title: Assessments of functional status, comorbidities, polypharmacy, nutritional status and sarcopenia in Turkish community-dwelling male elderly.
abstract: Functionality, comorbidities, polypharmacy, nutritional status and sarcopenia affect the prognosis of elderly excessively. These parameters are influenced by the population, living settings and age. We aimed to study these parameters in Turkish community-dwelling male elderly. We studied 274 male elderly ≥60 years of age admitted to our Geriatrics outpatient clinics. Mean age was 74.4 ± 7.1 years; 47.4% of the subjects were ≥75 years, 24.1% were ≥80 years. Mean activities-of-daily-living (ADL) and instrumental ADL (IADL) scores were 9.4 and 11.1, respectively. Patients with at least one-dependence at ADL-IADL were 22.6%-47.2%, and more than half-dependence at ADL-IADL were 2.8%-17.9%, respectively. Mean number of comorbidities were 2.6. Most common diagnosis was hypertension with 65%; mean number of drugs were 4.5; 55.3% were using ≥4 chronic drugs. Prevalences of malnutrition were 3.7%-6.9%, malnutrition risk were 23.5%-26.7% by the mini nutritional assessment test-long form and short form, respectively. Calf circumference was measured <31 cm in 10.5%. Our findings suggest that Turkish community-dwelling male elderly may have greater prevalences of functional dependence, sarcopenia but lower rates of malnutrition and similar rates of polypharmacy compared with the western developing countries and developed countries. This study emphasized the geographical differences in and/or between the individual countries highlighting the need for studies both country- and world-wide.
authors: Department of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey. gbahatozturk@yahoo.com
authors: Gulistan
authors: G
authors: Bahat
authors: Fatih
authors: F
authors: Tufan
authors: Zumrut
authors: Z
authors: Bahat
authors: Yucel
authors: Y
authors: Aydin
authors: Asli
authors: A
authors: Tufan
authors: Timur Selcuk
authors: TS
authors: Akpinar
authors: Nilgun
authors: N
authors: Erten
authors: Mehmet Akif
authors: MA
authors: Karan
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003906:Developing Countries; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D015596:Nutrition Assessment; D009752:Nutritional Status; D010808:Physical Examination / Q000379:methods; D019338:Polypharmacy; D015995:Prevalence; D012111:Residence Characteristics; D018570:Risk Assessment; D055948:Sarcopenia / Q000175:diagnosis* / Q000453:epidemiology; D014421:Turkey / Q000453:epidemiology