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Anthropometric Equations to Determine Maximum Height in Adults ≥ 60 Years: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095072. [PMID: 35564467 PMCID: PMC9101954 DOI: 10.3390/ijerph19095072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/17/2022] [Accepted: 04/19/2022] [Indexed: 01/12/2023]
Abstract
Although it is common to measure bone lengths for study, methodological errors in data measurement and processing often invalidate their clinical and scientific usefulness. This manuscript reviews the validity of several published equations used to determine the maximum height in older adults, since height is an anthropometric parameter widely employed in health sciences. A systematic review of original articles published in the English, Spanish, or Portuguese languages was performed in PubMed, ScienceDirect, EBSCO, Springer Link, and two institutional publisher integrators (UACJ and CONRICYT). The search terms were included in the metasearch engines in a combined way and text form using the Boolean connectors AND and OR {(Determination OR Estimation OR Equation) AND Height AND (Elderly OR "Older adults")}. Eleven manuscripts were selected from 1935 records identified through database searching after applying the following criteria: (1) original articles that designed and validated equations for the determination of height by anthropometric methods in adults 60 years of age and older and (2) manuscripts that presented robust evidence of validation of the proposed regression models. The validity of the reported linear regression models was assessed throughout a manuscript review process called multi-objective optimization that considered the collection of the models, the prediction errors, and the adjustment values (i.e., R2, standard error of estimation, and pure error). A total of 64 equations were designed and validated in 45,449 participants (57.1% women) from four continents: America (85.3%, with 46 equations), Asia (8.1%, with 10), Europe (4.6%, with 7), and Africa (2.0%, with 1); the Hispanic American ethnic group was the most numerous in participants and equations (69.0%, with 28). Due to various omissions and methodological errors, this study did not find any valid and reliable equations to assess the maximum height in older adults by anthropometric methods. It is proposed to adjust allometric mathematical models that can be interpreted in the light of ontogenetic processes.
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Hlaing WY, Thosingha O, Chanruangvanich W. Health-related quality of life and its determinants among patients with hip fracture after surgery in Myanmar. Int J Orthop Trauma Nurs 2020; 37:100752. [PMID: 32029362 DOI: 10.1016/j.ijotn.2020.100752] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2019] [Revised: 12/31/2019] [Accepted: 01/03/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hip fracture has been regarded as a significant international health problem because of its negative impacts on things such as Health-Related Quality of Life (HRQOL). The determinants of HRQOL among patients with hip fracture after surgery during transition of recovery are still not clearly understood. OBJECTIVE To study HRQOL factors and determine the predictive power of elements such as age, gender, co-morbid disease, Body Mass Index (BMI), depression or social support on HRQOL among patients with hip fracture after surgery in Myanmar. DESIGN Descriptive correlational predictive study. SETTING Yangon Orthopaedic Hospital and Mandalay Orthopaedic Hospital in Myanmar. RESULTS The mean age was 60 years (range = 18-91). The level of HRQOL at the 6th week after surgery was moderate. In stepwise multiple regression analysis, gender (β = -.109, p = .044), depressive symptoms (β = -.564, p = .000) and social support (β = .287, p = .000) were the determinants of HRQOL. These three factors accounted for 59.1% of variance to explain HRQOL. CONCLUSION In order to facilitate a healthy transition, comprehensive rehabilitation, including depressive symptoms screening and enhancing social support, and the health care services with less cost and psychosocial support especially for women, are recommended.
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Affiliation(s)
- Win Yadanar Hlaing
- Master of Nursing Science (International Program, Adult Health Nursing), Faculty of Nursing, Mahidol University, 2 Wang Lang Road, Bangkok, 10700, Thailand.
| | - Orapan Thosingha
- Acting Associate Dean for Research Innovation and International Affair, Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.
| | - Wallada Chanruangvanich
- Surgical Nursing Department, Faculty of Nursing, Mahidol University, 2 Wang Lang Road, Bangkok, 10700, Thailand.
