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BMC Public Health
Published in: BMC Public Health 1/2007

Open Access 01-12-2007 | Research article

Anthropometric measures and nutritional status in a healthy elderly population

Authors: Sergio Sánchez-García, Carmen García-Peña, María Ximena Duque-López, Teresa Juárez-Cedillo, Alma Rosa Cortés-Núñez, Sandra Reyes-Beaman

Published in: BMC Public Health | Issue 1/2007

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Abstract

Background

Anthropometric evaluation is an essential feature of geriatric nutritional evaluation for determining malnutrition, being overweight, obesity, muscular mass loss, fat mass gain and adipose tissue redistribution. Anthropometric indicators are used to evaluate the prognosis of chronic and acute diseases, and to guide medical intervention in the elderly. We evaluated anthropometric measurements and nutritional status as they relate to age and gender in healthy elderly people.

Methods

The study analyzed data from the national survey "Health needs and health service use by older-than-60-year-old beneficiaries of the Mexican Institute of Social Security (IMSS)". The present study included only individuals who reported no chronic disease in the last 20 years and had no hospital admission in the two months prior to the survey. Anthropometric measurements included weight, height, body mass index (BMI), body circumference (arm, waist, hip and calf), waist to hip ratio (WHR), elbow amplitude and knee-heel length.

Results

Application of the inclusion criteria resulted in a study population elderly of 1,968, representing 12.2% of the original number in the national survey in urban areas beneficiaries of the IMSS. The study population comprised 870 women and 1,098 men, with a mean age of 68.6 years. The average weights were 62.7 kg for women and 70.3 kg for men (p < 0.05), and the mean heights were 1.52 m for women and 1.63 m for men (p < 0.05). Age related changes in anthropometric values were identified. BMI values indicated that 62.3% of the population was overweight, and 73.6% of women and 16.5% of men had high fat tissue distribution.

