Relation between nutritional risk and metabolic syndrome in the elderly

Abstract Nutrition is regarded as a major factor in the development of metabolic syndrome (MS). Undernutrition or nutritional imbalance, rather than overnutrition, can be associated with MS. We evaluated the relationship between nutritional risk and MS in the elderly. We analyzed 2284 Koreans aged o...

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Bibliographic Details
Published in:Archives of gerontology and geriatrics 2011-01, Vol.52 (1), p.e19-e22
Main Authors: Kim, Hae Jin, Lee, Kang Soo, Eom, Jin-Sup, Lim, Ki-Young, Lee, Kwan Woo, Hong, Chang Hyung
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Analysis of Variance
Dementia
Educational programmes
Elderly people
Elderly population
Female
Humans
Hyperglycemia - complications
Hypertension - complications
Imbalance
Internal Medicine
Logistic Models
Male
Metabolic syndrome
Metabolic Syndrome - etiology
Middle Aged
Nutrition
Nutrition Assessment
Nutritional risk
Nutritional Status - physiology
Obesity - complications
Odds Ratio
Prospective Studies
Republic of Korea - epidemiology
Risk Factors
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Summary:Abstract Nutrition is regarded as a major factor in the development of metabolic syndrome (MS). Undernutrition or nutritional imbalance, rather than overnutrition, can be associated with MS. We evaluated the relationship between nutritional risk and MS in the elderly. We analyzed 2284 Koreans aged over 60 years (689 men and 1595 women) from baseline data of a large prospective study called the Gwangju Dementia and Mild Cognitive Impairment Study (GDEMCIS). MS was determined according to the National Cholesterol Education Program Adult Treatment Panel III, and nutritional risk was evaluated using the Nutrition Screening Initiative (NSI) checklist. Among 2284 subjects, 1219 (53.4%) had MS. NSI score was higher in subjects with MS than in those without MS (2.46 ± 1.89 vs. 2.18 ± 1.87, p < 0.001). The risks of abdominal obesity, elevated blood pressure, elevated glucose, and MS were higher in subjects with moderate or high nutritional risk compared to subjects in a good nutritional state. Nutritional risk was independently associated with MS for subjects in their 60s, but not in their 70s or 80s and above. In conclusion, high nutritional risk is associated with increased risk of MS in the elderly. Measurement of nutritional status in the elderly may serve as a marker for MS, especially for the younger elderly.
ISSN:0167-4943
1872-6976
DOI:10.1016/j.archger.2010.04.004