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Lai KY, Wu TH, Liu CS, Lin CH, Lin CC, Lai MM, Lin WY. Body mass index and albumin levels are prognostic factors for long-term survival in elders with limited performance status. Aging (Albany NY) 2020; 12:1104-1113. [PMID: 31945744 PMCID: PMC7053589 DOI: 10.18632/aging.102642] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2019] [Accepted: 12/23/2019] [Indexed: 12/13/2022]
Abstract
Elderly long-term care facility residents typically have musculoskeletal conditions that may lead to long-term disability and increased mortality. Our main objective was to explore the relationship between body mass index (BMI), albumin levels, and mortality in elderly individuals with limited performance status. Among 182 participants (mean age, 78.8 years; 57% women), 11%, 64%, and 25% had serum albumin levels of <2.8, 2.8-3.5, and >3.5 g/dL, respectively. After multivariate adjustments, diastolic blood pressure >90 mmHg was associated with all-cause mortality [hazard ratio (HR) = 2.08, 95% confidence interval (CI) = 1.13-3.82; P = 0.018]. In addition, BMI <18.5 kg/m2 and albumin level <2.8 g/dL associated with higher mortality than BMI = 18.5-24 kg/m2 and albumin level > 3.5 g/dL (HR = 1.80, 95% CI = 1.11-2.94 and HR = 2.54, 95% CI 1.22-5.30, respectively; P = 0.018 and 0.013, respectively). Highest mortality was noted in participants with albumin levels <2.8 g/dL and BMIs <18.5 kg/m2 (HR = 6.12, 95% CI = 1.85-20.21, P = 0.003). Combined hypoalbuminemia (albumin level < 2.8 g/dL) and low BMI (<18.5 kg/m2) may be a useful prognostic indicator of high mortality risk in elderly individuals with limited performance status.
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Affiliation(s)
- Kuan-Yu Lai
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
| | - Tai-Hsien Wu
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Medical Research, China Medical University Hospital, Taichung City, Taiwan
| | - Chiu-Shong Liu
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan.,Department of Social Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
| | - Chih-Hsueh Lin
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
| | - Cheng-Chieh Lin
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
| | - Ming-May Lai
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
| | - Wen-Yuan Lin
- Department of Family Medicine, China Medical University Hospital, Taichung City, Taiwan.,Department of Family Medicine, College of Medicine, China Medical University, Taichung City, Taiwan.,Department of Social Medicine, College of Medicine, China Medical University, Taichung City, Taiwan
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Cirillo D, Hart S, Reich R, Mason T. Height Measures: Evaluating Alternatives to Standing Height in the Ambulatory Setting. Clin J Oncol Nurs 2018; 22:529-533. [DOI: 10.1188/18.cjon.529-533] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Clemente G, Gallo M, Giorgini M. Modalities for assessing the nutritional status in patients with diabetes and cancer. Diabetes Res Clin Pract 2018; 142:162-172. [PMID: 29857095 DOI: 10.1016/j.diabres.2018.05.039] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 05/01/2018] [Accepted: 05/23/2018] [Indexed: 01/03/2023]
Abstract
Epidemiological data have shown that an increased body mass index (BMI) is associated with a higher risk of various cancers, especially in obese diabetic patients. However, oncologic patients often present nutritional alterations that can worsen their prognosis. The aim of this review is to propose the use of cheaper and easy to use tools to assess the nutritional status of patients with cancer with altered glucose metabolism. Based on a literature review, we propose anthropometric measures to classify the degree of malnutrition. Moreover, the Karnofsky Performance Status (KPS) and the Eastern Cooperative Oncology Group's performance index (ECOG) are useful to assess the functional status of the body; the achievement of nutritional needs can be analysed with the PG-SGA questionnaire, while the quality of life can be investigated using the DTSQ, SF36, EQ-5D questionnaires and the Edmonton Symptom Assessment System. Pre-albumin dosage and lymphocyte count are proposed as nutritional parameters. The degree of hydration can be evaluated through the Bio-Impedance Test (BIA), and energy intake through the dairy food diary, which considers the type of nutrition and the consistency of the meals. It is possible to use a score for each tool used, which is useful to plan an adequate nutritional intervention.
