Low fat-free mass as a marker of mortality in community-dwelling healthy elderly subjects†.

Background: low fat-free mass has been related to high mortality in patients. This study evaluated the relationship between body composition of healthy elderly subjects and mortality.Methods: in 1999, 203 older subjects underwent measurements of body composition by bioelectrical impedance analysis,...

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Publicado en:Age & Ageing Vol. 42; no. 1; pp. 33 - 40
Autores principales: Genton, Laurence, Graf, Christophe E., Karsegard, Véronique L., Kyle, Ursula G., Pichard, Claude
Formato: Artículo
Publicado: Oxford University Press / USA Jan2013
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2013
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      pub: Oxford University Press / USA
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        10.1093/ageing/afs091
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        atl: Low fat-free mass as a marker of mortality in community-dwelling healthy elderly subjects†.
      aug:
        au:
          Genton, Laurence
          Graf, Christophe E.
          Karsegard, Véronique L.
          Kyle, Ursula G.
          Pichard, Claude
        affil:
          University Hospital – Clinical Nutrition, Rue Gabrielle Perret-Gentil 4, Geneva 14 1211, Switzerland
          University Hospital – Internal Medicine, Rehabilitation and Geriatrics, Geneva, Switzerland
          Baylor College of Medicine – Pediatric Critical Care Medicine, Houston, TX, USA
      su:
        Anthropometry
        Mortality
        Old age
        Body composition
        Log-linear models
        Longitudinal method
        Questionnaires
        Research funding
        Scales (Weighing instruments)
        T-test (Statistics)
        Multiple regression analysis
        Data analysis software
        Descriptive statistics
        Kaplan-Meier estimator
      sug:
        subj:
          Anthropometry
          Mortality
          Old age
          All other general-purpose machinery manufacturing
          Scale and Balance Manufacturing
          Body composition
          Log-linear models
          Longitudinal method
          Questionnaires
          Research funding
          Scales (Weighing instruments)
          T-test (Statistics)
          Multiple regression analysis
          Data analysis software
          Descriptive statistics
          Kaplan-Meier estimator
      keyword:
        body composition
        fat-free mass
        fat-free mass index
        mortality
        older people
        body composition
        fat-free mass
        fat-free mass index
        mortality
        older people
      ab: Background: low fat-free mass has been related to high mortality in patients. This study evaluated the relationship between body composition of healthy elderly subjects and mortality.Methods: in 1999, 203 older subjects underwent measurements of body composition by bioelectrical impedance analysis, Charlson co-morbidity index and estimation of energy expenditure through physical activity by a validated questionnaire. These measurements were repeated in 2002, 2005 and 2008 in all consenting subjects. Mortality data between 1999 and 2010 were retrieved from the local death registers. The relationship between mortality and the last indexes of fat and fat-free masses was analysed by multiple Cox regression models.Results: women's and men's data at last follow-up were: age 81.1 ± 5.9 and 80.9 ± 5.8 years, body mass index 25.3 ± 4.6 and 26.1 ± 3.4 kg/m2, fat-free mass index 16.4 ± 1.8 and 19.3 ± 1.9 kg/m2 and fat mass index 9.0 ± 3.2 and 6.8 ± 2.0 kg/m2. Fifty-eight subjects died between 1999 and 2010. The fat-free mass index (hazard ratio 0.77; 95% confidence interval 0.63–0.95) but not the fat mass index, predicted mortality in addition to sex and Charlson index. The multiple Cox regression model explained 31% of the variance of mortality.Conclusion: a low fat-free mass index is an independent risk factor of mortality in elderly subjects, healthy at the time of body composition measurement.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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