Emine M Inelmen

Publications (4)8.34 Total impact

• Article: Lower extremity motor performance and body mass index in elderly people: the Italian Longitudinal Study on Aging.

  Giuseppe Sergi, Egle Perissinotto, Elena D Toffanello, Stefania Maggi, Enzo Manzato, Alessandra Buja, Alessandra Coin, Anna C Frigo, Emine M Inelmen, Giuliano Enzi
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  ABSTRACT: To test the association between body mass index (BMI) and lower extremity motor performance in elderly people. Multicenter, cross-sectional, observational study. A sample of individuals aged 65 and older recruited for the baseline survey of the Italian Longitudinal Study on Aging. Two thousand six hundred seventy-two individuals (1,436 men, 1,236 women) independent with transfers and toileting and independent or requiring assistance for bathing or dressing. Motor function was assessed using a Motor Performance Test (MPT), with a set of six tasks exploring lower extremity performance (LEP): rising once from a chair, turning in a half circle, tandem walking, standing on one leg, stair climbing, and walking 5 m. The highest prevalence rates of difficulty in performing the tasks occurred in men and women, respectively, in tandem walking (14%, 28%), stair climbing (17.0%, 43%) and walking 5 m (15%, 30%). In both sexes, moderate (men: odds ratio (OR)=1.99, 95% confidence interval (CI)=1.16-3.43; women OR=2.07, 95% CI=1.18-3.65) and severe obesity (men: OR=3.45, 95% CI=1.21-9.89; women: OR=3.16, 95% CI=1.43-6.95) were each independently associated with overall motor performance impairment after adjusting for age, smoking, and comorbidity. Best performance was generally observed in the normal-weight and overweight groups. The results confirm that, in both sexes, overweight is not related to motor impairment. Only in women, low BMI is associated with higher probability of overall motor performance impairment. These data suggest that moderate obesity should be distinguished from severe obesity when assessing the relationship between BMI and LEP.
  Journal of the American Geriatrics Society 01/2008; 55(12):2023-9. · 3.74 Impact Factor
• Chapter: Pathophysiology of Body Composition Changes in Elderly People

  Alessandra Coin, Giuseppe Sergi, Emine M. Inelmen, Giuliano Enzi
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  ABSTRACT: Aging is associated with changes in body composition that have important consequences on health and physical function. Thus, studying body composition changes is of increasing interest in geriatric research, and measures are being developed to favourably influence body composition in old age, in addition to exercise and diet.
  12/2005: pages 369-375;
• Chapter: Biochemical Parameters of Nutrition

  Emine M. Inelmen, Giuseppe Sergi
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  ABSTRACT: Nutrition is an important factor in the aetiology and management of several major causes of death and disability. The nutritional status of a person is the result of a balance between the intake and the requirement of nutrients. Optimal nutritional status is achieved when sufficient nutrients are consumed to support day-to-day body needs. This status promotes growth and development, maintains general health, support activities of daily living, and assists in protection from diseases. Several variables can influence the intake of food: economical, emotional, developmental and cultural factors, dietary patterns, unbalanced self-imposed diets, anorexia, bulimia, etc. The intake of food also varies in relation to many physiological situations, such as growth, pregnancy, breast-feeding and physical activity. Dysphagia, dyspepsia, malabsorption, loss of nutrients (vomit, diarrhoea, wounds, fistulas, drainage, etc.), alterations in metabolic and nutritional requirements, and drug interactions can be present in different pathological situations.
  12/2005: pages 59-72;
• Article: Influence of fat-free mass and functional status on resting energy expenditure in underweight elders.

  Giuseppe Sergi, Alessandra Coin, Mauro Bussolotto, Paolo Benincà, Giovanna Tomasi, Claudia Pisent, Silvia Peruzza, Emine M Inelmen, Giuliano Enzi
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  ABSTRACT: In underweight elders, resting energy expenditure (REE) and its relationship with fat-free mass (FFM) could be modified by sarcopenia, physical activity, and functional limitation. The aims of this study were to investigate REE and its relationship with quantity and metabolic activity of FFM and to evaluate the influence of functional status on REE in underweight elderly subjects. Forty-eight underweight elders (BMI < 20) and 54 normal weight elderly subjects (BMI 20-30) as a control group were selected. Body composition was determined by dual energy x-ray absorptiometry (DEXA). REE was measured by indirect calorimetry. Ability in activities of daily living (ADLs) was assessed by the Katz index. Underweight elders had significantly lower FFM, FFM index (FFM/height(2)), and REE than healthy subjects. REE adjusted for FFM with analysis of covariance remained significantly lower in the underweight group (1287 +/- 85 vs 1715 +/- 139 kcal/day in men, and 1124 +/- 63 vs 1366 +/- 91 kcal/day in women). Katz index in the underweight group was inversely correlated with REE (r = -0.68; p <.001) even after removal of FFM, FM, and gender, by multiple regression analysis. In this model, FFM and Katz index together explained approximately 54% of REE variability. Underweight elderly subjects show a hypometabolism due to a reduction of both FFM quantity and its metabolic activity. Functional status in ADLs comes out as an important predictor of REE independently from FFM. The limited physical activity might be the underlying determinant of this hypometabolism, but further investigations are necessary to confirm this issue.
  The Journals of Gerontology Series A Biological Sciences and Medical Sciences 05/2002; 57(5):M302-7. · 4.60 Impact Factor