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Affiliation(s)
- G Clemente
- Institute for Research on Population and Social Policies IRPPS - Italian National Research Council Penta di Fisciano (SA), Italy.
| | - M Gallo
- Oncological Endocrinology Unit, Department of Medical Sciences, AOU Città della Salute e della Scienza di Torino - Turin, Italy
| | - M Giorgini
- Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
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Sugai K, Takeda-Imai F, Michikawa T, Nakamura T, Takebayashi T, Nishiwaki Y. Association Between Knee Pain, Impaired Function, and Development of Depressive Symptoms. J Am Geriatr Soc 2018; 66:570-576. [PMID: 29441517 DOI: 10.1111/jgs.15259] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
OBJECTIVES To examine the association between knee pain and function and depressive symptoms in older Japanese adults. DESIGN Community-based prospective cohort study. SETTING Kurabuchi Town, Gumma Prefecture, Japan. PARTICIPANTS Individuals aged 65 and older (N = 573; n = 260 men, n = 313 women) without depressive symptoms participated in baseline examinations in 2005 and 2006; 95.6% participated in follow-up interviews (2007-08). MEASUREMENTS Degree of knee pain and functional impairment was assessed at baseline using a self-administered questionnaire in Japanese based on an English version of the Western Ontario and McMaster Universities Osteoarthritis Index. The Geriatric Depression Scale was used to identify depressive symptoms in face-to-face home-visit interviews conducted 2 years later, and the association between knee pain and functional impairment and depressive symptoms was assessed using logistic regression. RESULTS During the 2-year follow-up, 11.9% of participants developed depressive symptoms, and pain and functional impairment were found to be associated with development of these symptoms. Pain at night while in bed (adjusted odds ratio (aOR) = 2.6, 95% confidence interval (CI) = 1.4-4.9) and difficulty putting on socks (aOR = 3.7, 95% CI: 1.8-7.5), getting into and out of a car (aOR = 3.4, 95% CI = 1.8-6.5), and taking off socks (aOR = 3.1, 95% CI = 1.5-6.5) were found to be most strongly associated with development of depressive symptoms. CONCLUSION Examining elderly people's responses to questions about pain at night and difficulties performing daily activities may be an efficient way of identifying those at high risk of developing depressive symptoms.
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Affiliation(s)
- Keiko Sugai
- Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Fujimi Takeda-Imai
- Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan
| | - Takehiro Michikawa
- Environmental Epidemiology Section, Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Ibaraki, Japan
| | - Takahiro Nakamura
- Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - Yuji Nishiwaki
- Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan
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Childhood intelligence and personality traits neuroticism and openness contributes to social mobility: A study in the Aberdeen 1936 Birth Cohort. PERSONALITY AND INDIVIDUAL DIFFERENCES 2017. [DOI: 10.1016/j.paid.2017.02.068] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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García-Peña C, Pérez-Zepeda MU. Validity of Knee-Estimated Height to Assess Standing Height in Older Adults: A Secondary Longitudinal Analysis of the Mexican Health and Aging Study. J Nutr Health Aging 2017; 21:262-265. [PMID: 28244564 PMCID: PMC5749405 DOI: 10.1007/s12603-016-0761-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The main objective was to test the validity of height estimated by knee height in Mexican older adults, as a surrogate for standing height. DESIGN Cohort study. SETTING Data were drawn from the first and third waves of the Mexican Health and Aging Study. PARTICIPANTS Included participants were community-dwelling 50-year or older adults with measured height at baseline and in follow-up. Subjects with a lower limb fracture in the follow-up were excluded. MEASUREMENTS Main measurements were baseline standing height and 11-year follow-up and knee-estimated height in follow-up. Population specific equations were used to estimate standing height from knee height. Comparisons between baseline standing height and knee-derived height were done with simple correlations, limits of agreement (Bland-Altman plot) and Deming regressions. RESULTS A total of 136 50-year or older adults were followed-up for eleven years, with a mean age of 60. There was a positive correlation between knee-estimated height and baseline standing height of 0.895 (p<0.001) for men and of 0.845 (p<0.001) for women. Limits of agreement for men were from -6.95cm to 7.09cm and for women from -6.58cm to 8.44cm. CONCLUSION According to our results, knee-estimated height could be used interchangeably with standing height in Mexican older adults, and these results might apply also to other populations.
