scholarly journals The Association of Sarcopenia and Bone Mineral Densitometry in a Small Population of Turkish Elderly (P21-048-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Umut Safer ◽  
Vildan Binay Safer
Keyword(s):  
Skeletal Muscle ◽  
Elderly Patients ◽  
Grip Strength ◽  
Muscle Mass ◽  
Bone Mineral ◽  
Conflict Of Interest ◽  
Skeletal Muscle Mass ◽  
Walking Speed ◽  
Hand Grip ◽  
Bone Mineral Densitometry

Abstract Objectives Mortality rate of hip fracture is 18%-33% in following year. Epidemiological studies showed that sarcopenia is associated with mortality, morbidity and functional loss. Little is known about sarcopenia diagnostic criteria (ESPEN 2009) and bone mineral densitometry (BMD) scores in Turkish Elderly Population. Methods In this single centered observational study, elderly patients without cognitive impairment underwent assessment. Demographic features, mini nutrition assessment- sort form (MNA-sf) score, BMD, hand grip strength, 5 meter walking speed, skeletal muscle mass(SMM) and skeletal muscle mass index (SMM/Height 2) were recorded. We assessed sarcopenia criteria and BMD score relation. Results Forty-seven patients were fulfills inclusion criteria and underwent assessment. Mean age was 75.7661.03 and 63.8% were female. Three of all were sarcopenic according to ESPEN 2009 guidelines. 83% were normal and 17% were at malnutrition risk according to MNA-sf score. Hand grip straight (r¼0.286, p¼0.05) and SMM (r¼0.38, p¼0.011) were significantly positive correlates with femur total T score but there were no correlations between SMM index and 5 meters walking speed. Conclusions This preliminary study showed relations between skeletal muscle mass, hand grip strength and femur total BMD score in a small Turkish Elderly Patients Population. Sarcopenia and osteoporosis relation in Turkish Population should be assessed in multicentre large population-based study. Funding Sources Conflict of Interest: No conflict of interest, Fund: None.

scholarly journals Association of Sarcopenic Dysphagia with Underlying Sarcopenia Following Hip Fracture Surgery in Older Women

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1365 ◽  
Author(s):  
Ayano Nagano ◽  
Keisuke Maeda ◽  
Akio Shimizu ◽  
Shinsuke Nagami ◽  
Naohide Takigawa ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Hip Fracture ◽  
Grip Strength ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Oral Intake ◽  
Hip Fracture Surgery ◽  
Hand Grip ◽  
Sarcopenic Dysphagia ◽  
Fracture Surgery

This study aimed to investigate the association between the development of dysphagia in patients with underlying sarcopenia and the prevalence of sarcopenic dysphagia in older patients following surgical treatment for hip fracture. Older female patients with hip fractures (n = 89) were studied. The data of skeletal muscle mass, hand-grip strength, and nutritional status were examined. The development of dysphagia postoperatively was graded using the Food Oral Intake Scale by a certified nurse in dysphagia nursing. The patients’ mean age was 85.9 ± 6.5 years. The prevalence of sarcopenia was 76.4% at baseline. Of the 89 patients, 11 (12.3%) and 12 (13.5%) had dysphagia by day 7 of hospitalization and at discharge, respectively. All patients who developed dysphagia had underlying sarcopenia. Lower skeletal muscle mass index (SMI) (<4.7 kg/m2) and grip strength (<8 kg) at baseline indicated a higher incidence of dysphagia on day 7 (p = 0.003 and Phi = 0.391) and at discharge (p = 0.001 and Phi = 0.448). Dysphagia developed after hip fracture surgery could be sarcopenic dysphagia, and worsening sarcopenia was a risk factor for dysphagia following hip fracture surgery. Clinicians and medical coworkers should become more aware of the risks of sarcopenic dysphagia. Early detection and preventive interventions for dysphagia should be emphasized.

scholarly journals Telerehabilitation is Effective to Recover Functionality and Increase Skeletal Muscle Mass Index in COVID-19 Survivors

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Jorge Cancino-López ◽  
Patricio Zarricueta Vergara ◽  
Bárbara Leyton Dinamarca ◽  
Pedro Figueroa Contreras ◽  
Luis Miño Cárcamo, ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Grip Strength ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Elbow Flexion ◽  
Hand Grip Strength ◽  
Step Test ◽  
Chair Stand ◽  
Hand Grip ◽  
Skeletal Muscle Mass Index

Objective: The purpose of this study was to evaluate the effects of a telerehabilitation program for COVID-19 survivors on their functionality, aerobic capacity, upper-lower body strength and skeletal muscle mass index. Methods: Fifty patients (22 M); age 54.1±15.4 who became ill with COVID-19 during 2020 completed a 24-session telerehabilitation program. The following measures were taken: Barthel’s index, two minutes step test (2MST), elbow flexion one-repetition maximal (1RM), short physical performance battery (SPPB), hand grip strength, 30-second chair stand, skeletal muscle index (SMI), body fat percentage, resting pulse, arterial blood pressure, and pulse oximetry. Results: There was a significant increase in the Barthel index (p?0.0001), 2MST (p?0.0001), 1RM elbow flexion (p?0.0001), SPPB (p?0.0001), hand grip strength (p?0.0001), 30-second chair stand (p?0.0001), and SMI (p?0.0001). Conclusion: A 24 session in-home telerehabilitation program promoted the recovery of physical independence and increases in skeletal muscle mass index and physical fitness.

