NUTRITION AND FUNCTION - IS THERE A RELATIONSHIP BETWEEN BODY-MASS INDEX AND THE FUNCTIONAL CAPABILITIES OF COMMUNITY-DWELLING ELDERLY
NUTRITION AND FUNCTION - IS THERE A RELATIONSHIP BETWEEN BODY-MASS INDEX AND THE FUNCTIONAL CAPABILITIES OF COMMUNITY-DWELLING ELDERLY
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DOI：
10.1111/j.1532-5415.1994.tb07483.x
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发表时间：
1994-04-01
影响因子：
6.3
通讯作者：
FILLENBAUM, GG
中科院分区：
文献类型：
--
作者：
GALANOS, AN;PIEPER, CF;FILLENBAUM, GG
目的：为了确定是否有一个关系，身体质量指数和执行日常活动的能力，生活在一个样本的社区居住elderic.Design：二级数据分析的国家健康和营养检查调查-I流行病学随访研究（1982-1984）。对1971年至1975年在国家健康与营养检查调查I（NHANES-I）中最初进行访谈的基于人群的样本进行随访家庭访谈。参与者：65岁或以上的原始NHANES-I队列的幸存者，在第二次访谈时住在家里（n = 3061）。排除那些谁不能找到，拒绝参与，或制度化（n = 220），和那些没有完整的身高和体重的数据（n = 194）。主要结果测量：功能状态测量的26-item battery.Results：双变量分析显示，功能障碍的风险更大的受试者低体重指数或高体重指数。体重指数的极值越大（高或低），功能障碍的风险越大。Logistic回归分析显示，在纳入22个潜在混杂因素后，高、低体重指数与功能状态仍有显著相关性。结论：体重指数与社区老年人的功能状态相关。支持将这种简单的测量纳入对社区居住老年人的综合评估。
Objective: To determine if there is a relationship between body mass index and the ability to perform the usual activities of living in a sample of community-dwelling elderly.Design: Secondary data analysis of The National Health and Nutrition Examination Survey-I Epidemiologic Follow-up Study (1982-1984). Follow-up home interview of a population-based sample originally interviewed between 1971 and 1975 in the National Health and Nutrition Examination Survey-I (NHANES-I).Participants: Survivors of the original NHANES-I cohort who were 65 years of age or older and who were living at home at the time of the second interview (n = 3061). Excluded were those who could not be found, refused participation, or were institutionalized (n = 220), and those without complete height and weight data (n = 194).Main Outcome Measure: Functional status as measured by a 26-item battery.Results: Bivariate analysis revealed a greater risk for functional impairment for subjects with a low body mass index or a high body mass index. The greater the extreme of body mass index (either higher or lower), the greater the risk for functional impairment. Logistic regression analysis indicated that both high and low body mass index continued to be significantly related to functional status when 22 other potential confounders were included in the model,Conclusion: The body mass index is related to the functional capabilities of community-dwelling elderly. The inclusion of this simple measurement in the comprehensive assessment of community-dwelling elderly is supported.