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Affiliation(s)
- C García-Peña
- Mario Ulises Pérez Zepeda Geriatric Epidemiology Research Department at the Instituto Nacional de Geriatría, Periférico Sur 2767, colonia San Jerónimo Lídice, delegación La Magdalena Contreras, ciudad de México, Distrito Federal, México. Phone number: +52 55 55739087, ,
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Lahner C, Kassier S. True height and variability in estimates thereof across race and gender. SOUTH AFRICAN JOURNAL OF CLINICAL NUTRITION 2016. [DOI: 10.1080/16070658.2016.1216360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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10
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Gavriilidou NN, Pihlsgård M, Elmståhl S. High degree of BMI misclassification of malnutrition among Swedish elderly population: Age-adjusted height estimation using knee height and demispan. Eur J Clin Nutr 2014; 69:565-71. [PMID: 25205322 PMCID: PMC4424802 DOI: 10.1038/ejcn.2014.183] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2014] [Revised: 05/23/2014] [Accepted: 07/14/2014] [Indexed: 12/13/2022]
Abstract
BACKGROUND/OBJECTIVES The degree of misclassification of obesity and undernutrition among elders owing to inaccurate height measurements is investigated using height predicted by knee height (KH) and demispan equations. SUBJECTS/METHODS Cross-sectional investigation was done among a random heterogeneous sample from five municipalities in Southern Sweden from a general population study 'Good Aging in Skåne' (GÅS). The sample comprised two groups: group 1 (KH) including 2839 GÅS baseline participants aged 60-93 years with a valid KH measurement and group 2 (demispan) including 2871 GÅS follow-up examination participants (1573 baseline; 1298 new), aged 60-99 years, with a valid demispan measurement. Participation rate was 80%. Height, weight, KH and demispan were measured. KH and demispan equations were formulated using linear regression analysis among participants aged 60-64 years as reference. Body mass index (BMI) was calculated in kg/m(2). RESULTS Undernutrition prevalences in men and women were 3.9 and 8.6% by KH, compared with 2.4 and 5.4% by standard BMI, and more pronounced for all women aged 85+ years (21% vs 11.3%). The corresponding value in women aged 85+ years by demispan was 16.5% vs 10% by standard BMI. Obesity prevalences in men and women were 17.5 and 14.6% by KH, compared with 19.0 and 20.03% by standard BMI. Values among women aged 85+ years were 3.7% vs 10.4% by KH and 6.5% vs 12.7% by demispan compared with the standard. CONCLUSIONS There is an age-related misclassification of undernutrition and obesity attributed to inaccurate height estimation among the elderly. This could affect the management of patients at true risk. We therefore propose using KH- and demispan-based formulae to address this issue.
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Affiliation(s)
- N N Gavriilidou
- Division of Geriatric Medicine, Department of Health Sciences, Lund University, Skåne University Hospital, Malmö, Sweden
| | - M Pihlsgård
- Division of Geriatric Medicine, Department of Health Sciences, Lund University, Skåne University Hospital, Malmö, Sweden
| | - S Elmståhl
- Division of Geriatric Medicine, Department of Health Sciences, Lund University, Skåne University Hospital, Malmö, Sweden
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Poisson P, Laffond T, Campos S, Dupuis V, Bourdel-Marchasson I. Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients. Gerodontology 2014; 33:161-8. [DOI: 10.1111/ger.12123] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Philippe Poisson
- Department of Dentistry and Oral Health; CHU of Bordeaux; Bordeaux France
- Department of Oral Public Health; UFR of Odontology; Bordeaux Segalen University; Bordeaux France
- EA 4136 “Handicap and Nervous System”; Bordeaux Segalen University; Bordeaux France
| | - Thibault Laffond
- Department of Dentistry and Oral Health; CHU of Bordeaux; Bordeaux France
| | - Sandra Campos
- Dietetics Department; CHU of Bordeaux; Bordeaux France
| | - Veronique Dupuis
- Department of Dentistry and Oral Health; CHU of Bordeaux; Bordeaux France
- Department of Prosthodontics; UFR of Odontology; Bordeaux Segalen University; Bordeaux France
| | - Isabelle Bourdel-Marchasson
- Department of Gerontology; CHU of Bordeaux; Bordeaux France
- RMSB; UMR 5536 CNRS; Bordeaux France
- RMSB; UMR 5536 Bordeaux Segalen University; Bordeaux France
