Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study

Sarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as well as the actual prevalence of these conditions in osteoporosis patients. We conducted a cross-sectional, single-center study in female osteoporosis patients ≥ 65 years (SaNSiBaR-study). Results of the sarcopenia (SARC-F) and malnutrition (MNA-SF) screening questionnaires were matched with a functional assessment for sarcopenia and data from patients’ medical records. Out of 107 patients included in the analysis, a risk for sarcopenia (SARC-F ≥ 4 points) and a risk for malnutrition (MNA-SF ≤ 11 points) was found in 33 (30.8%) and 38 (35.5%) patients, respectively. Diagnostic overlap with coincident indicative findings in both questionnaires was observed in 17 patients (16%). As compared to the respective not-at-risk groups, the mean short physical performance battery (SPPB) score was significantly reduced in both patients at risk for sarcopenia (7.0 vs. 10.9 points, p < 0.001) and patients at risk for malnutrition (8.7 vs. 10.5 points, p = 0.005). Still, confirmed sarcopenia according to EWGSOP2 criteria was present in only 6 (6%) of all 107 patients, with only 3 of them having an indicative SARC-F score. Bone mineral density was not significantly different in any of the at-risk groups at any site. In summary, applying SARC-F and MNA-SF in osteoporosis patients appears to be a complementary approach to identify individuals with functional deficits.

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Correlation between Degenerative Changes and Osteoporosis in Lumbar Spine of Elderly Women in Dhaka city, Bangladesh

City Dental College Journal ◽

10.3329/cdcj.v10i1.13740 ◽

2018 ◽

Vol 10 (1) ◽

pp. 18-21 ◽

Cited By ~ 1

Author(s):

Sultana Amena Ferdoucy ◽

Md Anower Hussain Mian ◽

Nasrin Akhter ◽

Md Shafiqul Alam ◽

MA Sadek

Keyword(s):

Lumbar Spine ◽

Elderly Women ◽

Significant Negative Correlation ◽

Cross Sectional Study ◽

Degenerative Changes ◽

Mineral Density ◽

Cross Sectional ◽

Age Related ◽

Younger Age ◽

Study Results

Aims: Degenerative joint diseases and decreased bone mass i.e. osteoporosis are two common age related skeletal disorders responsible for pain and disability. Bangladesh has a high incidence of osteoporosis and the incidence particularly in women, occurs among a relatively younger age group than in the developed world. However little is known about the correlation between degenerative changes and osteoporosis in lumbar spine of elderly women. The purpose of this study was to clarify this relationship in elderly women of Dhaka, Bangladesh. Methods: A cross-sectional study was conducted at the department of radiology and imaging of Bangladesh institute of research and rehabilitation in diabetes, endocrine and metabolic disorders (BIRDEM), Dhaka during the period of 1st January, 2009 to 31st December, 2010. DEXA scan of spine and BMD measurement were done at a renowned private hospital of Dhaka. Total 63 elderly female aged between 50-75 years were randomly selected for this study. Results: An inverse relationship between osteoporosis and spondylosis in postmenopausal women as evaluated by bone mineral density and semiquantitative scoring of spinal degeneration was observed. A significant negative correlation (r=-0.53:p<0.05) was found between T-score and grade. DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13740 City Dent. Coll. J Volume-10, Number-1, January-2013

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Malnutrition and cachexia among cancer out-patients in Nairobi, Kenya

Journal of Nutritional Science ◽

10.1017/jns.2017.61 ◽

2017 ◽

Vol 6 ◽

Author(s):

L. U. Kaduka ◽

Z. N. Bukania ◽

Y. Opanga ◽

R. Mutisya ◽

A. Korir ◽

...

