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Nutritional Status,...
Nutritional Status, Body Mass Index, and the Risk of Falls in Community-Dwelling Older Adults : A Systematic Review and Meta-Analysis
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- Trevisan, Caterina (författare)
- Karolinska Institutet
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- Crippa, Alessio (författare)
- Karolinska Institutet
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- Ek, Stina (författare)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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- Welmer, Anna-Karin (författare)
- Karolinska Institutet
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Sergi, Giuseppe (författare)
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Maggi, Stefania (författare)
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Manzato, Enzo (författare)
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Bea, Jennifer W. (författare)
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Cauley, Jane A. (författare)
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Decullier, Evelyne (författare)
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Hirani, Vasant (författare)
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LaMonte, Michael J. (författare)
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Lewis, Cora E. (författare)
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Schott, Anne-Marie (författare)
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- Orsini, Nicola (författare)
- Karolinska Institutet
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- Rizzuto, Debora (författare)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- Engelska.
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Ingår i: Journal of the American Medical Directors Association. - : Elsevier BV. - 1525-8610 .- 1538-9375. ; 20:5, s. 569-582
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objectives: To evaluate the association between nutritional status, defined on the basis of a multidimensional evaluation, and body mass index (BMI) with the risk of falls and recurrent falls in communitydwelling older people.Design: Systematic literature review and meta-analysis.Setting and Participants: Community-dwelling older adults.Measures: A systematic literature review was conducted on prospective studies identified through electronic and hand searches until October 2017. A random effects meta-analysis was used to evaluate the relative risk (RR) of experiencing falls and recurrent falls (>= 2 falls within at least 6 months) on the basis of nutritional status, defined by multidimensional scores. A random effects dose-response metaanalysis was used to evaluate the association between BMI and the risk of falls and recurrent falls.Results: People who were malnourished or those at risk for malnutrition had a pooled 45% higher risk of experiencing at least 1 fall than were those well-nourished (9510 subjects). Increased falls risk was observed in subjects malnourished versus well-nourished [RR 1.64, 95% confidence interval (CI) 1.182.28; 3 studies, 8379 subjects], whereas no substantial results were observed for risk of recurrent falls. A U-shaped association was detected between BMI and the risk for falls (P <. 001), with the nadir between 24.5 and 30 (144,934 subjects). Taking a BMI of 23.5 as reference, the pooled RR of falling ranged between 1.09 (95% CI 1.04-1.15) for a BMI of 17, to 1.07 (95% CI 0.92-1.24) for a BMI of 37.5. No associations were observed between BMI and recurrent falls (120,185 subjects).Conclusions/Implications: The results of our work suggest therefore that nutritional status and BMI should be evaluated when assessing the risk for falls in older age.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Nyckelord
- Malnutrition
- body mass index
- accidental falls
- meta-analysis
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Till lärosätets databas
- Av författaren/redakt...
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Trevisan, Cateri ...
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Crippa, Alessio
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Ek, Stina
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Welmer, Anna-Kar ...
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Sergi, Giuseppe
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Maggi, Stefania
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visa fler...
-
Manzato, Enzo
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Bea, Jennifer W.
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Cauley, Jane A.
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Decullier, Evely ...
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Hirani, Vasant
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LaMonte, Michael ...
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Lewis, Cora E.
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Schott, Anne-Mar ...
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Orsini, Nicola
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Rizzuto, Debora
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Geriatrik
- Artiklar i publikationen
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Journal of the A ...
- Av lärosätet
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Stockholms universitet
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Karolinska Institutet