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Pastor-Valero M. Fruit and vegetable intake and vitamins C and E are associated with a reduced prevalence of cataract in a Spanish Mediterranean population. BMC Ophthalmol 2013; 13:52. [PMID: 24106773 PMCID: PMC3853246 DOI: 10.1186/1471-2415-13-52] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Accepted: 10/02/2013] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Cataract is among the major causes of vision impairment and blindness worldwide. Epidemiological studies support the role of antioxidants in the etiology of cataract, but the evidence for one specific antioxidant over another is inconsistent. Few studies have examined the association of cataract with fruit and vegetable intake with inconclusive results. In the present study, the relationship between cataract and fruit and vegetable intake and dietary and blood levels of carotenoids, vitamins C and E were examined in a Spanish Mediterranean population. METHODS The present work is an analysis of data from 599 elderly ( ≥ 65 years) participants from the Spanish segment of the EUREYE study. This is a European multi-center cross-sectional population-based study. Cataract was diagnosed using a slit-lamp examination and defined as any lens opacity in either eye or evidence of its removal (cataract extraction). Energy-adjusted intake of fruit and vegetables and antioxidant vitamins was estimated using a semi-quantitative food frequency questionnaire. Plasma concentrations of vitamin C were analyzed by a colorimetric method and carotenoids and α-tocopherol by a HPLC method. The associations between cataract and quartiles of fruit and vegetable intake and plasma antioxidants were investigated using logistic regression models. RESULTS Of the 599 elderly recruited, 433 (73%) had cataract or cataract extraction, 54% were women and 46% were men. After adjustments, increasing quartiles of combined fruit and vegetable intake were associated with decreasing reduction of odds of cataract or cataract extraction, (P for trend = 0.008). Increasing quartiles of dietary intakes from 107 mg/d of vitamin C showed a significant decreasing association with prevalence of cataract or cataract extraction (P for trend = 0.047). For vitamin E, a protective association was found from intakes from 8 mg/d, but no linear trend was observed across quartiles of intake (P for trend = 0.944). CONCLUSIONS High daily intakes of fruit and vegetables and vitamins C and E were associated with a significantly decreased of the prevalence of cataract or cataract surgery. This study reinforces the WHO recommendations on the benefits of diets rich in fruit and vegetables.
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Affiliation(s)
- Maria Pastor-Valero
- Departamento de Salud Pública Historia de la Ciencia y Ginecología, Universidad Miguel Hernández, Elche, Spain.
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Frid H, Thors Adolfsson E, Rosenblad A, Nydahl M. Agreement between different methods of measuring height in elderly patients. J Hum Nutr Diet 2013; 26:504-11. [DOI: 10.1111/jhn.12031] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- H. Frid
- Centre for Clinical Research; Uppsala University; Västmanland County Hospital; Västerås Sweden
| | - E. Thors Adolfsson
- Centre for Clinical Research; Uppsala University; Västmanland County Hospital; Västerås Sweden
| | - A. Rosenblad
- Centre for Clinical Research; Uppsala University; Västmanland County Hospital; Västerås Sweden
| | - M. Nydahl
- Department of Food, Nutrition and Dietetics; Uppsala University; Uppsala Sweden
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Factors associated with serum/plasma concentrations of vitamins A, C, E and carotenoids in older people throughout Europe: the EUREYE study. Eur J Nutr 2012; 52:1493-501. [DOI: 10.1007/s00394-012-0456-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Accepted: 10/09/2012] [Indexed: 10/27/2022]
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Mesquita M, Veríssimo M. Equations suggested by WHO to estimate height above 60 years of age do not fit Portuguese elderly: A new predictive model based on knee height. Eur Geriatr Med 2012. [DOI: 10.1016/j.eurger.2012.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Siqueira VDO, Costa BVDL, Lopes ACS, Santos LCD, Lima-Costa MF, Caiaffa WT. Different equations for determining height among the elderly: the Bambuí Cohort Study of Aging. CAD SAUDE PUBLICA 2012; 28:125-34. [PMID: 22267072 DOI: 10.1590/s0102-311x2012000100013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2011] [Accepted: 08/19/2011] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to compare measured height with estimates of height derived from equations using half arm-span measurements and assess how this affects the calculation of the body mass index (BMI) among elderly individuals. Direct height measurements of a subsample of elderly individuals from the baseline sample of the Bambuí Project were compared with estimates of height derived from equations proposed by Bassey and the WHO. The data was analyzed using the McNemar test, Lin concordance correlation coefficient (CCC) and Bland-Altman method (p < 0.05). Estimates of height using the WHO method showed a low CCC in relation to measured height. For BMI, the concordance was greater. However, with this method height was found to be underestimated so leading to the overestimation of BMI. The Bassey equation showed high concordance with measured height in elderly people over 80 years of age. With respect to BMI, the WHO method resulted in a much greater prevalence of overweight, whereas the estimates derived from the Bassey method did not differ from the results obtained from direct height measurement. Height estimates using the Bassey equation were similar to the results obtained from direct measurements, suggesting that this method is applicable.