Keyword(s):

At Risk ◽

Screening Tool ◽

Point Of Care ◽

Cross Sectional Study ◽

Fat Free Mass ◽

Assessment Tools ◽

Correct Identification ◽

Cross Sectional ◽

Cancer Management ◽

Patients At Risk

AbstractCancer is the third leading cause of death in Kenya. However, there is scarce information on the nutritional status of cancer patients to guide in decision making. The present study sought to assess the risk of malnutrition, and factors associated with malnutrition and cachexia, among cancer out-patients, with the aim of informing nutrition programmes for cancer management in Kenya and beyond. This was a facility-based cross-sectional study performed at Kenyatta National Hospital and Texas Cancer Centre in Nairobi, Kenya. The risk of malnutrition was assessed using the Malnutrition Universal Screening Tool (MUST). Diagnoses of malnutrition and cachexia were done using the European Society of Clinical Nutrition and Metabolism (ESPEN) and Fearon criteria, respectively. A total of 512 participants were assessed. Those at risk of malnutrition were 33·1 % (12·5 % at medium risk, 20·6 % at high risk). Prevalence of malnutrition was 13·4 %. The overall weight loss >5 % over 3 months was 18·2 % and low fat-free mass index was 43·1 %. Prevalence of cachexia was 14·1 % compared with 8·5 % obtained using the local criteria. Only 18·6 % participants had received any form of nutrition services. Age was a predictor of malnutrition and cachexia in addition to site of cancer for malnutrition and cigarette smoking for cachexia. The use of the MUST as a screening tool at the first point of care should be explored. The predictive value of current nutrition assessment tools, and the local diagnostic criteria for malnutrition and cachexia should be reassessed to inform the development of appropriate clinical guidelines and future capacity-building initiatives that will ensure the correct identification of patients at risk for timely care.

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Dengue: awareness, preventive practices and water storage behaviour in an urban community of Delhi

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175148 ◽

2017 ◽

Vol 4 (12) ◽

pp. 4460

Author(s):

Priya Arora ◽

Manisha Arora ◽

Vishal Sharma ◽

Atul Kotwal

Keyword(s):

At Risk ◽

Water Storage ◽

Public Health Problem ◽

Cross Sectional Study ◽

Community Level ◽

Important Public Health Problem ◽

Cross Sectional ◽

Preventive Practices ◽

Study Results ◽

Dengue Control

Background: Dengue, an arboviral disease transmitted by Aedes egypti mosquito, has become an important public health problem, with almost half the population of the world being at risk. Community awareness and involvement for vector control is an important aspect of disease prevention and control. The aims and objective was to assess awareness and preventive practices used for dengue and related water storage behaviour in an urban area of Delhi. Methods: Observational, descriptive, cross sectional study. Results: Awareness about dengue fever and its mode of spread is quite high but the participants are not aware about the practices that are putting their surroundings at risk of vector breeding; especially when it comes to water storage behaviour. Conclusions: Behaviour change at individual and community level is essential for vector and hence dengue control, adoption of proper preventive practices and water storage behaviour needs to be emphasized at the community level.

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Frequency of Osteopenia and its association with Socio Economic Status among general female population aged 18-60 years

Pakistan BioMedical Journal ◽

10.52229/pbmj.v4i1.71 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Sana Zahid ◽

Tallat Anwar Faridi ◽

Asif Hanif ◽

Zahid Masood ◽

Akash John ◽

...

Keyword(s):

Economic Status ◽

Lower Class ◽

Cross Sectional Study ◽

Mineral Density ◽

Cross Sectional ◽

Female Population ◽

Average Value ◽

Socio Economic Status ◽

Study Results ◽

Common Problems

Osteopenia is regarded as the Bone Mineral Density (BMD) which is lower than that of the average value but not as low as Osteoporosis. In Pakistan, Osteoporosis and Osteopenia among women have become one of the most common problems of recent times. Objectives: To find the frequency of osteopenia among females in Faisalabad and its association with SES (Socio Economic Status). Methodology: It was an analytical and cross-sectional study which was conducted at Niaz Medicare Clinic in Faisalabad. The study was completed in 9 months from 18 October 2019 to 18 July 2020. Non probability purposive sampling was done and 323 females were taken for the study. Results: The results demonstrated that 56.3% of the population had Osteopenia. Socio Economic Status had as statistically significant association with Osteopenia (p= 0.041). The results also revealed that the females belonging to middle class and lower class had a higher prevalence of Osteopenia than the females of upper Socio Economic Status. Conclusion: the frequency of Osteopenia was fairly high among females specifically the age group 18-29 years. There was an association found between Osteopenia and Socio Economic status (p =0.041).

