{"title":"Higher prognostic nutritional index is associated with lower incidence of sarcopenia","authors":"Lulu Cheng Ph.D , Sheng Hu Ph.D , Qinggang Wu M.D","doi":"10.1016/j.gerinurse.2025.03.046","DOIUrl":null,"url":null,"abstract":"<div><div>Sarcopenia is a syndrome of progressive, generalized decline in skeletal muscle function and muscle mass. As one of the key factors affecting sarcopenia, nutritional status plays an important role in the occurrence and development of sarcopenia. Therefore, this study selected the National Health and Nutrition Examination Survey (NHANES) database to study the effect of prognostic nutritional index (PNI) on sarcopenia. A total of 8058 adults were included in this study. In multiple linear regression analysis, PNI levels were significantly negatively associated with sarcopenia [0.89 (0.85,0.93)]; The risk of sarcopenia was reduced by 52% in the highest quartile of PNI compared with the lowest quartile [0.48 (0.31,0.74)]; This negative association was sustained in stratified subgroups. According to the generalized additive model and the results of smooth curve fitting, PNI was negatively associated with sarcopenia. Higher PNI was associated with a lower incidence of sarcopenia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 499-504"},"PeriodicalIF":2.5000,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0197457225001417","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Sarcopenia is a syndrome of progressive, generalized decline in skeletal muscle function and muscle mass. As one of the key factors affecting sarcopenia, nutritional status plays an important role in the occurrence and development of sarcopenia. Therefore, this study selected the National Health and Nutrition Examination Survey (NHANES) database to study the effect of prognostic nutritional index (PNI) on sarcopenia. A total of 8058 adults were included in this study. In multiple linear regression analysis, PNI levels were significantly negatively associated with sarcopenia [0.89 (0.85,0.93)]; The risk of sarcopenia was reduced by 52% in the highest quartile of PNI compared with the lowest quartile [0.48 (0.31,0.74)]; This negative association was sustained in stratified subgroups. According to the generalized additive model and the results of smooth curve fitting, PNI was negatively associated with sarcopenia. Higher PNI was associated with a lower incidence of sarcopenia.
期刊介绍:
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.