A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

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dc.contributor.authorBasibuyuk, Gulusan Ozgun
dc.contributor.authorAyremlou, Parvin
dc.contributor.authorSaeidlou, Sakineh Nouri
dc.contributor.authorAy, Faruk
dc.contributor.authorDalkiran, Akgul
dc.contributor.authorSimzari, Wida
dc.contributor.authorVitalyos, Gabor Aron
dc.date.accessioned2024-10-26T18:11:06Z
dc.date.available2024-10-26T18:11:06Z
dc.date.issued2021
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjective Due to an increase in aging worldwide, assessment of the nutritional status of older people becomes an important matter. Malnutrition in older people increases the risk of infections, disease period and hospitalization rates. This study aimed to compare the different anthropometric indices for detecting malnutrition among older people and comparing these indices among males and females to explain the possible differences. Methods In this cross-sectional study, 2721 aged 65 years and older in Turkey were enrolled. Anthropometric measurements weight, height, hip circumference (HC), and waist circumference (WC), abdominal circumference (AC), mid-upper arm circumference (MUAC), triceps skinfold thickness (TST), calf circumference (CC)) were measured. Body mass index (BMI), abdominal volume index (AVI), body roundness index (BRI) and body adiposity index (BAI), and waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) indices were calculated using standardized formulas. The receiver operator characteristic curves (ROCs) were conducted in detecting the best anthropometric parameters. Adjusted odds ratios (OR) (stratified by sex) calculated for each anthropometric index. Results Participants with both BMI < 18.5 (1.1%) and BMI > 25 (80%) defined as the malnourished group and BMI of 18.5-24.99 (18.9%) defined as the normal group. In both sexes, the area under the curve (AUC) was > 0.7 for all anthropometric indices except WHR in females (AUC 0.66). BRI, WHR, WHtR, and AVI indices strongly predict the risk of malnutrition among both sexes. In males, the ORs were for BRI (6.83, 95% CI 5.39-8.66), WHR (6.43, 95% CI 5.9-6.9), AVI (2.02, 95% CI 1.86-2.12). In females, the ORs were for BRI (3.72, 95% CI 3.09-4.48), WtHR (2.63, 95% CI 1.3-3.5), and WHR (2.45, 95% CI 1.9-3.06). Discussion The presence of a large AUC in almost all anthropometric indices suggests that they can be used to assess the risk of malnutrition among older persons in both sexes.
dc.description.sponsorshipScientific and Technological Research Council of Turkey (TUBITAK) [115M548]
dc.description.sponsorshipThis study was funded by Scientific and Technological Research Council of Turkey (TUBITAK) via a project no. 115M548.
dc.identifier.doi10.1186/s41043-021-00228-z
dc.identifier.issn1606-0997
dc.identifier.issn2072-1315
dc.identifier.issue1
dc.identifier.pmid33785057
dc.identifier.scopus2-s2.0-85103682485
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s41043-021-00228-z
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30520
dc.identifier.volume40
dc.identifier.wosWOS:000635115300001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofJournal of Health Population and Nutrition
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNutritional status
dc.subjectAnthropometry
dc.subjectMalnutrition
dc.subjectOlder people
dc.titleA comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening
dc.typeArticle

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