and can limit a patient's independence in daily activities.
Objective: The aim of this cross-sectional study was to investigate the relationship between malnutrition, sarcopenia, and functional independence.
Methods: Malnutrition was assessed using the Mini Nutritional Assessment (MNA) scale, functional independence was measured using the Barthel Index (BI) questionnaire, and sarcopenia was diagnosed using recommended methods, including the Short Physical Performance Battery (SPPB).
Results: The study included 68 patients with an average age of 76 years (min. 65, max. 93). The sample consisted of 24 men (35.3%), including 5 men diagnosed with sarcopenia, and 44 women (64.7%), including 16 women diagnosed with sarcopenia. Among patients with sarcopenia, a significant correlation was found between patients' age and individual MNA (rSp = -0.2236), SPPB (rSp = -0.2236) and BI (rSp = -0.6324) test scores. Furthermore, a statistically significant difference was observed in patients with sarcopenia between the SPPB and MNA tests (p = 0.00005) and the SPPB and BI tests (p = 0.00006).
Conclusion: Sarcopenia has a multifactorial origin, not solely related to patients' age. Our study showed a higher prevalence of sarcopenia in women and demonstrated a significant mutual influence between malnutrition, sarcopenia, and functional independence. Timely diagnosis and targeted intervention are crucial in managing this condition.
Keywords: Functional independence; Malnutrition; Sarcopenia; Seniors
Conflicts of interest:
The authors have no conflict of interest to declare.
Received: June 6, 2023; Revised: September 17, 2023; Accepted: December 4, 2023; Prepublished online: December 13, 2023; Published: December 18, 2023 Show citation
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