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The Association between Bone Mineral Density and Complete Blood Count in Postmenopausal Women: A Cross-Sectional Study

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.03.11848 ◽

2021 ◽

Vol 104 (3) ◽

pp. 432-437

Keyword(s):

Bone Mineral Density ◽

Postmenopausal Women ◽

Bone Mineral ◽

Blood Count ◽

Complete Blood Count ◽

Cross Sectional Study ◽

Mineral Density ◽

Cross Sectional ◽

Study Results ◽

The Relationship

Objective: To demonstrate the relationship between anemia and complete blood count (CBC) parameters with bone mineral density (BMD) in postmenopausal women. Materials and Methods: A cross-sectional chart-review study was conducted between November 2017 and June 2019. Three hundred twenty-four postmenopausal women aged 50 years or older who had BMD and CBC results were included in the present study. Results: The prevalence of osteopenia and osteoporosis diagnosed by T-score were 53.1% and 32.7%, respectively. Simple and multiple linear regression analyses showed that no association between CBC parameter with BMD except basophil count, which was negatively associated with BMD (p=0.011). There was no correlation between anemia and BMD status (p=0.168). Conclusion: CBC parameters such as hemoglobin or white blood cell count were not statistically correlated with BMD. This is the first study demonstrating that basophil count may be an associated factor for deceased BMD. Keywords: Postmenopausal women, Bone mineral density, Complete blood count, Basophil

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Drug-related problems in a clinical setting: a literature review and cross-sectional study evaluating factors to identify patients at risk

European Journal of Hospital Pharmacy ◽

10.1136/ejhpharm-2014-000605 ◽

2015 ◽

Vol 22 (4) ◽

pp. 229-235 ◽

Cited By ~ 10

Author(s):

Carli Michèle Wilmer ◽

Victor Johan Bernard Huiskes ◽

Stephanie Natsch ◽

Alexander Johannes Maria Rennings ◽

Bartholomeus Johannnes Frederikus van den Bemt ◽

...

Keyword(s):

At Risk ◽

Literature Review ◽

Clinical Setting ◽

Cross Sectional Study ◽

Drug Related Problems ◽

Sectional Study ◽

Cross Sectional ◽

Patients At Risk

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Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study: Table 1

QJM ◽

10.1093/qjmed/hcu142 ◽

2014 ◽

Vol 108 (1) ◽

pp. 27-31 ◽

Cited By ~ 1

Author(s):

T. Ó Flatharta ◽

A. Khan ◽

T. Walsh ◽

M. O’Donnell ◽

S.T. O’Keefe

Keyword(s):

At Risk ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients At Risk

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A predictive model for identifying patients at risk of delayed transfer of care: a retrospective, cross-sectional study of routinely collected data

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzab130 ◽

2021 ◽

Vol 33 (3) ◽

Author(s):

Andrew Davy ◽

Thomas Hill ◽

Sarahjane Jones ◽

Alisen Dube ◽

Simon c Lea ◽

...

Keyword(s):

