Nasrin Nasimi; Mohammad Hossein Dabbaghmanesgh; Mohammad Fararooei; Amirhossein Asadi; Marzieh Akbarzadeh; Zahra Sohrabi
Abstract
Background: Sarcopenia, an age-related decline in muscle mass, strength, and function, contributes to various adverse health outcomes and physical impairments. This study aimed to investigate the association between sarcopenia components and health-related quality of life (HRQoL) among communitydwelling ...
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Background: Sarcopenia, an age-related decline in muscle mass, strength, and function, contributes to various adverse health outcomes and physical impairments. This study aimed to investigate the association between sarcopenia components and health-related quality of life (HRQoL) among communitydwelling older adults.Methods: In this cross-sectional study, 501 adults aged 65 years or older participated. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia (AWGS) guideline. Muscle mass was measured by bioelectrical impedance analysis (BIA), muscle strength by hand dynamometer, and physical function by 4-m gait speed. The HRQoL was assessed using 12 item shortform healthy survey (SF-12) questionnaire.Results: There was a significant relationship between the sarcopenia and demographic characteristics (educational levels and smoking habits). After adjustment for age, sex, Body Mass Index, education level, smoking habits, and number of comorbidities, a significant relationship was observed between sarcopenia and physical components of HRQoL. According to multivariate linear regression, low muscle mass was negatively related to physical aspects of HRQoL. Low handgrip strength (HGS) and gait speed (GS) were inversely correlated to both physical and mental components of HRQoL.Conclusion: Our study highlighted the adverse impact of sarcopenia on HRQoL in elderly population. Reduction in muscle strength and physical performance not only affected physical aspects but also were linked with mental components of HRQoL. Therefore, it seems HGS and GS might be good indicators affecting all aspects of HRQoL in the elderly groups.
Zahra Mousavi-Shirazi-Fard; zohreh mazloom; Mohammad Jalali; Naeimehossadat Asmarian; Mohammad Hossein Dabbaghmanesh; Mahmood Panahiyan
Abstract
Objective: Individualized Medical Nutrition Therapy (IMNT) is recommended as a part of glycemic control in hospitalized diabetic patients. However, it is provided only for a small number of patients. This study aimed to compare the effects of IMNT and Consistent Carbohydrate Meal-Planning (CCMP) on glycemic ...
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Objective: Individualized Medical Nutrition Therapy (IMNT) is recommended as a part of glycemic control in hospitalized diabetic patients. However, it is provided only for a small number of patients. This study aimed to compare the effects of IMNT and Consistent Carbohydrate Meal-Planning (CCMP) on glycemic control, energy, and carbohydrate and protein intake in hospitalized diabetic patients. Methods: This randomized clinical trial was conducted on 164 hospitalized diabetic patients. The patients were randomly selected from internal wards of Namazi hospital, Shiraz, Iran from September 2016 to October 2017. They were allocated to IMNT or CCMP groups using simple randomization for four days. Blood glucose was measured before each meal and at bedtime. A 24-h food recall was also completed to measure the energy and carbohydrate and protein intake during the study. The data were analyzed using independent sample t-test and repeated measures ANOVA via the SPSS software, version 19. Results: The results showed a significant decrease in the IMNT group compared to the CCMP group regarding the mean blood glucose level measured prior to breakfast, lunch, dinner, and bedtime during the first, second, third, and fourth days of the study (p=0.025, p=0.030, p=0.002, and p=0.011, respectively). Besides, mean peak and nadir of glucose level (p=0.042 and p=0.036, respectively) and the means of energy, carbohydrate, and protein intake were significantly increased in the IMNT group compared to the CCMP group. Conclusion: IMNT could help to control the blood glucose. In addition, it could improve energy and nutrients intake, which might play a role in patient recovery.
