Relation of the maximum calf circumference with albumin and body mass index in elderly cases of chronic hospitalization

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  • Kubo Akira
    Department of Physical Therapy, Faculty of Health Science, International University of Health and Welfare
  • Yoshimatsu Tatsuki
    Division of Physical Therapy, Doctoral Program in Health Sciences, Research Institute of Health and Welfare Sciences, Graduate School of International University of Health and Welfare
  • Nishida Yusuke
    Division of Physical Therapy, School of Rehabilitation, Seirei Christopher University

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  • 高齢慢性期入院症例の下腿最大周囲長とアルブミンおよびＢｏｄｙ　Ｍａｓｓ　Ｉｎｄｅｘとの関係
  • コウレイ マンセイキ ニュウイン ショウレイ ノ カタイ サイダイ シュウイチョウ ト アルブミン オヨビ Body Mass Index トノ カンケイ

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Abstract

Aim: To examine the relation of the calf circumference at the level where the size of the triceps surae appeared largest (maximum calf circumference MCC) with albumin (Alb) and body mass index (BMI) in elderly cases of chronic hospitalization.<br> Methods: Subjects were 57 elderly cases of chronic hospitalization (26 men and 31 women aged 80.4±9.9 years [mean±SD]) who varied in their eating styles and degrees of independence in eating, but still could ingest orally. We compared the subjects' weight, height, BMI, MCC, and Alb between the both sexes with t-test. The relationship between the MCC and Functional Independence Measure (FIM) motor score, FIM cognitive score, and FIM total score were analyzed with Spearman's rank correlation coefficient, and Alb and BMI with Pearson's correlation analysis. Additionally, the partial correlation coefficient between the MCC and Alb adjusted for sex, age, and FIM total score was calculated.<br> Results: Sex-related difference was observed in height and weight (p<0.01), but not in BMI, MCC, and Alb.<br> The MCC did not significantly correlate with motor, cognitive, and total FIMs, with correlation coefficients of r=0.20, r=0.19, and r=0.23, respectively. The MCC significantly correlated with Alb (r=0.52, p<0.01) and BMI (r=0.90, p<0.01). The regression equation to estimate BMI from the MCC was BMI (kg/m2)=MCC×0.81-2.44, with the coefficient of determination being 0.81. The partial correlation coefficient between the MCC and Alb was r=0.40 (p<0.01).<br> Conclusion: This study suggests that the MCC may be a useful evaluation tool for BMI in elderly people with chronic conditions. The value may also reflect the systemic nutritional status, and deserves further study.<br>

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