title: Ankle-brachial pressure index and mini nutritional assessment in community-dwelling elderly people.
abstract: BACKGROUND
  A low ankle-brachial pressure index (an ABPI value <0.90) is considered predictive of cardiovascular disease, and is widely thought to increase morbidity and mortality in the elderly. However, good nutrition is beneficial both for the health and the ability to resist and recover from the disease.
  
  
  OBJECTIVE
  The aim of the present study was to evaluate the relationship between the ankle-brachial pressure index and the nutritional status of the elderly in a city of Kochi prefecture, Japan.
  
  
  METHODS
  This was a cross-sectional study in which a total of 100 elderly people, both males and females, were screened for ankle-brachial pressure index (ABPI), nutritional status (through the use of the short form of the mini nutritional assessment), activities of daily living, lifestyle, gait speed (10MWT), postural stability (OLST), and functional mobility (TUG).
  
  
  RESULTS
  About 67% of the participants were found to have a normal nutritional status, 27% were at risk of malnutrition, and six percent were classified as malnourished. The mean ABPI of the participants was 1.08±0.10, and three participants had an ABPI lower than 0.90. The ABPI was statistically higher in well nourished participants compared with those at risk of malnutrition or the malnourished. The mean ABPI was significantly higher in non-smokers compared with former smokers. The ABPI was found to correlate negatively with gait speed and with TUG score.
  
  
  CONCLUSIONS
  Well-nourished elderly had a higher normal ankle-brachial pressure index as compared with the malnourished elderly. This study provides supportive evidence for the necessity of adequate nutrition for elderly people.
authors.affiliation: Division of Social Medicine, Department of Environmental Medicine, Kochi Medical School, Kochi University, Kochi, Japan. andersonbasilua@yahoo.fr
authors.forename: B A
authors.initials: BA
authors.lastname: Muzembo
authors.forename: Y
authors.initials: Y
authors.lastname: Nagano
authors.forename: N
authors.initials: N
authors.lastname: Dumavibhat
authors.forename: N R
authors.initials: NR
authors.lastname: Ngatu
authors.forename: T
authors.initials: T
authors.lastname: Matsui
authors.forename: S A
authors.initials: SA
authors.lastname: Bhatti
authors.forename: M
authors.initials: M
authors.lastname: Eitoku
authors.forename: R
authors.initials: R
authors.lastname: Hirota
authors.forename: K
authors.initials: K
authors.lastname: Ishida
authors.forename: N
authors.initials: N
authors.lastname: Suganuma
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D055109:Ankle Brachial Index; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000503:physiopathology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007564:Japan; D008019:Life Style; D008297:Male; D044342:Malnutrition / Q000453:epidemiology* / Q000503:physiopathology; D015596:Nutrition Assessment; D009752:Nutritional Status; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D011795:Surveys and Questionnaires
references.citation: J Clin Epidemiol. 1992 May;45(5):529-42
references.pmid: 1588358
references.citation: Geriatr Gerontol Int. 2011 Oct;11(4):445-51
references.pmid: 21554510
references.citation: Atherosclerosis. 2006 Nov;189(1):61-9
references.pmid: 16620828
references.citation: Gerontologist. 1969 Autumn;9(3):179-86
references.pmid: 5349366
references.citation: Am Heart J. 2002 Jun;143(6):961-5
references.pmid: 12075249
references.citation: J Am Geriatr Soc. 2005 Oct;53(10):1675-80
references.pmid: 16181165
references.citation: Am J Clin Nutr. 2008 Dec;88(6):1469-77
references.pmid: 19064505
references.citation: J Gen Intern Med. 1994 Aug;9(8):445-9
references.pmid: 7965239
references.citation: JAMA. 2003 May 21;289(19):2560-72
references.pmid: 12748199
references.citation: Eur J Epidemiol. 1995 Feb;11(1):9-14
references.pmid: 7489780
references.citation: Clin Invest Med. 1991 Apr;14(2):93-100
references.pmid: 2060193
references.citation: J Am Geriatr Soc. 2002 Dec;50(12):1996-2002
references.pmid: 12473011
references.citation: Diabetes Care. 2006 Mar;29(3):637-42
references.pmid: 16505519
references.citation: J Am Coll Nutr. 1995 Feb;14(1):29-36
references.pmid: 7706607
references.citation: Arch Intern Med. 2000 Oct 23;160(19):2934-8
references.pmid: 11041900
references.citation: J Nutr Health Aging. 2006 Nov-Dec;10(6):466-85; discussion 485-7
references.pmid: 17183419
references.citation: Am J Epidemiol. 2001 Apr 1;153(7):666-72
references.pmid: 11282794
references.citation: JAMA. 1963 Sep 21;185:914-9
references.pmid: 14044222
references.citation: Int J Epidemiol. 1991 Jun;20(2):384-92
references.pmid: 1917239
references.citation: Aging (Milano). 1999 Dec;11(6):390-4
references.pmid: 10738855
references.citation: J Am Geriatr Soc. 1991 Feb;39(2):142-8
references.pmid: 1991946
references.citation: Phys Ther. 2002 Feb;82(2):128-37
references.pmid: 11856064
references.citation: J Steroid Biochem Mol Biol. 2004 May;89-90(1-5):387-92
references.pmid: 15225806
references.citation: Arch Phys Med Rehabil. 1997 Jun;78(6):587-91
references.pmid: 9196465
references.citation: Circulation. 1993 Aug;88(2):819-28
references.pmid: 8339448
references.citation: J Clin Epidemiol. 1996 Dec;49(12):1401-5
references.pmid: 8970490
references.citation: Vasc Med. 2010 Dec;15(6):481-512
references.pmid: 21183653
references.citation: Vasc Health Risk Manag. 2009;5:833-41
references.pmid: 19851521
references.citation: Aust N Z J Public Health. 2002;26(3):219-24
references.pmid: 12141616
references.citation: Soc Sci Med. 2011 Sep;73(5):711-8
references.pmid: 21816529
references.citation: Aging Clin Exp Res. 2002 Feb;14(1):42-6
references.pmid: 12027151
references.citation: J Vasc Surg. 2010 Jul;52(1):110-7
references.pmid: 20478682
references.citation: Mol Cell Biochem. 1992 Apr;111(1-2):41-7
references.pmid: 1588941
references.citation: Hypertens Res. 2002 May;25(3):359-64
references.pmid: 12135313
references.citation: J Nutr Health Aging. 2003;7(3):140-5
references.pmid: 12766790
references.citation: Scand J Rehabil Med. 1987;19(1):25-30
references.pmid: 3576138
references.citation: J Am Geriatr Soc. 1998 Nov;46(11):1355-62
references.pmid: 9809756
references.citation: Am J Clin Nutr. 1998 Oct;68(4):899-917
references.pmid: 9771869