title: New values anthropometry for classification of nutritional status in the elderly.
abstract: Anthropometry provides information on the physical status of the individual and can be associated with aspects of health including nutritional status. Currently, the stratification of the arm and calf circumferences is classified into only two situations: "malnourished" and "well-nourished". A total of 513 interviews were conducted, and 391 elderly people (≥ 65 years) completed the assessment using the Mini Nutritional Assessment (MNA) and anthropometry of selected samples of the population of Cuiabá-MT. The body mass index (BMI, kg/m2) was calculated for the elderly people, establishing five new reference values for circumferences, arm relaxed (RAC), abdomen (AC), and calf (CC) in centimeters (cm). The median age was 71 years (64% women and 36% men) and was correlated to the RAC (r=-0.180, p<0.001) and CC (r=-0.202, pp<0.001). The BMI obtained the median of 27 (15% malnourished, risk of malnutrition 13%, eutrophic 24%; overweight 33%, obese 16%), and it was correlated to the RAC (r=0.798, pp<0.001), AC (r=0.823 p p<0.001) and CC (r=0.605, pp<0.001). The MNA was 26 (malnourished 13.8%, risk of malnutrition 12.3%, well-nourished, 73.9%). The BMI stratification by morbidity vs no morbidity was 27.50 (n=287) and 24.4 (n=104) to total sample respectively (pp<0,05). The RAC x AC (r=0.798, pp<0.001), RAC x CC (r=0.648, pp<0.001), and CC x AC (r=0.496, pp<0.001) were correlated between themselves. The eutrophic classification by circumference for both genders: RAC=27.1-29.00 cm, AC=88.1-95.00 cm, CC=32.60-33.00 cm. There are more overweight and obese than malnourished, which is a risk factor for morbidity and MNA only identifies malnutrition. Circumferences showed good association with BMI and are easy to apply. Therefore, the proposal of the circumferences can simplify and expand the nutritional assessment.
authors.affiliation: Rosilene Andrade Silva Rodrigues, NAFIMES-UFMT, Mato Grosso State Health department, Av. França, 442, bairro Santa Rosa, Cuiabá, Mato Grosso, Brazil 78040170, Brazil, 055-14-65-9241-5895, home: 055-14-65-3625-1052, Fax: 055-14-65-3625 1052, rosilene.asr@gmail.com.
authors.forename: R A
authors.initials: RA
authors.lastname: Silva Rodrigues
authors.forename: M
authors.initials: M
authors.lastname: Martinez Espinosa
authors.forename: C
authors.initials: C
authors.lastname: Duarte Melo
authors.forename: M
authors.initials: M
authors.lastname: Rodrigues Perracini
authors.forename: W C
authors.initials: WC
authors.lastname: Rezende Fett
authors.forename: C A
authors.initials: CA
authors.lastname: Fett
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry / Q000379:methods*; D001132:Arm / Q000033:anatomy & histology; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007866:Leg / Q000033:anatomy & histology; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000517:prevention & control; D015596:Nutrition Assessment; D009752:Nutritional Status; D012016:Reference Values; D012307:Risk Factors; D012959:Socioeconomic Factors