MO906DIAGNOSIS OF SARCOPENIA ACCORDING TO THE EWGSOP2 STEPS IN VERY ELDERLY HEMODIALYSIS PATIENTS

Abstract Background and Aims Sarcopenia, defined as the loss of muscle mass and strength, is common in patients with chronic kidney disease. The variability of the prevalence of sarcopenia depends in part on the diagnostic criteria applied. In 2019, the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) proposed four steps to diagnose and assess sarcopenia. The concept of sarcopenia is encompassed within the broader concept of frailty. The aim of this study was to analyse the incidence of sarcopenia in very elderly patients on haemodialysis following the criteria recently established by the European Working Group on Sarcopenia in Older People EWGSOP2. Additionally, to assess the usefulness of the diagnostic algorithm in the very elderly haemodialysis population, and its association with functionally scales related to sarcopenia, such as dependency, frailty, and nutrition. Method In a prospective study of 60 patients on chronic hemodialysis aged 75- to 95-years, sarcopenia was assessed according to the 4 EWGSOP2 steps: Find-Assess-Confirm-Severity, using Strength, Assistance walking, Rise from a chair, Climb stairs, and Falls (SARC-F) to find, grip strength by dynamometry (GFD) and sit to stand to sit 5 (STS5) test to assess, appendicular skeletal muscle mass by bioimpedance to confirm and gait speed, the Timed-Up and Go (TUG) test, and the Short Physical Performance Battery (SPPB) for severity. Functionality scales of malnutrition inflammation (MIS), comorbility of Charlson, dependence of Barthel, fragility by FRAIL index2 and Physical Activity Scale for the Elderly (PASE) were conducted. Results Sixty patients were involved in the study. Sixty-eight percent (41) were men, with a mean age of 81.85±5.58 years and length of stay in HD 49.88±40.29 months. The sequential four steps resulted in a prevalence of confirmed sarcopenia of 20% and of severe sarcopenia of 20%. Correlation of the different variables defined by the EWGSOP2 with the scales of MIS, Barthel, Frail, Charlson and PASE was analyzed. It is observed that the SARC-F but not BIA correlates with the functionality tests. The GFD is the test that correlates with more variables, both functional and anthropometric. Of the severity measurement scales, the SPPB is the one that correlates with the greatest number of variables. Conclusion These findings question the four-step EWGSOP2 assessment for very elderly hemodialysis patients and suggest that 20% had confirmed severe sarcopenia. Functionality scales correlated better with GFD and SPPB.

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Performance of the European Working Group on Sarcopenia in Older People algorithm in screening older adults for muscle mass assessment

Age and Ageing ◽

10.1093/ageing/afu192 ◽

2014 ◽

Vol 44 (2) ◽

pp. 334-338 ◽

Cited By ~ 30

Author(s):

Roberto Alves Lourenço ◽

Mario Pérez-Zepeda ◽

Luis Gutiérrez-Robledo ◽

Francisco J. García-García ◽

Leocadio Rodríguez Mañas

Keyword(s):

Older Adults ◽

Older People ◽

Muscle Mass ◽

Working Group ◽

European Working Group ◽

European Working

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Methodological issues in determination of low muscle mass reference cut-off values: Reply to Comment on “Cut-off points to identify sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP) definition”

Clinical Nutrition ◽

10.1016/j.clnu.2017.02.023 ◽

2017 ◽

Vol 36 (3) ◽

pp. 903-904 ◽

Cited By ~ 2

Author(s):

Gulistan Bahat ◽

Asli Tufan ◽

Cihan Kilic ◽

Mehmet Akif Karan ◽

Alfonso J. Cruz-Jentoft

Keyword(s):

Older People ◽

Muscle Mass ◽

Working Group ◽

Methodological Issues ◽

European Working Group ◽

European Working

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SUN-P030: The European Working Group on Sarcopenia in Older People (EWGSOP) Definition of Low Muscle Mass is Associated with Functionality and Nutritional Status in Residents of a Nursing Home

Clinical Nutrition ◽

10.1016/s0261-5614(16)30373-9 ◽

2016 ◽

Vol 35 ◽

pp. S55

Author(s):

A.Tufan Cincin ◽

G. Bahat ◽

H. Ozkaya ◽

F. Tufan ◽

B. Saka ◽

...

