[Assessment of the nutritional status of a group of people older than 50 years by means of dietary and body composition parameters]. / Evaluación del estado nutricional de un grupo de adultos mayores de 50 años mediante parámetros dietéticos y de composición corporal.

OBJECTIVE: To assess the nutritional status of elder adults by means of dietary and body composition parameters. METHODOLOGY: The sample comprised 49 adults, older than 50 years (23 men and 26 women) with a mean age of 54.84±4.56 years, working at a private university. The body composition was analyzed by using anthropometric parameters. The energy and nutrients intake was gathered by means of a registry of all the foods and beverages consumed during 3 days that was filled-up by each (previously instructed) participant and estimating the amounts through photographic models. Total energy requirements were estimated by the Harris-Benedict and FAO/WHO calculations. RESULTS: The body mass index was similar (p=0.018) in both men and women (26.1±1.9 and 24.4±2.8 kg/m²). The percentage of fat obtained by anthropometrics was 29.6±3.6 and 36.8±3.1% (p=0.000) in men and women, respectively. The level of physical activity was very light to light. Daily energy intake was appropriate for total energy demands when these were calculated by the calculations proposed by FAO/WHO. The caloric profile indicated an unbalance with high proteins and lipids and low carbohydrates intake. As for the micronutrients, the diets assessed indicated a deficient intake of folic acid and vitamins D and E, in both genders, and zinc and selenium also in women. CONCLUSIONS AND RECOMMENDATIONS: We have found overweight problems according to the BMI and the waist circumference, and obesity according to the body fat percentage, with the potential risk for the development of an associated complication. It would be advisable to improve the quality of the diets consumed by increasing the amount of some micronutrients and fiber, and by promoting an increase in the physical activity.

Evaluación del estado nutricional de un grupo de adultos mayores de 50 años mediante parámetros dietéticos y de composición corporal / Assessment of the nutritional status of a group of people older than 50 years by means of dietary and body composition parameters

Objetivo: Valorar el estado nutricional de adultos mayores mediante parámetros dietéticos y de composición corporal. Metodología: La muestra está formada por 49 adultos mayores de 50 años (23 hombres y 26 mujeres) con una media de edad de 54,84 ± 4,56 años, empleados de una universidad privada. La composición corporal se analizó usando parámetros antropométricos. La ingesta de energía y nutrientes se recogió mediante un registro de todos los alimentos y bebidas consumidos durante 3 días, realizado por cada encuestado (previamente instruido) y estimando las cantidades a través de modelos fotográficos. Las necesidades energéticas totales se estimaron por las fórmulas de Harris-Benedict y FAO/OMS. Resultados: El índice de masa corporal fue similar (p = 0,018) en hombres y mujeres (26,1 ± 1,9 y 24,4 ± 2,8 kg/m2). El porcentaje de grasa obtenido por antropometría fue 29,6 ± 3,6 y 36,8 ± 3,1% (p = 0,000) en hombres y mujeres respectivamente. La actividad física fue muy ligera-ligera. La ingesta diaria de energía se adecuaba a las necesidades totales cuando estas se determinaron por las fórmulas propuestas por la FAO/OMS. El perfil calórico indicaba un desequilibrio con un alto aporte de proteínas y lípidos y bajo de carbohidratos. Respecto a los micronutrientes las dietas evaluadas indicaron un aporte deficitario de ácido fólico y vitaminas D y E en ambos sexos y cinc y selenio también en mujeres. Conclusiones y recomendaciones: Se han encontrado problemas de sobrepeso juzgados por el IMC y la circunferencia de la cintura y de obesidad según el porcentaje de grasa corporal con el potencial riesgo de desarrollar alguna complicación derivada de ello. Sería recomendable mejorar la calidad de las dietas consumidas aumentando algunos micronutrientes y fibra y promover un aumento de la actividad física (AU)