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Hirani V, Aresu M. Development of New Demi‐Span Equations From a Nationally Representative Sample of Older People to Estimate Adult Height. J Am Geriatr Soc 2012; 60:550-4. [DOI: 10.1111/j.1532-5415.2011.03832.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Vasant Hirani
- Department of Epidemiology and Public Health Royal Free and University College
- London Medical School University College London London United Kingdom
| | - Maria Aresu
- Department of Epidemiology and Public Health Royal Free and University College
- London Medical School University College London London United Kingdom
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Associations between Aspirin Use and Aging Macula Disorder. Ophthalmology 2012; 119:112-8. [DOI: 10.1016/j.ophtha.2011.06.025] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2010] [Revised: 06/05/2011] [Accepted: 06/21/2011] [Indexed: 11/18/2022] Open
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Poliakov OA, Tomarevskaya OS. Body mass index and functional performance of the elderly persons. ADVANCES IN GERONTOLOGY 2011. [DOI: 10.1134/s207905701104014x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Hirani V, Tabassum F, Aresu M, Mindell J. Development of new demi-span equations from a nationally representative sample of adults to estimate maximal adult height. J Nutr 2010; 140:1475-80. [PMID: 20554901 DOI: 10.3945/jn.109.118430] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Various measures have been used to estimate height when assessing nutritional status. Current equations to obtain demi-span equivalent height (DEH(Bassey)) are based on a small sample from a single study. The objectives of this study were to develop more robust DEH equations from a large number of men (n = 591) and women (n = 830) aged 25-45 y from a nationally representative cross-sectional sample (Health Survey for England 2007). Sex-specific regression equations were produced from young adults' (aged 25-45 y) measured height and demi-span to estimate new DEH equations (DEH(new)). DEH in people aged >or= 65 y was calculated using DEH(new). DEH(new) estimated current height in people aged 25-45 y with a mean difference of 0.04 in men (P = 0.80) and -0.29 in women (P = 0.05). Height, demi-span, DEH(new), and DEH(Bassey) declined by age group in both sexes aged >or=65 y (P < 0.05); DEH were larger than the measured height for all age groups (mean difference between DEH(new) and current height was -2.64 in men and -3.16 in women; both P < 0.001). Comparisons of DEH estimates showed good agreement, but DEH(new) was significantly higher than DEH(Bassey) in each age and sex group in older people. The new equations that are based on a large, randomly selected, nationally representative sample of young adults are more robust for predicting current height in young adults when height measurements are unavailable and can be used in the future to predict maximal adult height more accurately in currently young adults as they age.
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Affiliation(s)
- Vasant Hirani
- Department of Epidemiology and Public Health, University College London Medical School, University College London, London, UK.
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Pautas E, Moreau C, Gouin-Thibault I, Golmard JL, Mahé I, Legendre C, Taillandier-Hériche E, Durand-Gasselin B, Houllier AM, Verrier P, Beaune P, Loriot MA, Siguret V. Genetic Factors (VKORC1, CYP2C9, EPHX1, and CYP4F2) Are Predictor Variables for Warfarin Response in Very Elderly, Frail Inpatients. Clin Pharmacol Ther 2009; 87:57-64. [DOI: 10.1038/clpt.2009.178] [Citation(s) in RCA: 101] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Waninge A, van der Weide W, Evenhuis IJ, van Wijck R, van der Schans CP. Feasibility and reliability of body composition measurements in adults with severe intellectual and sensory disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2009; 53:377-388. [PMID: 19187101 DOI: 10.1111/j.1365-2788.2009.01153.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
BACKGROUND Anthropometric measurements are widely used to reliably quantify body composition and to estimate risks of overweight in healthy subjects and in patients. However, information about the reliability of anthropometric measurements in subjects with severe intellectual and sensory disabilities is lacking. OBJECTIVE The purpose of this study was to determine the feasibility and the test-retest reliability of body composition measures in subjects with severe intellectual and sensory disabilities. METHOD The study population consisted of 45 subjects with severe intellectual and sensory disabilities. Body mass index, waist circumference, skin folds and tibia length were measured. Reliability was assessed by Wilcoxon signed rank test, limits of agreement (LOA) and intraclass correlation coefficients. The outcomes were compared with values provided by the World Health Organization. RESULTS There were no significant differences between test and retest (P < 0.05). For the skinfold measurements, however, the LOA was insufficient. Intraclass correlation coefficients for all variables, except skinfold measurements, were 0.90 or above. CONCLUSION Test-retest reliability and feasibility for all measurements are acceptable in subjects with severe intellectual and sensory disabilities. Skinfold measurements, however, could not be reliably performed in these subjects. Measuring tibia length and using the determined formula to calculate body height from tibia length is a reliable alternative for measuring body height. Although measuring the body height of subjects with severe disabilities was feasible, measuring tibia length was more feasible.