Keyword(s):

Nursing Home ◽

Nutritional Status ◽

Older People ◽

Muscle Mass ◽

Working Group ◽

European Working Group ◽

European Working ◽

Definition Of

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Comparison between Original and Reviewed Consensus of European Working Group on Sarcopenia in Older People: A Probabilistic Cross-Sectional Survey among Community-Dwelling Older People

Gerontology ◽

10.1159/000519304 ◽

2021 ◽

pp. 1-8

Author(s):

Erik Ramirez ◽

Rogelio Salas ◽

Cristina Bouzas ◽

Rosario Pastor ◽

Josep A. Tur

Keyword(s):

Muscle Strength ◽

Older People ◽

Muscle Mass ◽

Working Group ◽

Handgrip Strength ◽

Community Dwelling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

European Working Group ◽

European Working

Introduction: The European Working Group on Sarcopenia in Older People (EWGSOP) published a consensus on sarcopenia in 2010 and updated it in 2019 (EWGSOP2) which included the use of specific cut-off points. The aim was to assess how much prevalence of sarcopenia differed between EWGSOP2 and EWGSOP, as well as the use of specific cut-off points to assess differences in presarcopenia versus probable sarcopenia. Methods: Observational, transversal, and comparative study (n = 1,283 older adults; 57% women). Anthropometrics and handgrip strength were measured, and appendicular skeletal muscle mass equation was defined. Conceptual and methodological definitions of EWGSOP and EWGSOP2 consensus were applied to calculate prevalence of presarcopenia, probable sarcopenia, and sarcopenia. Results: Using cut-off points recommended for European population, prevalence of sarcopenia with EWGSOP2 was lower (−6.6%; p < 0.001) than EWGSOP. The prevalence of probable sarcopenia (EWGSOP2) was higher (+7.8%; p < 0.001) than EWGSOP presarcopenia. The agreement between EGWGSOP and EWGSOP2 was moderated (K = 0.45; IC = 0.40–0.51). Using specific-population cut-off points for muscle strength and appendicular muscle mass, the prevalence of probable sarcopenia with EWGSOP2 was higher (46.5%; p < 0.001) than EWGSOP (1.8%). The agreement between EGWGSOP and EWGSOP2 was moderated (K = 0.48; IC = 0.42–0.52). Conclusion: The new EWGSOP2 consensus underestimates the prevalence of sarcopenia, compared with EWGSOP using conventional cut-off points. The prevalence of presarcopenia with EWGSOP (low muscle mass) was lower than probable sarcopenia (low muscle strength) with the new EWGSOP2. In both cases, agreements between EWGSOP2 and EWGSOP were moderated. Discrepancies between the original and new consensus have implications on the primary health setting for identifying old and new cases for prevention and treatment.

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Using the European Working Group on Sarcopenia in Older People (EWGSOP) definition to estimate the prevalence of sarcopenia in community dwelling older people in the uK: Findings from the Hertfordshire Cohort Study (HCS)

European Geriatric Medicine ◽

10.1016/j.eurger.2013.07.251 ◽

2013 ◽

Vol 4 ◽

pp. S76

Author(s):

H.P. Patel ◽

H.E. Syddall ◽

K.A. Jameson ◽

S.M. Robinson ◽

H.J. Denison ◽

...

Keyword(s):

Cohort Study ◽

Older People ◽

Working Group ◽

Community Dwelling ◽

European Working Group ◽

European Working ◽

Community Dwelling Older People ◽

Hertfordshire Cohort Study ◽

The Uk

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Prevalence of sarcopenia in community-dwelling older adults using the definition of the European Working Group on Sarcopenia in Older People 2: findings from the Korean Frailty and Aging Cohort Study

Age and Ageing ◽

10.1093/ageing/afz091 ◽

2019 ◽

Vol 48 (6) ◽

pp. 910-916 ◽

Cited By ~ 22

Author(s):

Miji Kim ◽

Chang Won Won

Keyword(s):