Conclusion

Our findings suggest that applying the BMI thresholds that identify being overweight in the general adult population may lead to an overestimation in the number of overweight elderly Similar problems appear to exist when assessing waist circumference and WHR values. Prospective studies are required to determine the associations between health and BMI, waist circumference and WHR in the elderly.
Appendix
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Literature
1.
Villareal DT, Apovian CM, Kushner RF, Klein S, American Society for Nutrition; NAASO The Obesity Society: Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Am J Clin Nutr. 2005, 82: 923-934.PubMed
2.
Grinker JA, Tucker KL, Vokonas PS, Rush D: Changes in patterns of fatness in adult men in relation to serum indices of cardiovascular risk: the Normative Aging Study. Int J Obes Relat Metab Disord. 2000, 24: 1369-1378. 10.1038/sj.ijo.0801397.CrossRefPubMed
3.
4.
Baumgartner RN: Body composition in elderly persons: a critical review of needs and methods. Prog Food Nutr Sci. 1995, 17: 223-260.
5.
Kyle UG, Genton L, Pichard C: Body composition: what's new?. Curr Opin Clin Nutr Metab Care. 2002, 5: 427-433. 10.1097/00075197-200207000-00012.CrossRefPubMed
6.
Dey DK, Rothenberg E, Sundh V, Bosaeus I, Steen B: Height and body weight in the elderly. I. A 25 year longitudinal study of a population aged 70 to 95 years. Eur J Clin Nutr. 1999, 53: 905-914. 10.1038/sj.ejcn.1600852.CrossRefPubMed
7.
de Groot LC, Sette S, Zajkas G, Carbajal A, Amorim JA: Nutritional status: anthropometry Euronut SENECA investigators. Eur J Clin Nutr. 1991, 45: 31-42.PubMed
8.
Rea IM, Gillen S, Clarke E: Anthropometric measurements from a cross-sectional survey of community dwelling subjects aged over 90 years of age. Eur J Clin Nutr. 1997, 51: 102-106. 10.1038/sj.ejcn.1600370.CrossRefPubMed
9.
Seidell JC, Visscher TLS: Body weight and weight change and their health implications for elderly. Eur J Clin Nutr. 2000, 54: S33-S39. 10.1038/sj.ejcn.1601097.CrossRefPubMed
10.
Perissinotto E, Pisent C, Sergi G, Grigoletto F, ILSA Working Group (Italian Longitudinal Study on Ageing): Anthropometric measurements in the elderly: age and gender differences. Br J Nutr. 2002, 87: 177-186. 10.1079/BJN2001487.CrossRefPubMed
11.
Santos JL, Albala C, Lera L, Garcia C, Arroyo P, Perez-Bravo F, Angel B, Pelaez M: Anthropometric measurements in the elderly population of Santiago, Chile. Nutrition. 2004, 20: 452-457. 10.1016/j.nut.2004.01.010.CrossRefPubMed
12.
Reyes Fraustro S, Barranca Roldán G, Beaman PE, Córdova Castañeda A, Alvarado Moctezuma LE, Argueta González R, Camarena Robles E, Lozano Dávila E, García Peña C, Lifshitz Guinzberg A, Morales Méndez LR, Santamaría Galván S: Necesidades de salud y utilización de servicios por los derechohabientes del IMSS mayores de sesenta años. Las múltiples facetas de la investigación en Salud. Proyectos estratégicos del Instituto Mexicano del Seguro Social. Edited by: Garcia Peña C, Reyes Morales H, Viniegra Velázquez L. 2001, México: IMSS, 277-292.
13.
Beaman PE, Reyes-Frausto S, Garcia-Pena C: Validation of the Health Perceptions Questionnaire for an older Mexican population. Psychol Rep. 2003, 92: 723-734. 10.2466/PR0.92.3.723-734.CrossRefPubMed
14.
Reyes-Beaman S, Beaman PE, García-Peña C, Villa MA, Heres J, Cordova A, Jagger C: Validation of a modified versión of the Minimental State Examination (MMSE) in Spanish. Aging Neuropsychology and Cognition. 2004, 11: 1-11.CrossRef
15.
Reyes-Beaman S, Jagger C, Garcia-Pena C, Munoz O, Beaman PE, Stafford B, National Group of Research on Ageing: Active life expectancy of older people in Mexico. Disabil Rehabil. 2005, 27: 213-219.CrossRefPubMed
16.
Lohman Gt, Roche FA, Martolrrell R: Anthropometric standardization reference manual. 1988, Champaign, Illinois: Human Kinetics Books
17.
de Onis M, Habicht JP: Anthropometric reference data for international use: recommendations from a World Health Organization Expert Committee. Am J Clin Nutr. 1996, 64: 650-658.PubMed
18.
19.
Chumlea WC, Roche AF, Steinbaugh ML: Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc. 1985, 33: 116-120.CrossRefPubMed
20.
Garrow JS, Webster J: Quetelet's index (W/H2) as a measure of fatness. Int J Obes. 1985, 9: 147-153.PubMed
21.
World Health Organization: Expert Committee on Physical Status: The use and interpretation of anthropometric physical status. 1995, WHO
22.
World Health Organization: Measuring obesity: classification and description of anthropometric data. 1986, Copenhagen: WHO