771-P: Protein Intake at Breakfast Contributes to Maintenance of Skeletal Muscle Mass in Japanese Elderly Patients with Type 2 Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 771-P
Author(s):  
SODAI KUBOTA ◽  
HITOSHI KUWATA ◽  
SAKI OKAMOTO ◽  
DAISUKE YABE ◽  
KENTA MUROTANI ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Skeletal Muscle ◽  
Elderly Patients ◽  
Muscle Mass ◽  
Protein Intake ◽  
Skeletal Muscle Mass ◽  
P Protein ◽  
Japanese Elderly

scholarly journals Predictors of changes in skeletal muscle mass after esophagectomy in elderly patients with esophageal cancer

2021 ◽  
Author(s):  
Tsuyoshi Harada ◽  
Noriatsu Tatematsu ◽  
Junya Ueno ◽  
Yu Koishihara ◽  
Nobuko Konishi ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Esophageal Cancer ◽  
Elderly Patients ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Quadriceps Muscle ◽  
Computed Tomography Images ◽  
Ratio Change ◽  
Comprehensive Rehabilitation ◽  
The Mean

Abstract Purpose : Although a change in skeletal muscle mass index (SMI) 4 months after esophagectomy impacts prognosis, predictors of a change in SMI have not been revealed. The purpose of this exploratory retrospective study was to clarify the predictors of a change in SMI after curative esophagectomy in elderly patients with esophageal cancer.Methods : Fifty-four patients who underwent esophagectomy and perioperative rehabilitation from 2015 to 2018 were enrolled. Preoperative and postoperative SMI (cm 2 /m 2 ) were calculated using computed tomography images. The ratio change in SMI was calculated as follows: (postoperative SMI − preoperative SMI) ÷ preoperative SMI × 100%. Potential predictors of a change in SMI ratio were analyzed by multiple regression. Results : The mean ratio change in SMI 4 months after esophagectomy was −7.1% ± 9.4%. The ratio change in quadriceps muscle strength in the first month after surgery ([postoperative strength − preoperative strength] ÷ preoperative strength × 100%) (standardized β = .273, p = .038) and neoadjuvant chemotherapy (NAC) (standardized β = .398, p = .006) were predictors of the ratio change in SMI independent of age, sex, pathological stage, and preoperative SMI. Conclusion : Quadriceps muscle weakness in the first month after esophagectomy and NAC were predictors of the ratio change in SMI after esophagectomy. Continuous postoperative comprehensive rehabilitation and supportive care may inhibit loss of skeletal muscle mass.

P1569ADIPONECTIN IS ASSOCIATED WITH DECLINE IS SKELETAL MUSCLE MASS AND BONE MINERAL CONTENT IN PATIENTS ON HEMODIALYSIS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Hiroshi Ogawa ◽  
Toshimitsu Koga ◽  
Daisuke Fuwa ◽  
Hirofumi Tamaki ◽  
Takayuki Nanbu ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Bone Mineral Content ◽  
Muscle Mass ◽  
Body Fat ◽  
Bone Mineral ◽  
Fat Mass ◽  
Skeletal Muscle Mass ◽  
Mineral Content ◽  
Body Fat Mass ◽  
Total Plasma

Abstract Background and Aims Patients on hemodialysis are prone to undernutrition, malnutrition-inflammation-atherosclerosis (MIA) syndrome, and protein-energy wasting (PEW). One of the major adipocytokines adiponectin (ADPN) is involved in anti-arteriosclerotic and anti-inflammatory processes. However, ADPN is implicated in muscle weakness and loss of muscle mass in the elderly in addition to sarcopenia. At the 2019 ERA-EDTA Congress, we announced that total plasma ADPN levels in patients on hemodialysis (HD) showed a significant inverse correlation with BMI, body fat in percentage, mass and estimated skeletal muscle mass, and ADPN may be involved in sarcopenia in patients on HD. Herein, we investigated the association of ADPN level with sarcopenia in patients on HD using a method different from the one used in our previous study. We examined the relationship between total plasma ADPN level and the rate of change in estimated skeletal muscle mass, bone mineral content, and body fat mass over 5 years after the plasma ADPN measurement. Furthermore, we analyzed whether an elevated ADPN level was predictive of a subsequent decline in these parameters. Method Total plasma ADPN levels were measured using ELISA (Bio Vendor-Laboratorni Medicina a.s., Czech Republic) in 42 male patients on HD (age: 51.1 ± 9.0 years, dialysis vintage: 144.8 ± 99.2 months, BMI: 21.8 ± 3.2, dry BW: 62.0 ± 10.9 kg, dialysis time: 15.6 ± 3.1 hours/week). The estimates of skeletal muscle mass, bone mineral content, and body fat mass were made using multi-frequency bioelectrical impedance analysis (MFBIA) within the same year when total plasma ADPN level were first measured in 2011 as well as in 2016. We then calculated the rates of change in the estimated skeletal muscle mass, bone mineral content, and body fat mass over the 5 years and correlated these parameters with the total plasma ADPN measurements. Results Conclusion Total plasma ADPN levels inversely correlate with larger rates of decrease in estimated skeletal muscle mass and bone mineral content in patients on HD. This suggests that ADPN may play a role in the decline in skeletal muscle mass and bone mineral content over time in patients on HD.

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