Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population.
Eur J Clin Nutr
; 60(4): 486-93, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16391579
ABSTRACT
OBJECTIVE:
To investigate the relationship between osteoporosis and nutritional status as determined by the Mini-Nutritional Assessment (MNA).DESIGN:
A cross-sectional study.SETTING:
Stockholm, Sweden.SUBJECTS:
A total of 351 elderly free-living women (mean age 73+/-2.3 years).METHODS:
MNA (range 0-30 points; <17 indicates malnutrition, 17.5-23.5 risk of malnutrition and >or=24 well nourished), measurements of bone mineral density of the left hip and lumbar spine using Hologic QDR 4500, and of the heel using Calscan DEXA-T.RESULTS:
The median MNA score was 27 (range 12.5-30). One woman was classified as malnourished and 7.4% were at risk of malnutrition. Osteoporosis of the femoral neck was observed in 22% and a fracture after the age of 50 was reported by 31% of the participants. The following items in the MNA questionnaire exhibited an increased risk of having osteoporosis in the femoral neck and/or total hip an MNA score of <27 (odds ratio (OR)=2.09; CI=1.14-3.83); a mid-arm circumference of less than 28 cm (OR=2.97; CI=1.29-6.81); and regular use of more than 3 drugs each day (OR=2.12; CI=1.00-4.50). A body weight of more than 70 kg exhibited a decreased risk of having osteoporosis (OR=0.31; CI=0.14-0.70).CONCLUSIONS:
In general, the nutritional status was good in this population of free-living elderly women. Nevertheless, half of the women who displayed an MNA score <27 points had a twofold increased risk of having osteoporosis. SPONSORSHIP Karolinska Institutet, Stockholm County Council.
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Base de dados:
MEDLINE
Assunto principal:
Densidade Óssea
/
Avaliação Nutricional
/
Osteoporose Pós-Menopausa
/
Estado Nutricional
/
Fraturas Ósseas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article