Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition

Introduction: Malnutrition is a growing problem but quite often under-recognised in elderly people. Calf circumference (CC) is a simple measurement that can be used to identify elderly people who are at high risk of malnutrition; however, a population-specific cut-off point must be developed. Theref...

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Main Authors: H., Sakinah, A., Siti NurAsyura, S., Suzana
格式: Article
語言:English
出版: Nutrition Society of Malaysia 2016
在線閱讀:http://psasir.upm.edu.my/id/eprint/55473/1/Determination%20of%20calf%20circumference%20cut-off%20values%20for%20Malaysian%20elderly%20and%20its%20.pdf
http://psasir.upm.edu.my/id/eprint/55473/
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spelling my.upm.eprints.554732017-09-14T09:52:58Z http://psasir.upm.edu.my/id/eprint/55473/ Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition H., Sakinah A., Siti NurAsyura S., Suzana Introduction: Malnutrition is a growing problem but quite often under-recognised in elderly people. Calf circumference (CC) is a simple measurement that can be used to identify elderly people who are at high risk of malnutrition; however, a population-specific cut-off point must be developed. Therefore, this study aimed to determine suitable cut-off points and evaluate the predictive value of the CC cut-off point for elderly Malaysians. Methods: A total of 820 persons comprising 433 men and 387 women were recruited as subjects. The mean age was 69.0 ± 6.8 and ranged between 60 to 97 years. Data were collected from Sabak Bernam, Selangor Kuala Pilah, Negeri Sembilan; Pasir Mas, Kelantan, and Kodiang, Kedah. A linear regression analysis with the z-score procedure by gender was used to derive the CC prediction equations. Results: The CC cut-off points for men and women at risk of malnutrition were 30.1 cm and 27.3 cm, respectively. The final predictive CC equations for men was CC (cm) = 3.69 (z score) + 33.81, R2 = 1 and CC (cm) = 0.7103 (BMI) + 18.54, R2 = 1; and for women, CC (cm) = 4.31 (z score) + 31.63, R2 = 1 and CC (cm) = 0.6698(BMI) + 16.847, R2 = 1. Based on these equations, using the z-score equal to negative 1 for men (BMI 16.30 kg/m2) and women (BMI 15.64 kg/m2), the mean of the predictive value of the CC cut-off point was 32.0 ± 4.2 cm in men and 30.5 ± 4.6 cm in women. Conclusion: It is suggested that these cut-off points be used to screen elderly individuals who are at risk of malnutrition. Further studies should be undertaken to further verify the application of the findings of this study. Nutrition Society of Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/55473/1/Determination%20of%20calf%20circumference%20cut-off%20values%20for%20Malaysian%20elderly%20and%20its%20.pdf H., Sakinah and A., Siti NurAsyura and S., Suzana (2016) Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition. Malaysian Journal of Nutrition, 22 (3). pp. 375-387. ISSN 1394-035X
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: Malnutrition is a growing problem but quite often under-recognised in elderly people. Calf circumference (CC) is a simple measurement that can be used to identify elderly people who are at high risk of malnutrition; however, a population-specific cut-off point must be developed. Therefore, this study aimed to determine suitable cut-off points and evaluate the predictive value of the CC cut-off point for elderly Malaysians. Methods: A total of 820 persons comprising 433 men and 387 women were recruited as subjects. The mean age was 69.0 ± 6.8 and ranged between 60 to 97 years. Data were collected from Sabak Bernam, Selangor Kuala Pilah, Negeri Sembilan; Pasir Mas, Kelantan, and Kodiang, Kedah. A linear regression analysis with the z-score procedure by gender was used to derive the CC prediction equations. Results: The CC cut-off points for men and women at risk of malnutrition were 30.1 cm and 27.3 cm, respectively. The final predictive CC equations for men was CC (cm) = 3.69 (z score) + 33.81, R2 = 1 and CC (cm) = 0.7103 (BMI) + 18.54, R2 = 1; and for women, CC (cm) = 4.31 (z score) + 31.63, R2 = 1 and CC (cm) = 0.6698(BMI) + 16.847, R2 = 1. Based on these equations, using the z-score equal to negative 1 for men (BMI 16.30 kg/m2) and women (BMI 15.64 kg/m2), the mean of the predictive value of the CC cut-off point was 32.0 ± 4.2 cm in men and 30.5 ± 4.6 cm in women. Conclusion: It is suggested that these cut-off points be used to screen elderly individuals who are at risk of malnutrition. Further studies should be undertaken to further verify the application of the findings of this study.
format Article
author H., Sakinah
A., Siti NurAsyura
S., Suzana
spellingShingle H., Sakinah
A., Siti NurAsyura
S., Suzana
Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
author_facet H., Sakinah
A., Siti NurAsyura
S., Suzana
author_sort H., Sakinah
title Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
title_short Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
title_full Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
title_fullStr Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
title_full_unstemmed Determination of calf circumference cut-off values for Malaysian elderly and its predictive value in assessing risk of malnutrition
title_sort determination of calf circumference cut-off values for malaysian elderly and its predictive value in assessing risk of malnutrition
publisher Nutrition Society of Malaysia
publishDate 2016
url http://psasir.upm.edu.my/id/eprint/55473/1/Determination%20of%20calf%20circumference%20cut-off%20values%20for%20Malaysian%20elderly%20and%20its%20.pdf
http://psasir.upm.edu.my/id/eprint/55473/
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score 13.251813