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Anthropometric measurements from a cross-sectional survey of Irish free-living elderly subjects with smoothed centile curves

Published online by Cambridge University Press:  09 March 2007

Clare A. Corish*
Affiliation:
Unit of Nutrition and Dietetic Studies, Department of Clinical Medicine, Trinity Centre for Health Sciences, St James's Hospital, Dublin 8, Republic of Ireland
Nicholas P. Kennedy
Affiliation:
Unit of Nutrition and Dietetic Studies, Department of Clinical Medicine, Trinity Centre for Health Sciences, St James's Hospital, Dublin 8, Republic of Ireland
*
*Corresponding Author: Dr C. Corish, fax +353 1 2834858, email [email protected]
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Abstract

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Anthropometric screening has been recommended for the detection of undernutrition as it is simple, inexpensive and non-invasive. However, a recent study estimating the prevalence of undernutrition on admission to hospital in Dublin, Republic of Ireland, highlighted that the anthropometric reference data currently available in the UK and Republic of Ireland are inadequate to accurately determine nutritional status. In order to provide current anthropometric data, we carried out a cross-sectional study of 874 free-living, apparently healthy Irish-born elderly individuals aged over 65 years. Height, weight, triceps skinfold thickness, mid-arm and calf circumference were measured, values for BMI, mid-arm muscle circumference and arm muscle area were calculated and smoothed centile data derived for each variable. One-third of these elderly individuals had a BMI between 20–25 k/2, approximately two-thirds (68·5 % of males and 61 % of females) were classified as overweight or obese, almost one-fifth having a BMI over 30 k/2 (17 % of men and 20 % of women). Very few were underweight, only 3 % having a BMI below 20 k/2. Height, weight, BMI and muscle reserves decreased with increasing age. The reduction in muscle size was associated with lower handgrip strength. Fat reserves declined with age in females only. Just over half of elderly Irish women reported participating in active leisure of 20 min duration four or more time/eek, although 13 % reported having no involvement in active leisure. These data for the Irish elderly extend the data generated from a recent countrywide survey of Irish adults aged 18–64 years, thus providing suitable reference standards for nutritional assessment of elderly Irish individuals.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2003

