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Differences in daily in-hospital physical activity and geriatric nutritional risk index in older cardiac inpatients: preliminary results

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Abstract

Background

Little is known about the differences in the geriatric nutritional risk index (GNRI) status in older patients and their relationship to accelerometer-derived measures of physical activity (PA) levels. We determined both differences in daily measured PA based on the GNRI and related cut-off values for PA in elderly cardiac inpatients.

Methods

We divided 235 consecutive elderly cardiac inpatients (mean age 73.6 years, men 70.6 %) into four groups by age and GNRI: older-high group, 65–74 years with high GNRI (≥92 points) (n = 111); older-low group, low GNRI (<92 points) (n = 30); very old-high group, ≥75 years with high GNRI (n = 55); and very old-low group with low GNRI (n = 39). Average step count and physical activity energy expenditure (PAEE in kcal) per day for 2 days of these inpatients were assessed by accelerometer and compared between the four groups to determine cut-off values of PA.

Results

Step counts and PAEE were significantly lower in the low-GNRI versus high-GNRI groups in the older (2,742.1 vs. 4,198.1 steps, 55.4 vs. 101.3 kcal, P < 0.001), and very old (2,469.6 vs. 3,423.7 steps, 54.5 vs. 79.1 kcal, P < 0.001) cardiac inpatients. Respective cut-off values for step counts and PAEE were 3,017.6 steps/day and 69.4 kcal (P < 0.01) in the older and 2,579.4 steps/day and 58.8 kcal in the very old cardiac inpatients (P < 0.01).

Conclusion

Poor nutritional status, as indicated by a low GNRI, may be a useful predictor of step counts and PAEE. The cut-off values determined in this study might be target values to be attained by older cardiac inpatients.

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Acknowledgments

This study was supported in part by a Grant-in-Aid for Scientific Research from the Japanese Association for the Promotion of Rehabilitation (Tokyo, Japan).

Conflict of interest

All authors declare no conflicts of interest in regard to the work described herein.

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Authors and Affiliations

  1. Graduate School of Health Sciences, Kobe University, 10-2 Tomogaoka 7-chome Suma, Kobe, 654-0142, Japan

    Kazuhiro P. Izawa

  2. Department of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, Kawasaki, Japan

    Satoshi Watanabe

  3. Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan

    Koichiro Oka

  4. Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan

    Naohiko Osada & Kazuto Omiya

  5. Department of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, USA

    Peter H. Brubaker

  6. Department of Orthopedic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan

    Hiroyuki Shimizu

Authors
  1. Kazuhiro P. Izawa
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  2. Satoshi Watanabe
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  3. Koichiro Oka
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  4. Naohiko Osada
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  5. Kazuto Omiya
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  6. Peter H. Brubaker
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  7. Hiroyuki Shimizu
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Corresponding author

Correspondence to Kazuhiro P. Izawa.

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Izawa, K.P., Watanabe, S., Oka, K. et al. Differences in daily in-hospital physical activity and geriatric nutritional risk index in older cardiac inpatients: preliminary results. Aging Clin Exp Res 26, 599–605 (2014). https://doi.org/10.1007/s40520-014-0233-z

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  • DOI: https://doi.org/10.1007/s40520-014-0233-z

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