• M Serra-Prat, I Lorenzo, E Palomera, S Ramírez, and J C Yébenes.
• Mateu Serra Prat, Research Unit, Hospital of Mataró, Carretera de Cirera s/n, 08304 Mataró, Barcelona, Spain, Tel. 34 93 741 77 30, Fax. 34 93 757 33 21, e-mail: mserra@csdm.cat.
• J Nutr Health Aging. 2019 Jan 1; 23 (1): 96-101.

BackgroundAs a person ages, total body water (TBW), intracellular water (ICW), muscle mass and muscle strength tend to decline. The decline in ICW may reflect losses in the number of muscle cells but may also be responsible for less hydrated muscle cells.AimTo assess whether TBW and ICW are associated with muscle strength, functional performance and frailty in an aged population, independently of muscle mass.MethodologyDesign: An observational cross-sectional study of community-dwelling individuals aged 75 years and older. TBW, ICW, fat mass, lean mass and muscle mass were assessed by bioelectrical impedance analysis, frailty status was measured according to Fried criteria, handgrip strength was measured using the hand-held JAMAR dynamometer, and functional performance was measured according to the Barthel index and gait speed.ResultsA total of 324 subjects were recruited (mean age 80.1 years, 47.5% women). TBW and ICW were closely correlated with muscle mass in both sexes. ICW was also associated with Barthel score, gait speed and frailty in both sexes and with handgrip in men. Considerable variability in ICW was observed for the same muscle mass. Multivariate analysis showed a positive effect of ICW on handgrip, functional performance and gait speed and a protective effect of ICW on frailty, independently of age, sex, body mass index and number of comorbidities.ConclusionsIn elderly individuals with similar muscle mass, those with higher ICW had a better functional performance and a lower frailty risk, suggesting a protective effect of cell hydration, independently of muscle mass.

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