Objective: To assess the nutritional status of elder adults by means of dietary and body composition parameters. Methodology: The sample comprised 49 adults, older than 50 years (23 men and 26 women) with a mean age of 54.84 ± 4.56 years, working at a private university. The body composition was analyzed by using anthropometric parameters. The energy and nutrients intake was gathered by means of a registry of all the foods and beverages consumed during 3 days that was filled-up by each (previously instructed) participant and estimating the amounts through photographic models. Total energy requirements were estimated by the Harris-Benedict and FAO/WHO calculations. Results: The body mass index was similar (p = 0.018) in both men and women (26.1 ± 1.9 and 24.4 ± 2.8 kg/m2). The percentage of fat obtained by anthropometrics was 29.6 ± 3.6 and 36.8 ± 3.1% (p = 0.000) in men and women, respectively. The level of physical activity was very light to light. Daily energy intake was appropriate for total energy demands when these were calculated by the calculations proposed by FAO/WHO. The caloric profile indicated an unbalance with high proteins and lipids and low carbohydrates intake. As for the micronutrients, the diets assessed indicated a deficient intake of folic acid and vitamins D and E, in both genders, and zinc and selenium also in women. Conclusions and recommendations: We have found overweight problems according to the BMI and the waist circumference, and obesity according to the body fat percentage, with the potential risk for the development of an associated complication. It would be advisable to improve the quality of the diets consumed by increasing the amount of some micronutrients and fiber, and by promoting an increase in the physical activity (AU)

[Nutritional status assessment in a group of university students by means of dietary parameters and body composition]. / Evaluación del estado nutricional de un grupo de estudiantes universitarios mediante parámetros dietéticos y de composición corporal.

OBJECTIVE: To assess the nutritional status in a young adults by means of dietary parameters and body composition. METHODOLOGY: The sample comprises 49 young men (35 women and 14 men) with a mean age of 21.9 +/- 2.9 ages, at Alfonso X el Sabio University of Madrid. Body composition was analyzed through anthropometrical parameters. By means of validated questionnaires, physical activity performed within a week was assessed, as well as energy and nutrients intake. The later was estimated through a registry of all foods and beverages consumed for the last 14 days performed by each one of the participants (previously instructed) and estimating the amounts by weight or home or standard servings. The resting energy waste was determined by indirect calorimetry and through the Harris-Benedict predictive formula. RESULTS: Body mass index was similar in both men and women (p = 0.10) (23.5 +/- 1.9 and 22.0 +/- 2.8 kg/m2). The percentage of fat obtained through anthropometrics was 16.4 +/- 3.5% and 27.1 +/- 3.8% (p < 0.05) in men and women, respectively. The physical activity was light-moderate. Daily energy intake was appropriate for the total needs when the later were determined by indirect calorimetry. The caloric intake for macronutrients was unbalanced: high in lipids, and very low in carbohydrates. With regards to micronutrients, the assessed diets were in general appropriate but for folic acid, calcium, magnesium for both genders and vitamin A in men, with levels below the recommended ones. CONCLUSIONS AND RECOMMENDATIONS: In some aspects, the diet from this group deviates from current dietary standards. It would be advisable to increase the physical activity that would allow a higher food intake in order to cover for the insufficient intake of some nutrients without energetically unbalancing the diet. The assessment of resting energetic waste by indirect calorimetry seems to better predict the energetic needs.

Evaluación del estado nutricional de un grupo de estudiantes universitarios mediante parámetros dietéticos y de composición corporal / Nutritional status assessment in a group of university students by means of dietary parameters and body composition

Objetivo: Valorar el estado nutricional de adultos jóvenes mediante parámetros dietéticos y de composición corporal. Metodología: La muestra está formada por 49 jóvenes (35 mujeres y 14 hombres) con una media de edad de 21,9 ± 2,9 años de la Universidad Alfonso X el Sabio de Madrid. La composición corporal se analizó usando parámetros antropométricos. Mediante cuestionarios validados se valoró la actividad física realizada durante 1 semana y la ingesta de energía y nutrientes. Ésta se estimó mediante un registro de todos los alimentos y bebidas consumidos durante 14 días, realizado por cada encuestado (previamente instruido) y estimando las cantidades en peso o en medidas caseras y raciones estándar. El gasto energético en reposo se determinó mediante calorimetría indirecta y mediante la fórmula predictiva de Harris-Benedict. Resultados: El índice de masa corporal fue similar (p = 0,10) en hombres y mujeres (23,5 ± 1,9 y 22,0 ± 2,8 kg/m2). El porcentaje de grasa obtenido por antropometría fue 16,4 ± 3,5% y 27,1 ± 3,8% (p < 0,05) en hombres y mujeres, respectivamente. La actividad física fue ligera-moderada. La ingesta diaria de energía, se adecuaba a las necesidades totales, cuando éstas fueron determinadas por calorimetría indirecta. El aporte calórico de los macronutrientes fue desequilibrado: alto de lípidos y muy bajo de hidratos de carbono. Con respecto a los micronutrientes, las dietas evaluadas fueron, en general, adecuadas, excepto en el caso del ácido fólico, calcio y magnesio en ambos sexos y vitamina A en hombres, con cifras inferiores a las recomendadas. Conclusiones y recomendaciones: la dieta de este grupo, en algunos aspectos se aleja de las pautas dietéticas actuales. Sería recomendable un incremento de la actividad física que permitiría un consumo mayor de alimentos para cubrir la ingesta insuficiente de algunos nutrientes sin desequilibrar energéticamente la dieta. La determinación del gasto energético en reposo por calorimetría indirecta parece predecir mejor las necesidades energéticas (AU)