Older Adults ◽

Cohort Study ◽

Muscle Strength ◽

Older People ◽

Muscle Mass ◽

Working Group ◽

Community Dwelling ◽

European Working ◽

Definition Of ◽

Community Dwelling Older Adults

Abstract Background in October 2018, the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) updated their original definition of sarcopenia to reflect the scientific and clinical evidence that has accumulated over the last decade. Objective to determine the prevalence of sarcopenia in a large group of community-dwelling older adults using the EWGSOP2 definition and algorithm. Design a cross-sectional study. Setting the nationwide Korean Frailty and Aging Cohort Study (KFACS). Subjects a total of 2,099 ambulatory community-dwelling older adults, aged 70–84 years (mean age, 75.9 ± 4.0 years; 49.8% women) who were enrolled in the KFACS. Methods physical function was assessed by handgrip strength, usual gait speed, the five-times-sit-to-stand test, the timed up-and-go test, and the Short Physical Performance Battery. Appendicular skeletal muscle mass (ASM) was measured by dual-energy X-ray absorptiometry. Results according to the criteria of the EWGSOP2, the sarcopenia indicators of combined low muscle strength and low muscle quantity were present in 4.6–14.5% of men and 6.7–14.4% of women. The severe sarcopenia indicators of combined low muscle strength, low muscle quantity and low physical performance were present in 0.3–2.2% of men and 0.2–6.2% of women. Using the clinical algorithm with SARC-F as a screening tool, the prevalence of probable sarcopenia (2.2%), confirmed sarcopenia (1.4%) and severe sarcopenia (0.8%) was low. Conclusions the prevalence of sarcopenia among community-dwelling older individuals varied depending on which components of the revised EWGSOP2 definition were used, such as the tools used to measure muscle strength and the ASM indicators for low muscle mass.

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Agreement Between Initial and Revised European Working Group on Sarcopenia in Older People Definitions

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2018.11.026 ◽

2019 ◽

Vol 20 (3) ◽

pp. 382-383.e1 ◽

Cited By ~ 17

Author(s):

Steven Phu ◽

Sara Vogrin ◽

Jesse Zanker ◽

Ebrahim Bani Hassan ◽

Ahmed Al Saedi ◽

...

Keyword(s):

Older People ◽

Working Group ◽

European Working Group ◽

European Working

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Associação de força de preensão palmar e osteoporose avaliada por densitometria óssea (DXA) em idosos quilombolas

Acta Fisiátrica ◽

10.11606/issn.2317-0190.v25i4a163868 ◽

2018 ◽

Vol 25 (4) ◽

Author(s):

Luiz Sinésio Silva Neto ◽

Fabiane Aparecida Canaan Rezende ◽

Daniella Pires Nunes ◽

Erika Da Silva Maciel ◽

Andreia Travassos ◽

...

Keyword(s):

Older People ◽

Working Group ◽

European Working Group ◽

European Working

Objetivo: Verificar a associação de força de preensão palmar e osteoporose em idosos quilombolas. Método: Trata-se de um estudo seccional com 70 participantes (idade 65,58 ± 6.67 anos) de ambos os sexos. A densidade mineral óssea (DMO), massa muscular (MM) e o percentual de gordura foram analisados pela absortometria de raios-x de dupla energia (DXA) e a força de preensão palmar (FPP) por meio do dinamômetro de mão. O ponto de coorte adotado para identificação de osteoporose foi o da Organização Mundial de Saúde (OMS). A identificação do status da sarcopenia foi realizado para caraterização da amostra e para o diagnóstico foi utilizado os critérios propostos pelo European Working Group on Sarcopenia in Older People (EWGSOP). A FPP foi associada positivamente e significativamente com a DMO. Resultados: A osteopenia foi identificada em 42,8% da amostra e a osteoporose em 20%, sem diferença entre as frequências segundo o sexo (p = 0,161). Conclusão: Nos idosos quilombolas a baixa FPP esteve positivamente associada com baixa DMO. Portanto, sugerindo que a FPP pode ser considerada um fator de risco importante de estado ósseo em idosos quilombolas.

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