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Anthropometric Indices and Their Correlates in Cognitively-Intact and Elderly Canadians with Dementia*

Published online by Cambridge University Press:  29 November 2010

Bryna Shatenstein ,
Marie-Jeanne Kergoat  and
Sylvie Nadon
Bryna Shatenstein
Affiliation:
Institut universitaire de gériatrie de Montréal and Université de Montréal.
Marie-Jeanne Kergoat
Affiliation:
Institut universitaire de gériatrie de Montréal and Université de Montréal.
Sylvie Nadon
Affiliation:
Institut universitaire de gériatrie de Montréal and Université de Montréal.
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Abstract

Anthropometric indices are commonly used in the assessment of nutritional status. This study examined data from elderly Canadian participants in the first phase of the Canadian Study of Health and Aging (CSHA-1). Height and weight were measured in 1,464 community-based individuals and 963 persons in institutions. Institution-dwelling participants weighed less than community-based participants (59.1 ± 13.8 kg. vs. 65.1 ± 14.1 kg.), were shorter (160.4 ± 10.1 cm vs. 162.6 ± 10 cm), and had lower body mass indices (BMIs) (23.3 ± 5.0 vs. 24.6 ± 4.5) (p < .001). Values were lower among women than men, and decreased progressively with age. Quebecers were shorter, with lower body weights compared to Canadians living elsewhere. Anthropometric indices declined by cognitive diagnosis, from normal, to “cognitively impaired, not demented” (CIND), to with dementia; participants with Alzheimer's dementia had the lowest body weights. Correlates of body weight differed for community and institution participants.

Résumé

Les mesures anthropométriques reflètent l'état nutritionnel. Cette recherche a examiné les données provenant de Canadien(ne)s âgé(e)s ayant participé à la première phase de l'Étude sur la santé et le vieillissement au Canada (CSHA-1). Le poids et la taille furent mesurés chez 1 464 personnes vivant dans la communauté et 963 individus en institution. Les sujets institutionnalisés avaient un poids corporel inférieur à ceux vivant en communauté (59,1 ± 13,8 kg. vs. 65,1 ± 14,1 kg.); ils étaient plus petits (160,4 ± 10.1 cm vs. 162,6 ± 10 cm), et leur IMC étaient plus bas (23,3 ± 5,0 vs. 24,6 ± 4,5) (p < .001). Les valeurs anthropométriques furent plus basses chez les femmes, et diminuaient progressivement avec l'âge. Les Québécois avaient une taille plus petite et un poids corporel inférieur à ceux des Canadiens vivant ailleurs. Les mesures anthropométriques ont diminué suivant le diagnostic cognitif, en allant de normal, à «deficit cognitif sans démence» (CIND), à dément; les participants atteints de la démence de type Alzheimer avaient les poids corporels les plus bas. Les facteurs associés au poids corporel étaient différents parmi les participants vivant dans la communauté et en institution.

Keywords

Older PersonsAnthropometric IndicesNutritional StatusAgingCorrelates.Ainé(e)smesures anthropométriquesétat nutritionalvieillissementcorrélations.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 4 , Hiver/Winter 2001 , pp. 537 - 556
Copyright
Copyright © Canadian Association on Gerontology 2001

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