The Association Between Nutritional Risk and Bone Stiffness in Elderly Men and Women in a Population-Based Study in Northeast Germany
2024

Nutritional Risk and Bone Stiffness in Elderly

Sample size: 1417 publication 10 minutes Evidence: moderate

Author Information

Author(s): Riest Jannis, Friedrich Nele, Nauck Matthias, Völzke Henry, Gärtner Simone, Hannemann Anke

Primary Institution: University Medicine Greifswald

Hypothesis

Is the Geriatric Nutritional Risk Index (GNRI) associated with bone stiffness and osteoporotic fracture risk in elderly men and women?

Conclusion

The GNRI is positively associated with bone stiffness and lower osteoporotic fracture risk in elderly individuals with underweight or normal weight.

Supporting Evidence

  • In underweight/normal weight individuals, higher GNRI values positively affected the stiffness index.
  • Better GNRI values were associated with higher chances of a low osteoporotic fracture risk.
  • Associations were absent in overweight or obese individuals.

Takeaway

This study found that older people who are underweight or have a normal weight and have better nutrition scores are less likely to have weak bones.

Methodology

Data from 1417 elderly participants were analyzed using linear and logistic regression models to assess the relationship between GNRI and bone stiffness.

Potential Biases

Self-selection bias may have occurred as participants needed to have physical and cognitive resources to participate.

Limitations

The study had a small number of underweight/normal weight individuals, limiting the statistical power of subgroup analyses.

Participant Demographics

The study included 755 men and 662 women aged 65 to 90 years.

Statistical Information

P-Value

0.007

Confidence Interval

1.04–1.94

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/nu16244288

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