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Affiliation(s)
- A Waninge
- De Brink & Hanze University Groningen, De Brink, Veenweg, Vries, The Netherlands.
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Abstract
BACKGROUND Pediatric patients with congenital thoracic scoliosis often have restrictive lung disease and low body weight for age. In other patients with respiratory disorders, the work of breathing can increase basal metabolic demands and predispose patients to cachexia. The primary study aim was to determine if severity of restrictive lung disease, as measured by pulmonary spirometry, correlates to decreased body mass index (BMI) in patients with congenital thoracic scoliosis. A secondary study aim was to determine what patient factors and radiographic measures correlate to low BMI. METHODS Forty-nine consecutive patients with congenital thoracic scoliosis underwent pulmonary function testing, spinal radiographs, and BMI percentile for age calculations. Severity of restrictive lung disease was quantified by the forced vital capacity percentile (FVC%). The BMI percentile for age was also ranked as normal, moderately, or markedly decreased (0, <1, or <2 SDs below normal, respectively). The t tests were performed between BMI rank and FVC% as well as forced expiratory volume in 1 second (FEV1). A stepwise multivariate linear regression analysis was performed between BMI percentile and FVC%, age, sex, type and extent of previous spine fusion, radiographic measures, and pulmonary spirometry measures. RESULTS The mean BMI percentile for all patients was 43% (range, 2%-98%). Both FVC% and FEV1 percentile were significantly decreased in patients with abnormal BMI (77% vs 51%, P = 2.78 *10(-1) for FVC%; 75% vs 52%, P = 0.00021 for FEV1 percentile). Multivariate analysis showed that FVC% was the only tested variable that significantly correlated to BMI percentile. There was a 13.6 times higher risk of having an abnormal BMI in patients with moderate to severe restrictive lung disease. CONCLUSIONS Decreased pulmonary function compromise strongly correlates to low BMI in patients with congenital thoracic scoliosis. When considering moderate to severe restrictive lung disease as defined by FVC%, patients are at much higher risk of being significantly underweight. Body mass index is another important sign of thoracic insufficiency syndrome in these patients. LEVEL OF EVIDENCE Prognostic case-control study, level III.
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Hirani V, Mindell J. A comparison of measured height and demi-span equivalent height in the assessment of body mass index among people aged 65 years and over in England. Age Ageing 2008; 37:311-7. [PMID: 18256054 DOI: 10.1093/ageing/afm197] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVES to examine differences between measured height and demi-span equivalent height (DEH) among people aged >or=65 and investigate the impact on body mass index (BMI) of using DEH. DESIGN AND SETTING nationally representative cross-sectional sample of adults living in England. PARTICIPANTS 3,346 non-institutionalised adults aged >or=65, taking part in the Health Survey for England (HSE) 2001. MEASUREMENTS height, weight and demi-span measurements were taken according to standardised HSE protocols. DEH was calculated using Bassey's equation. RESULTS the height measurement was lower than the DEH from age group 70-74 years onwards in men and in each age group in women. No significant differences in mean DEH and measured height were found for men (-0.46) or women (-2.64). BMI derived from measured height did not differ significantly from BMI derived from DEH. The prevalence of underweight was lower when using measured height than when using DEH in women aged >or=65, particularly in those aged 80 years and over. The prevalence of overweight and obesity was higher using measured height than DEH in women aged >or=65. CONCLUSION we confirmed in a large nationally representative sample that demi-span measurement may be a useful estimate of stature in people (particularly women) aged >or=65 for BMI calculations.
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Affiliation(s)
- Vasant Hirani
- Department of Epidemiology and Public Health, Royal Free and University College London Medical School, University College London, 1-19 Torrington Place, London WC1E 6BT, UK.
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