TY - JOUR
T1 - Clinical determinants of resting metabolic rate in geriatric outpatients
AU - Yeung, Suey S.Y.
AU - Reijnierse, Esmee M.
AU - Trappenburg, Marijke C.
AU - Meskers, Carel G.M.
AU - Maier, Andrea B.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Purpose: Accurate estimation of the energy requirements including resting metabolic rate (RMR) is important for optimal nutritional care, yet its clinical determinants are unknown. This study examined the associations between clinical determinants of the Comprehensive Geriatric Assessment (CGA) domains with RMR among geriatric outpatients. Materials & methods: Data were retrieved from cohorts of community-dwelling older adults (n = 84, 54 female) referring to geriatrics outpatient mobility clinics in both Amsterdam, The Netherlands and Melbourne, Australia. Determinants within domains of the CGA included diseases (number, type and severity of diseases, polypharmacy), nutrition (body weight, body mass index, absolute and relative skeletal muscle mass, fat-free mass and fat mass, risk of malnutrition), physical function (handgrip strength, Short Physical Performance Battery, Timed Up & Go), cognition (Mini-Mental State Examination), psychological wellbeing (Geriatric Depression Scale) and blood pressure. RMR was objectively measured using indirect calorimetry with a canopy hood. Association between the clinical determinants with standardized RMR (country and sex-specific z-score) were analysed with linear regression adjusted for age, sex and body weight. Results: Determinants within the nutritional domain were associated with RMR; body weight showed the strongest association with RMR. Significant associations between determinants within the nutritional domain with RMR disappeared after further adjustment for body weight. None of the other domains were associated with RMR. Conclusions: Body weight is the strongest clinical determinant of RMR and should be taken into account when estimating RMR in geriatric care.
AB - Purpose: Accurate estimation of the energy requirements including resting metabolic rate (RMR) is important for optimal nutritional care, yet its clinical determinants are unknown. This study examined the associations between clinical determinants of the Comprehensive Geriatric Assessment (CGA) domains with RMR among geriatric outpatients. Materials & methods: Data were retrieved from cohorts of community-dwelling older adults (n = 84, 54 female) referring to geriatrics outpatient mobility clinics in both Amsterdam, The Netherlands and Melbourne, Australia. Determinants within domains of the CGA included diseases (number, type and severity of diseases, polypharmacy), nutrition (body weight, body mass index, absolute and relative skeletal muscle mass, fat-free mass and fat mass, risk of malnutrition), physical function (handgrip strength, Short Physical Performance Battery, Timed Up & Go), cognition (Mini-Mental State Examination), psychological wellbeing (Geriatric Depression Scale) and blood pressure. RMR was objectively measured using indirect calorimetry with a canopy hood. Association between the clinical determinants with standardized RMR (country and sex-specific z-score) were analysed with linear regression adjusted for age, sex and body weight. Results: Determinants within the nutritional domain were associated with RMR; body weight showed the strongest association with RMR. Significant associations between determinants within the nutritional domain with RMR disappeared after further adjustment for body weight. None of the other domains were associated with RMR. Conclusions: Body weight is the strongest clinical determinant of RMR and should be taken into account when estimating RMR in geriatric care.
KW - Aged
KW - Basal metabolism
KW - Geriatric assessment
KW - Indirect calorimetry
KW - Nutrition assessment
UR - http://www.scopus.com/inward/record.url?scp=85083891615&partnerID=8YFLogxK
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U2 - https://doi.org/10.1016/j.archger.2020.104066
DO - https://doi.org/10.1016/j.archger.2020.104066
M3 - Article
C2 - 32371344
SN - 0167-4943
VL - 89
SP - 1
EP - 7
JO - Archives of gerontology and geriatrics
JF - Archives of gerontology and geriatrics
M1 - 104066
ER -
