Prevalence and Clinical Correlates of Sarcopenia, Identified According to the EWGSOP Definition and Diagnostic Algorithm, in Hospitalized Older People: The GLISTEN Study
Prevalence of sarcopenia is substantial in most geriatrics settings, but estimates vary greatly across studies because of difference in population characteristics, diagnostic criteria, and methods used to assess muscle mass, muscle strength, and physical performance. We investigated the feasibility...
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| Published in: | The journals of gerontology. Series A, Biological sciences and medical sciences Vol. 72; no. 11; p. 1575 |
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| Abstract | Prevalence of sarcopenia is substantial in most geriatrics settings, but estimates vary greatly across studies because of difference in population characteristics, diagnostic criteria, and methods used to assess muscle mass, muscle strength, and physical performance. We investigated the feasibility of the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm assessment in hospitalized older adults and analyzed prevalence and clinical correlates of sarcopenia.
Cross-sectional analysis of 655 participants enrolled in a multicenter observational study of older adults admitted to 12 acute hospital wards in Italy. Sarcopenia was assessed as low skeletal mass index (kg/m2) plus either low handgrip strength or low walking speed (EWGSOP criteria). Skeletal muscle mass was estimated using bioimpedance analysis.
Of the 655 patients (age 81.0 ± 6.8 years; women 51.9%) enrolled in the study, 275 (40.2%) were not able to perform the 4-m walking test because of medical problems. The overall prevalence of sarcopenia on hospital admission was 34.7% (95% confidence interval 28-37) and it steeply increased with aging (p < .001). In multivariable analysis, patients with sarcopenia on hospital admission were older and were more likely to be male and to have congestive heart failure, cerebrovascular disease, and severe basic activities of daily living disability. The prevalence of sarcopenia was inversely correlated with body mass index.
Based on EWGSOP criteria, prevalence of sarcopenia is extremely high among older adults on admission to acute hospital wards. Older age, male gender, congestive heart failure, cerebrovascular disease, severe activities of daily living disability, and body mass index were the clinical variables significantly associated with the presence of sarcopenia. |
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| AbstractList | Prevalence of sarcopenia is substantial in most geriatrics settings, but estimates vary greatly across studies because of difference in population characteristics, diagnostic criteria, and methods used to assess muscle mass, muscle strength, and physical performance. We investigated the feasibility of the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm assessment in hospitalized older adults and analyzed prevalence and clinical correlates of sarcopenia.
Cross-sectional analysis of 655 participants enrolled in a multicenter observational study of older adults admitted to 12 acute hospital wards in Italy. Sarcopenia was assessed as low skeletal mass index (kg/m2) plus either low handgrip strength or low walking speed (EWGSOP criteria). Skeletal muscle mass was estimated using bioimpedance analysis.
Of the 655 patients (age 81.0 ± 6.8 years; women 51.9%) enrolled in the study, 275 (40.2%) were not able to perform the 4-m walking test because of medical problems. The overall prevalence of sarcopenia on hospital admission was 34.7% (95% confidence interval 28-37) and it steeply increased with aging (p < .001). In multivariable analysis, patients with sarcopenia on hospital admission were older and were more likely to be male and to have congestive heart failure, cerebrovascular disease, and severe basic activities of daily living disability. The prevalence of sarcopenia was inversely correlated with body mass index.
Based on EWGSOP criteria, prevalence of sarcopenia is extremely high among older adults on admission to acute hospital wards. Older age, male gender, congestive heart failure, cerebrovascular disease, severe activities of daily living disability, and body mass index were the clinical variables significantly associated with the presence of sarcopenia. Prevalence of sarcopenia is substantial in most geriatrics settings, but estimates vary greatly across studies because of difference in population characteristics, diagnostic criteria, and methods used to assess muscle mass, muscle strength, and physical performance. We investigated the feasibility of the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm assessment in hospitalized older adults and analyzed prevalence and clinical correlates of sarcopenia.BACKGROUNDPrevalence of sarcopenia is substantial in most geriatrics settings, but estimates vary greatly across studies because of difference in population characteristics, diagnostic criteria, and methods used to assess muscle mass, muscle strength, and physical performance. We investigated the feasibility of the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm assessment in hospitalized older adults and analyzed prevalence and clinical correlates of sarcopenia.Cross-sectional analysis of 655 participants enrolled in a multicenter observational study of older adults admitted to 12 acute hospital wards in Italy. Sarcopenia was assessed as low skeletal mass index (kg/m2) plus either low handgrip strength or low walking speed (EWGSOP criteria). Skeletal muscle mass was estimated using bioimpedance