{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T19:17:55Z","timestamp":1762283875965,"version":"build-2065373602"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["22K17539","23K06873"],"award-info":[{"award-number":["22K17539","23K06873"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Different calf circumference (CC) cutoff values have been established in the Mini Nutritional Assessment short\u2010form (MNA\u2010SF), Global Leadership Initiative on Malnutrition (GLIM) criteria, and Asian Working Group for Sarcopenia (AWGS). We used these different cutoff values and examined the impact of nutritional classification on functional decline based on the MNA\u2010SF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This longitudinal study (2018\u20132024) included 169 daycare rehabilitation users (80.4\u2009\u00b1\u20097.2\u2009years; 97 males, 72 females) who underwent usual walking speed measurement at baseline and after 6\u2009months. At baseline, nutritional status was assessed using the MNA\u2010SF based on body mass index (MNA\u2010SF\u2010BMI) and calf circumference cutoff values, including the conventional cutoff (MNA\u2010SF\u2010CC), GLIM criteria (MNA\u2010SF\u2010CC (GLIM)), and AWGS (MNA\u2010SF\u2010CC (AWGS)). Binomial logistic regression was applied and odds ratios (ORs) calculated, with a decline in usual walking speed \u2265\u20090.18\u2009m\/s as the dependent variable and nutritional categories as independent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four participants (14.2%) showed a decline in usual walking speed of 0.18\u2009m\/s or more. Using the combined \u201cnormal nutrition\u201d and \u201cat risk\u201d categories as the reference, a decline in usual walking speed was significantly associated with MNA\u2010SF\u2010BMI (malnourished; OR\u2009=\u20092.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042), MNA\u2010SF\u2010CC (GLIM) (malnourished; OR\u2009=\u20092.79,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046), and MNA\u2010SF\u2010CC (AWGS) (malnourished; OR\u2009=\u20093.31,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018). In contrast, the MNA\u2010SF\u2010CC showed no significant association.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When assessing the MNA\u2010SF using CC, the recently proposed cutoff values from the GLIM criteria and AWGS provided a clearer association with functional decline.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70193","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T05:21:46Z","timestamp":1761024106000},"page":"1627-1635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimal Calf Circumference Cutoff Values in the Mini Nutritional Assessment Short\u2010Form Based on Usual Walking Speed Decline in Older Adults Requiring Long\u2010Term Care\/Support"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5679-2391","authenticated-orcid":false,"given":"Yohei","family":"Sawaya","sequence":"first","affiliation":[{"name":"Department of Physical Therapy School of Health Sciences, International University of Health and Welfare  Otawara Japan"},{"name":"Department of Day Rehabilitation, Care Facility for the Elderly \u201cMaronie\u2010en\u201d Nishinasuno General Home Care Center  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamaki","family":"Hirose","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy School of Health Sciences, International University of Health and Welfare  Otawara Japan"},{"name":"Department of Day Rehabilitation, Care Facility for the Elderly \u201cMaronie\u2010en\u201d Nishinasuno General Home Care Center  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Shiba","sequence":"additional","affiliation":[{"name":"Integrated Facility for Medical and Long\u2010Term Care, Care Facility for the Elderly \u201cMaronie\u2010en\u201d  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0727-5771","authenticated-orcid":false,"given":"Ryo","family":"Sato","sequence":"additional","affiliation":[{"name":"Integrated Facility for Medical and Long\u2010Term Care, Care Facility for the Elderly \u201cMaronie\u2010en\u201d  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2204-0329","authenticated-orcid":false,"given":"Lu","family":"Yin","sequence":"additional","affiliation":[{"name":"Integrated Facility for Medical and Long\u2010Term Care, Care Facility for the Elderly \u201cMaronie\u2010en\u201d  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuntaro","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Day Rehabilitation, Care Facility for the Elderly \u201cMaronie\u2010en\u201d Nishinasuno General Home Care Center  Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiko","family":"Urano","sequence":"additional","affiliation":[{"name":"Department of Day Rehabilitation, Care Facility for the Elderly \u201cMaronie\u2010en\u201d Nishinasuno General Home Care Center  Nasushiobara Japan"},{"name":"Integrated Facility for Medical and Long\u2010Term Care, Care Facility for the Elderly \u201cMaronie\u2010en\u201d  Nasushiobara Japan"},{"name":"Department of Geriatric Medicine School of Medicine, International University of Health and Welfare  Narita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)02612-5"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.03.008"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.6.M366"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0214-7"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.1996.tb03793.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2004.08.023"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114511004880"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114513000366"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.02.001"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.12.012"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-023-1978-x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.17529"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1923"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.4235\/agmr.20.0037"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0246-z"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13310"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/16501970410017215"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2021.07.004"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.4235\/agmr.24.0126"},{"key":"e_1_2_11_23_1","first-page":"137","article-title":"Reliability and Technical Error of Calf Circumference and Mid\u2010Half Arm Span Measurements for Nutritional Status Assessment of Elderly Persons in Malaysia","volume":"14","author":"Jamaiyah H.","year":"2008","journal-title":"Malaysian Journal of Nutrition"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14704"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqab029"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-013-0393-0"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0618-5"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03659.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijcm.IJCM_208_20"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214211048955"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00701.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59112019"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.09.007"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T19:13:10Z","timestamp":1762283590000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,20]]},"references-count":33,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/ggi.70193"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70193","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"type":"print","value":"1444-1586"},{"type":"electronic","value":"1447-0594"}],"subject":[],"published":{"date-parts":[[2025,10,20]]},"assertion":[{"value":"2025-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}