Objective: To assess the nutritional status in a young adults by means of dietary parameters and body composition. Methodology: The sample comprises 49 young men (35 women and 14 men) with a mean age of 21.9 ± 2.9 ages, at Alfonso X el Sabio University of Madrid. Body composition was analyzed through anthropometrical parameters. By means of validated questionnaires, physical activity performed within a week was assessed, as well as energy and nutrients intake. The later was estimated through a registry of all foods and beverages consumed for the last 14 days performed by each one of the participants (previously instructed) and estimating the amounts by weight or home or standard servings. The resting energy waste was determined by indirect calorimetry and through the Harris-Benedict predictive formula. Results: Body mass index was similar in both men and women (p = 0.10) (23.5 ± 1.9 and 22.0 ± 2.8 kg/m2). The percentage of fat obtained through anthropometrics was 16.4 ± 3.5% and 27.1 ± 3.8% (p < 0.05) in men and women, respectively. The physical activity was light-moderate. Daily energy intake was appropriate for the total needs when the later were determined by indirect calorimetry. The caloric intake for macronutrients was unbalanced: high in lipids, and very low in carbohydrates. With regards to micronutrients, the assessed diets were in general appropriate but for folic acid, calcium, magnesium for both genders and vitamin A in men, with levels below the recommended ones. Conclusions and recommendations. In some aspects, the diet from this group deviates from current dietary standards. It would be advisable to increase the physical activity that would allow a higher food intake in order to cover for the insufficient intake of some nutrients without energetically unbalancing the diet. The assessment of resting energetic waste by indirect calorimetry seems to better predict the energetic needs (AU)

Ingesta de energía y nutrientes, funcionalidad y actividad física en personas mayores / Intake of energy and nutrients, functionality, and physical activity in elderly persons

INTRODUCCION: Este trabajo forma parte del estudio multicentro europeo longitudinal (1989/1993/1999) SENECA (Survey in Europe on Nutrition and the Elderly, a Concerted Action), desarrollado por EURONUT, la Acción Concertada de la UE sobre Nutrición y Salud, para estudiar diferencias nutricionales y de estilo de vida y su efecto sobre salud y funcionalidad de personas de las cohortes 1913-1918, de 19 ciudades europeas. MATERIAL Y MÉTODOS: El objetivo aquí es valorar las repercusiones del aporte energético y nutricional, y actividad física sobre la funcionalidad de una muestra de 35 hombres y 47 mujeres (77,2ñ 1,8 y 76,6ñ 1,6 años, respectivamente, en 1993), mediante técnicas estandarizadas: estudio dietético, funcionalidad física (Actividades de la Vida Diaria), cognitiva (Test Mini-Mental) y afectiva (Escala de Depresión Geriátrica) y actividad física. RESULTADOS Y DISCUSION: Longitudinalmente, se mantiene el consumo energético y empeora el perfil calórico. Se conserva un alto grado funcional físico, pero disminuye la actividad física en hombres (p< 0,01) y mujeres (p< 0,05). Generalmente, quienes más actividad física realizan tienen mejor funcionalidad física: hombres especialmente en actividades 'instrumentales' (p< 0,001) y mujeres en 'movilidad' (p< 0,001); y afectiva: hombres (p< 0,05). Mayor funcionalidad física coincide con mejora cognitiva en mujeres (p< 0,05) y afectiva en hombres (p< 0,05). CONCLUSIONES: Al envejecer empeora el perfil calórico, se mantienen consumo energético y funcionalidad física y desciende actividad física. Generalmente, capacidad funcional y actividad física se asocian positivamente en mayores (AU)