23.
Bray GA: Fat distribution and body weight. Obesity Research. 1993, 202-205.
24.
2001, Microsoft Corporation Statistical Package for the Social Sciences (SPSS)/Inc. Chicago
25.
Chumlea WC, Baumgartner RN: Status of anthropometric and body composition data in elderly subjects. Am J Clin Nutr. 1989, 50: 1158-1166.PubMed
26.
Committee on Diet and Health, Food and Nutrition Board: Diet and health implications for reducing chronic disease risk. 1989, Washington, D.C. National Academy Press
27.
Velázquez Alva MC, Castillo Martínez L, Irigoyen Camacho E, Zepeda Zepeda MA, Gutiérrez Robledo LM, Cisneros Moysen P: An anthropometric study of a group of elderly men and women of Mexico City. Salud Publica Mex. 1996, 38: 466-474.PubMed
28.
Calle EE, Thun MJ, Petrelli JM, Rodríguez C, Heath CW: Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999, 341: 1097-1105. 10.1056/NEJM199910073411501.CrossRefPubMed
29.
Keller HH, Ostbye T: Body Mass Index (BMI), BMI change and mortality in community-dwelling seniors without dementia. J Nutr Health Aging. 2005, 9: 316-320.PubMed
30.
de Alba Romero C, Baena Diez JM, de Hoyos Alonso MC, Gorronogoitia Iturbe A, Litago Gil C, Martin Lesende I, Luque Santiago A: Preventive activities in the elderly. Aten Primaria. 2003, 32: 102-120.PubMed
31.
Mowe M, Bohmer T, Kindt E: Reduced nutritional status in an elderly population (> 70 y) is probable before disease and possibly contributes to the development of disease. Am J Clin Nutr. 1994, 59: 317-324.PubMed
32.
Sergi G, Perissinotto E, Pisent C, Buja A, Maggi S, Coin A, Grigoletto F, Enzi G, ILSA Working Group: An adequate threshold for body mass index to detect underweight condition in elderly persons: the Italian Longitudinal Study on Aging (ILSA). J Gerontol A Biol Sci Med Sci. 2005, 60: 866-871.CrossRefPubMed
33.
Sharper AG, Wannamethee SG, Walker M: Body weight: implications for the presentation of coronary heart disease, stroke, and diabetes mellitus in cohort study of middle aged men. Br Medic J. 1997, 314: 1311-1317.CrossRef
34.
Freedman DS, Williamson DF, Croft JB, Baltew C, Byers T: Relation of body fat distribution to ischemic heart disease. The National Health and Nutrition Examination Survey I (HANES I). Am J Epidemiol. 1995, 142: 53-63.PubMed
35.
Jabbar A, Irfanullah A, Akhter J, Mirza YK: Dyslipidemia and its relation with body mass index versus waist/hip. J Pak Med Assoc. 1997, 47: 308-310.PubMed
36.
Daniel M, Marion SA, Sep SB, Hertzman C, Gamble D: Variation by body mass index and age in waist to hip ratio associations with glycemic status in an aboriginal population at risk for type 2 diabetes in British Columbia, Canada. AM J Clin Nutr. 1999, 69: 455-460.PubMed
37.
Bannerman E, Millar M, Daniels L, Cobiac L, Giles L, Whitehead C, Andrews G, Crotty M: Anthropometric indices predict physical function and mobility in older Australians: the Australian longitudinal study of ageing. Public Health Nutr. 2002, 5: 655-662. 10.1079/PHN2002336.CrossRefPubMed
38.
Yan LL, Daviglus ML, Liu K, Pirzada A, Garside D, Schiffer L, Dyer A, Greenland P: BMI and Health-Related Quality of Life in Adults 65 Years and older. Obes Res. 2004, 12: 69-76.CrossRefPubMed
39.
Han TS, van Leer EM, Seidell JC, Lean ME: Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ. 1995, 311: 1401-5.CrossRefPubMedPubMedCentral
40.
Onat A, Sansoy V, Uysal O: Waist circumference and waist to hip ratio in Turkish adults: interrelation with other risk factors and association with cardiovascular disease. Int J Cardiol. 1999, 70: 43-50. 10.1016/S0167-5273(99)00049-2.CrossRefPubMed
41.
Han TS, Van Leer EM, Seidell JC, Lean ME: Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in random sample. Br Med J. 1995, 311: 1401-1405.CrossRef
42.
Molarius A, Seidell JC, Sans Jm, Tuomilehto J, Kuulasmaa K: Varying sensitivity of waist action levels to identify subjects with overweight or obesity in 19 population of the WHO MONICA Project. J Clin Epidemiol. 1999, 52: 1213-1224. 10.1016/S0895-4356(99)00114-6.CrossRefPubMed
43.
World Health Organization: Obesity: Preventing and Managing the Global Epidemic. 1997, Geneva: WHO
Metadata
Title
Anthropometric measures and nutritional status in a healthy elderly population
Authors
Sergio Sánchez-García
Carmen García-Peña
María Ximena Duque-López
Teresa Juárez-Cedillo
Alma Rosa Cortés-Núñez
Sandra Reyes-Beaman
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2007
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-7-2

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