Serum levels assessment of vitamin A, E, C, B2 and carotenoids in malnourished and non-malnourished hospitalized elderly patients

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
D F CunhaH Vannucchi

Abstract

Serum levels of vitamins A, E, C, B2 and carotenoids were determined in protein-energy malnourished (PEM, with body mass index, BMI<18.5 kg/m2) and non-PEM (BMI+/-18.5 kg/m2) hospitalized elderly (age > or = 65 years) patients, in the University Hospital of Faculty of Medicine of Ribeirão Preto, São Paulo University. PEM (n=21) and non-PEM (n=106) patients were paired for age (73.6+/-7.3 vs. 71.6+/-5.6 years) and male percentage (65.1 vs. 52.4%). As expected, PEM elderly showed lower (P<0.05) body weight (median 43.1; range: 29.9-51.4 vs. 58.1; range: 45.7-143.5 kg), triceps skinfold (5.2+/-3.1 vs. 10.1+/-4.9 mm), and mid-arm muscle circumference (20.3+/-2.5 vs. 23.1+/-3.4 cm). Serum albumin (4.0+/-0.9 vs. 4.1+/-0.7 g/dl) and total lymphocytes count (1918.3+/-919 vs. 1842.7+/-862 mm(3)) were similar, respectively, among PEM and non-PEM patients. The percentage of biochemical riboflavin deficiency (58.8 vs. 56.2), low serum levels of vitamin A (28.6 vs. 29.6) and vitamin E (18.7 vs. 25) were similar, respectively, between PEM and non-PEM groups. The prevalence of low serum levels of water soluble vitamins was higher (P<0.01) in malnourished elderly than in the non-PEM group (ascorbic acid, 80.9 vs. 56.7%, and carotenoids, 14.3 v...Continue Reading

References

Dec 1, 1995·Annals of Internal Medicine·J E Morley, A J Silver
Nov 1, 1993·Journal of the American Geriatrics Society·H H Keller

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Citations

Feb 28, 2002·Best Practice & Research. Clinical Gastroenterology·M Pirlich, H Lochs
Feb 23, 2011·Revista Da Sociedade Brasileira De Medicina Tropical·André Luiz MaltosDaniel Ferreira da Cunha
Oct 28, 2006·Acta Orthopaedica·Margareta HedströmTommy Cederholm
Jul 26, 2013·The American Journal of Clinical Nutrition·Yifan WangL John Hoffer
Dec 19, 2009·Nutrition·Rebecca Evans-OldersL John Hoffer

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