Main Article Content
Mini Nutritional Assessment, elderly, muscle strength, anthropometric measurement
Summary. Aim: Elderly individuals that are one of the neglected risk group are at a higher risk for health problems owing to inadequate and unbalanced nutrition. Nutritional status is also an important determinant of health in people over 65 years of age. Screening and diagnostic instruments are important in the recognition of the elderly people in evaluating the results of malnutrition. Unfortunately, there is no gold standard for the detection of malnutrition in elderly people. In this study, we aimed to assess the association of Mini Nutritional Assessment with anthropometric measurements and muscle strength in elderly people. Materials and Methods: A cross-sectional study included 210 elderly volunteers. Anthropometric measurements were taken, body mass index (BMI) values were calculated and muscle strength was evaluated by a hand dynamometer. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) screening tool. The study was approved by Research Ethics Committee. Results: Elderly individuals with a BMI value of ≥ 30 kg/m2 had significantly lower right and left hand grip strengths than BMI values of 18.5-24.9 kg/m2 and 25-29.9 kg/m2. However, elderly individuals with a BMI of ≥ 30 kg/m2 had significantly higher waist/hip ratio, waist/height ratio, body fat percentage, waist, hip, calf, neck and mid-upper arm circumferences than BMI values of 18.5-24.9 kg/m2 and 25-29.9 kg/m2. Additionally, a positive and statistically significant correlation was determined between the right and left hand grip strengths and the MNA score in women. Conclusion: To improve the nutritional status, elderly people should be monitored at regular intervals by obtaining anthropometric and muscle strength measurements and performing nutritional status screening tests.
2. Cankurtaran M. Aging, aging mechanisms, antiaging and lifestyle changes (in Turkish) [Internet]. 2005. [cited November 30, 2015]. Available from: http://www.tihud.org.tr/uploads/content/kongre/7/7.15.pdf.
3. Baysal A. Nutrition in old age (in Turkish). 2nd ed. Ankara: Hatiboglu Publications, 2014.
4. Tripathi KM, Singh Y, Dubey SK, Sevan T. Geriatric nutrition: need for better ageing. South Asian Journal of Food Technology and Environment 2016; 2(3&4): 432-7.
5. Leslie W, Hankey C. Aging, nutritional status and health. Healthcare 2015; 3(3): 648-58.
6. Pirlich M, Lochs H. Nutrition in the elderly. Best Pract Res Clin Gastroenterol 2001; 15(6): 869-84.
7. Mardani M, Abbasnezhad A, Rezapour M et al. Mini Nutritional Assessment and its correlation with elderly nursing home residents in Khorramabad, Iran. Iran Rehabil J 2018; 16(2): 177-84.
8. Granic A, Sayer AA, Robinson SM. Dietary patterns, skeletal muscle health, and sarcopenia in older adults. Nutrients 2019; 11(4): 745-73.
9. Chatindiara I, Allen J, Popman A et al. Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults at hospital admission. BMC Geriatr 2018; 18(1): 78-85.
10. WHO: global database on body mass index. World Health Organization [Internet]. 2016. [cited March 30, 2016]. Available from: http://www.apps.who.int/bmi/index.jsp?introPage=intro_3.html.
11. Schlüssel MM, Dos Anjos LA, De Vasconcellos MTL, Kac G. Reference values of handgrip dynamometry of healthy adults: a population-based study. Clin Nutr 2008; 27(4): 601-7.
12. Turusheva A, Frolova E, Degryse JM. Age-related normative values for handgrip strength and grip strength’s usefulness as a predictor of mortality and both cognitive and physical decline in older adults in Northwest Russia. J Musculoskelet Neuronal Interact 2017; 17(1): 417-32.
13. Kilic P. Determining the values of handgrip strength in healthy adults (in Turkish) [master’s thesis]. Ankara (Turkey): Hacettepe University [Internet]. 2008. [cited November 30, 2015]. Available from: http://www.ulusaltezmerkezi.net/yetiskin-saglikli-bireylerde-el-kavrama-gucu-degerlerinin-belirlenmesi/?search=Yeti%C5%9Fkin,%20sa%C4%9Fl%C4%B1kl%C4%B1%20bireylerde%20el%20kavrama%20g%C3%BCc%C3%BC%20de%C4%9Ferlerinin%20belirlenmesi.
14. Cereda E. Mini Nutritional Assessment. Curr Opin Clin Nutr Metab Care 2012; 15(1): 29-41.
15. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature-what does it tell us?. J Nutr Health Aging 2006; 10(6): 466-87.
16. Dong R, Guo Q, Wang J. Optimal cutoffs of grip strength for definition as weakness in the elderly. Journal of Biosciences and Medicines 2014; 2(9): 14-8.
17. Pieterse S, Manandhar M, Ismail S. The association between nutritional status and handgrip strength in older Rwandan refugees. Eur J Clin Nutr 2002; 56(10): 933-9.
18. Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing 2010; 39(4): 412-23.
19. Whiting SJ, Cheng PC, Thorpe L et al. Hand grip strength as a potential nutritional assessment tool in long-term care homes. Journal of Aging Research and Healthcare 2016; 1(2): 1-11.
20. Račić M, Pavlović J, Ivković N. Handgrip strength cut-off values for the undernutrition risk screening among elderly men and women in Bosnia and Herzegovina. J Aging Res 2019; 1-10.
21. Kaburagi T, Hirasawa R, Yoshino H et al. Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese. Public Health Nutr 2011; 14(11): 1893-9.
22. Akbar F, Setiati S. Correlation between hand grip strength and nutritional status in elderly patients. J Phys Conf Ser 2018; 1073(4): 1-8.
23. Kucukerdonmez O, Koksal E, Rakicioglu N, Pekcan G. Assessment and evaluation of the nutritional status of the elderly using 2 different instruments. Saudi Med J 2005; 26(10): 1611-6.
24. Pai MK. Comparative study of nutritional status of elderly population living in the home for aged vs those living in the community. Biomed Res 2011; 22(1): 120-6.
25. Bohannon RW. Grip strength: an indispensable biomarker for older adults. Clin Interv Aging 2019; 14: 1681-91.
26. Volkert D, Berner YN, Berry E et al. ESPEN Guidelines on enteral nutrition: geriatrics. Clin Nutr 2006; 25(2): 330-60.
27. Bassi R, Sharma S, Kaur S, Sharma A. Handgrip dynamometry in elderly individuals and its relation with body mass index. Natl J Physiol Pharm Pharmacol 2016; 6(6): 599-603.
28. Denk K, Lennon S, Gordon S, Jaarsma RL. The association between decreased hand grip strength and hip fracture in older people: a systematic review. Exp Gerontol 2018; 111: 1-9.
29. Chilima DM, Ismail SJ. Nutrition and handgrip strength of older adults in rural Malawi. Public Health Nutr 2000; 4(1): 11-7.
30. Hu CL, Yu M, Yuan KT et al. Determinants and nutritional assessment value of hand grip strength in patients hospitalized with cancer. Asia Pac J Clin Nutr 2018; 27(4): 777-84.
31. Serra-Prat M, Papiol M, Vico J, Palomera E, Bartolomé M, Burdoy E. Factors associated with poor muscle mass and strength in a community-dwelling elderly population: a cross-sectional study. J Gerontol Geriatr Res 2017; 6(2): 1-6.
32. Wong MM, So WK, Choi KC et al. Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community. BMC Geriatr 2019; 19(1): 1-12.