analysis.METHODSCross-sectional analysis of 655 participants enrolled in a multicenter observational study of older adults admitted to 12 acute hospital wards in Italy. Sarcopenia was assessed as low skeletal mass index (kg/m2) plus either low handgrip strength or low walking speed (EWGSOP criteria). Skeletal muscle mass was estimated using bioimpedance analysis.Of the 655 patients (age 81.0 ± 6.8 years; women 51.9%) enrolled in the study, 275 (40.2%) were not able to perform the 4-m walking test because of medical problems. The overall prevalence of sarcopenia on hospital admission was 34.7% (95% confidence interval 28-37) and it steeply increased with aging (p < .001). In multivariable analysis, patients with sarcopenia on hospital admission were older and were more likely to be male and to have congestive heart failure, cerebrovascular disease, and severe basic activities of daily living disability. The prevalence of sarcopenia was inversely correlated with body mass index.RESULTSOf the 655 patients (age 81.0 ± 6.8 years; women 51.9%) enrolled in the study, 275 (40.2%) were not able to perform the 4-m walking test because of medical problems. The overall prevalence of sarcopenia on hospital admission was 34.7% (95% confidence interval 28-37) and it steeply increased with aging (p < .001). In multivariable analysis, patients with sarcopenia on hospital admission were older and were more likely to be male and to have congestive heart failure, cerebrovascular disease, and severe basic activities of daily living disability. The prevalence of sarcopenia was inversely correlated with body mass index.Based on EWGSOP criteria, prevalence of sarcopenia is extremely high among older adults on admission to acute hospital wards. Older age, male gender, congestive heart failure, cerebrovascular disease, severe activities of daily living disability, and body mass index were the clinical variables significantly associated with the presence of sarcopenia.CONCLUSIONBased on EWGSOP criteria, prevalence of sarcopenia is extremely high among older adults on admission to acute hospital wards. Older age, male gender, congestive heart failure, cerebrovascular disease, severe activities of daily living disability, and body mass index were the clinical variables significantly associated with the presence of sarcopenia. |
| Author | Bellelli, Giuseppe Abete, Pasquale Volpato, Stefano Landi, Francesco Corica, Francesco Rizzo, Maria Rosaria Manca, Giovanna Maria Di Bari, Mauro Rossi, Andrea P Cherubini, Antonio Maggio, Marcello Bo, Mario Bianchi, Lara |
| Author_xml | – sequence: 1 givenname: Lara surname: Bianchi fullname: Bianchi, Lara organization: Department of Medical Science, University of Ferrara, Ferrara, Italy – sequence: 2 givenname: Pasquale surname: Abete fullname: Abete, Pasquale organization: Department of Translational Medical Sciences, University of Naples Federico II, Italy – sequence: 3 givenname: Giuseppe surname: Bellelli fullname: Bellelli, Giuseppe organization: Geriatric Unit, S. Gerardo Hospital, Monza, Italy – sequence: 4 givenname: Mario surname: Bo fullname: Bo, Mario organization: Struttura Complessa Dipartimento Universitario Geriatria e Malattie Metaboliche dell'Osso, Città della Salute e della Scienza-Molinette, Torino, Italy – sequence: 5 givenname: Antonio surname: Cherubini fullname: Cherubini, Antonio organization: Geriatrics and Geriatrics Emergency Care, Italian National Research Center on Aging (IRCCS-INRCA), Ancona, Italy – sequence: 6 givenname: Francesco surname: Corica fullname: Corica, Francesco organization: Department of Clinical and Experimental Medicine, University of Messina, Italy – sequence: 7 givenname: Mauro surname: Di Bari fullname: Di Bari, Mauro organization: Geriatric Intensive Care Unit, Department of Geriatrics and Medicine, Azienda Ospedaliero-Univesitaria Careggi, Florence, Italy – sequence: 8 givenname: Marcello surname: Maggio fullname: Maggio, Marcello organization: Department of Clinical and Experimental Medicine, Geriatric Rehabilitation Department, University of Parma, Parma, Italy – sequence: 9 givenname: Giovanna Maria surname: Manca fullname: Manca, Giovanna Maria organization: UOC di Geriatria osp. SS. Trinità ASL 8 Cagliari, Italy – sequence: 10 givenname: Maria Rosaria surname: Rizzo fullname: Rizzo, Maria Rosaria organization: Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Italy – sequence: 11 givenname: Andrea P surname: Rossi fullname: Rossi, Andrea P organization: Department of Medicine, Geriatrics Division, University of Verona, Verona, Italy – sequence: 12 givenname: Francesco surname: Landi fullname: Landi, Francesco organization: Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of the Sacred Heart, Rome, Italy – sequence: 13 givenname: Stefano surname: Volpato fullname: Volpato, Stefano organization: Center for Clinical Epidemiology, School of Medicine, University of Ferrara, Italy |
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| Keywords | Sarcopenia Prevalence Hospital Acute care |
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| SubjectTerms | Activities of Daily Living Aged Aged, 80 and over Aging Algorithms Cross-Sectional Studies Disability Evaluation Disabled Persons - rehabilitation Female Humans Inpatients Italy - epidemiology Male Muscle Strength - physiology Prevalence Risk Factors Sarcopenia - diagnosis Sarcopenia - epidemiology Sarcopenia - physiopathology |
| Title | Prevalence and Clinical Correlates of Sarcopenia, Identified According to the EWGSOP Definition and Diagnostic Algorithm, in Hospitalized Older People: The GLISTEN Study |
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