References

Bannerman, E, Reilly, JJ, MacLennon, WJ, Kirk, T & Pender, F (1997) Evaluation of validity of British anthropometric reference data for assessing nutritional state of elderly people in Edinburgh: cross sectional study. British Medical Journal 315, 338341.CrossRefGoogle ScholarPubMed
Bishop, CW, Bowen, PE & Ritchley, SI (1981) Norms for nutritional assessment of American adults by upper arm anthropometry. American Journal of Clinical Nutrition 34, 25302539.CrossRefGoogle ScholarPubMed
Burr, ML & Phillips, KM (1984) Anthropometric norms in the elderly. British Journal of Nutrition 51, 165169.CrossRefGoogle ScholarPubMed
Chumlea, WC, Roche, AF & Mukherjee, D (1986) Some anthropometric indices of body composition for elderly adults. Journal of Gerontology 41, 3639.CrossRefGoogle ScholarPubMed
Cole, TJ & Green, PJ (1992) Smoothing reference centile curves: The LMS method and penalized likelihood. Statistics in Medicine 11, 13051319.CrossRefGoogle ScholarPubMed
Corish, C, Flood, P, Mulligan, S & Kennedy, NP (2000) Apparent low frequency of undernutrition in Dublin hospital in-patients: should we review the anthropometric thresholds for clinical practice? British Journal of Nutrition 84, 325335.CrossRefGoogle ScholarPubMed
Edington, J, Kon, P & Martyn, CN (1996) Prevalence of malnutrition in general practice. Clinical Nutrition 15, 6063.CrossRefGoogle ScholarPubMed
Edington, J, Kon, P & Martyn, CN (1997) Prevalence of malnutrition after major surgery. Journal of Human Nutrition and Dietetics 10, 111116.CrossRefGoogle Scholar
European Heart Network (1999) Physical Activity and Cardiovascular Disease Prevention in the European Union. Brussels: European Heart Network.Google Scholar
Falciglia, G, O'Connor, J & Gelding, E (1988) Upper arm anthropometric norms in elderly white subjects. Journal of the American Dietetic Association 88, 569574.CrossRefGoogle ScholarPubMed
Fellows, IW, Macdonald, IA, Bennett, T & Allison, SP (1985) The effect of undernutrition on thermoregulation in the elderly. Clinical Science 69, 525532.CrossRefGoogle ScholarPubMed
Finch, S, Doyle, W, Lowe, C, Bates, CJ, Prentice, A, Smithers, G & Clarke, PC (1998) National Diet and Nutrition Survey: People Aged 65 years and Over, vol. 1. Report of the Diet and Nutrition Survey. London: The Stationery Office.Google Scholar
Frisancho, AR (1984) New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly. American Journal of Clinical Nutrition 40, 808819.CrossRefGoogle ScholarPubMed
Grant, JP, Custer, PB & Thurlow, J (1981) Current techniques of nutritional assessment. Surgical Clinics of North America 61, 437463.CrossRefGoogle ScholarPubMed
Haboubi, NY, Hudson, PR & Pathy, MS (1990) Measurement of height in the elderly. Journal of the American Geriatric Society 38, 10081010.CrossRefGoogle ScholarPubMed
Harris, T, Cook, EF, Garrison, R, Higgins, M, Kannel, W & Goldman, L (1988) Body mass index and mortality among nonsmoking older persons. The Framingham Heart Study. Journal of the American Medical Association 259, 15201524.CrossRefGoogle ScholarPubMed
Haschke, F & van't Hof, MA The Euro-Growth Study Group (2000) Euro-Growth references for length, weight, and body circumferences. Journal of Paediatric Gastroenterology and Nutrition 31, S14S38.CrossRefGoogle ScholarPubMed
Institute of European Food Studies (1999) A Pan-EU Survey on Consumer Attitudes to Physical Activity, Body-weight and Health. Dublin: Institute of European Food Studies.Google Scholar
Irish Universities Nutrition Alliance (2001) Nort/outh Ireland Food Consumption Survey. Dublin: Food Safety Promotion Board.Google Scholar
Joint Health Surveys Unit (1998) Health Survey for England: Cardiovascular Disease, London: The Stationery Office.Google Scholar
Latin, RW, Johnson, SC & Ruhling, RO (1987) An anthropometric estimation of body composition of older men. Journal of Gerontology 42, 2428.CrossRefGoogle ScholarPubMed
Lehmann, AB, Bassey, EJ, Morgan, K & Dalosso, HM (1991) Normal values for weight, skeletal size and body mass indices in 890 men and women aged over 65 years. Clinical Nutrition 10, 1822.CrossRefGoogle ScholarPubMed
McEvoy, AW & James, OFW (1982) Anthropometric indices in normal elderly subjects. Age and Ageing 11, 97100.CrossRefGoogle ScholarPubMed
McWhirter, JP & Pennington, CR (1994) Incidence and recognition of malnutrition in hospital. British Medical Journal 308, 945948.CrossRefGoogle ScholarPubMed
Mitchell, CO & Lipschitz, DA (1982) Detection of protein-calorie malnutrition in the elderly. American Journal of Clinical Nutrition 35, 398406.CrossRefGoogle ScholarPubMed
Morley, JE (1998) Protein–energy malnutrition in older subjects. Proceedings of the Nutrition Society 57, 587592.CrossRefGoogle ScholarPubMed
National Nutrition Surveillance Centre (1999a) Annual Report: Dietary Habits of the Irish Population: Results from SLAN. Galway: Centre for Health Promotion Studies.Google Scholar
National Nutrition Surveillance Centre (1999b) The National Health and Lifestyle Surveys. Results from SLAN (Survey of Lifestyle, Attitudes and Nutrition) and HBSC (Health Behaviour in School-Aged Children). Galway: Centre for Health Promotion Studies.Google Scholar
Prescott-Clarke, P & Primatesta, P (1997) Health Survey for England 1995 [Prescott-Clarke, P and Primatesta, P, editors]. London: The Stationery Office.Google Scholar
Rea, IM, Gillen, S & Clarke, E (1997) Anthropometric measurements from a cross-sectional survey of community dwelling subjects aged over 90 years of age. European Journal of Clinical Nutrition 51, 102106.CrossRefGoogle ScholarPubMed
Taren, DC & Schler, S (1990) The nutritional assessment of the successfully aged. Clinical Nutrition 9, 716.Google Scholar
Van Staveren, WA, de Groot, LCPGM, Burema, J & de Graaf, C (1995) Energy balance and health in SENECA participants. Proceedings of the Nutrition Society 54, 617629.CrossRefGoogle ScholarPubMed
Webb, AR, Newman, LA, Taylor, M & Keogh, JB (1989) Hand grip dynamometry as a predictor of postoperative complications: reappraisal using age standardised grip strengths. Journal of Parenteral and Enteral Nutrition 13, 3033.CrossRefGoogle ScholarPubMed
World Health Organization (1995) Physical Status: The Use and Interpretation of Anthropometry. World Health Organization Technical Report, no. 854. Geneva: WHO.Google Scholar
World Health Organization International Obesity Task Force (1998) Obesity: Preventing and Managing the Global Epidemic. Geneva: WHO.Google Scholar