At Risk ◽

Predictive Model ◽

Cross Sectional Study ◽

Early Warning Score ◽

Sectional Study ◽

Cross Sectional ◽

Transfer Of Care ◽

Routinely Collected Data ◽

Patients At Risk ◽

Transfers Of Care

Abstract Background Delays to the transfer of care from hospital to other settings represent a significant human and financial cost. This delay occurs when a patient is clinically ready to leave the inpatient setting but is unable to because other necessary care, support or accommodation is unavailable. The aim of this study was to interrogate administrative and clinical data routinely collected when a patient is admitted to hospital following attendance at the emergency department (ED), to identify factors related to delayed transfer of care (DTOC) when the patient is discharged. We then used these factors to develop a predictive model for identifying patients at risk for delayed discharge of care. Objective To identify risk factors related to the delayed transfer of care and develop a prediction model using routinely collected data. Methods This is a single centre, retrospective, cross-sectional study of patients admitted to an English National Health Service university hospital following attendance at the ED between January 2018 and December 2020. Clinical information (e.g. national early warning score (NEWS)), as well as administrative data that had significant associations with admissions that resulted in delayed transfers of care, were used to develop a predictive model using a mixed-effects logistic model. Detailed model diagnostics and statistical significance, including receiver operating characteristic analysis, were performed. Results Three-year (2018–20) data were used; a total of 92 444 admissions (70%) were used for model development and 39 877 (30%) admissions for model validation. Age, gender, ethnicity, NEWS, Glasgow admission prediction score, Index of Multiple Deprivation decile, arrival by ambulance and admission within the last year were found to have a statistically significant association with delayed transfers of care. The proposed eight-variable predictive model showed good discrimination with 79% sensitivity (95% confidence intervals (CIs): 79%, 81%), 69% specificity (95% CI: 68%, 69%) and 70% (95% CIs: 69%, 70%) overall accuracy of identifying patients who experienced a DTOC. Conclusion Several demographic, socio-economic and clinical factors were found to be significantly associated with whether a patient experiences a DTOC or not following an admission via the ED. An eight-variable model has been proposed, which is capable of identifying patients who experience delayed transfers of care with 70% accuracy. The eight-variable predictive tool calculates the probability of a patient experiencing a delayed transfer accurately at the time of admission.

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Bone Mineral Density in Children with Juvenile Idiopathic Arthritis: A Hospital Based Study

Bangladesh Journal of Child Health ◽

10.3329/bjch.v37i1.15347 ◽

2013 ◽

Vol 37 (1) ◽

pp. 18-21 ◽

Cited By ~ 1

Author(s):

Muhammad Fuadul Islam ◽

Mohammad Imnul Islam ◽

Manik Kumar Talukdar ◽

Shahana A Rahman

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Bone Mineralization ◽

Cross Sectional Study ◽

Joint Disease ◽

Mineral Density ◽

Small Pilot Study ◽

Cross Sectional ◽

Femur Neck ◽

Study Results ◽

Systemic Onset

Background: Failure to develop adequate bone mineralization is common in children with Juvenile Idiopathic Arthritis (JIA). Osteopenia or osteoporosis occurs in all the JIA subtype but particularly common in systemic onset and polyarticular JIA. There is an association of increased demineralization of bones with duration of joint disease. Objective: To determine the extent of osteoporosis in Juvenile Idiopathic Arthritis (JIA). Methodology: Cross sectional study conducted from July 2011 to December2011 in Department of Paediatrics and Institute for Nuclear Medicine and Ultrasound(INMU), Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Participants: Total 30 patients were enrolled in this study. Results: Significant osteopenia among 53.33% and 70% JIA patients and osteoporosis among 26.67% and 23.33% JIA patients were found at femur neck and lumber region respectively. In polyarticular cases majority of the cases had osteopenia (81.25% and 75%) and in systemic onset JIA cases majority had osteoporosis (55.56% and 33.37%) at femur neck and lumber region respectively. Longer duration cases at diagnosis had more osteopenia (58.33% and 66.67%) and osteoporosis (41.67% and 33.33%) than the shorter duration cases at femur neck and lumber region respectively. Conclusion: From this small pilot study it may be concluded that JIA Patients are likely to have low BMD. Among them polyarticular and systemic onset JIA patients are even more susceptible to low BMD. There is also positive relationship between the duration of arthritis and low BMD. DOI: http://dx.doi.org/10.3329/bjch.v37i1.15347 BANGLADESH J CHILD HEALTH 2013; VOL 37 (1) : 18-21

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Involvement of Tunisian General Practitioners in the Management of Patients at Risk of Infective Endocarditis: A Cross-Sectional Study

International Journal of Dentistry ◽

10.1155/2021/5542534 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Malek Lagha ◽

Mehdi Khemiss ◽

Ines Kallel ◽

Asma Araissia ◽

Chems Belkhir ◽

...

Keyword(s):

At Risk ◽

Infective Endocarditis ◽

Antibiotic Prophylaxis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Patients At Risk ◽

Spss Software ◽

General Dentists ◽

The Right ◽

Real Practice

Objectives. This work aimed to estimate the knowledge and practice of general dentists in the governorate of Manouba regarding the management of patients at risk of infective endocarditis. Materials and Methods. A survey involving private sector general dentists in the governorate of Manouba was performed. It contained 21 questions, and it was addressed to 111 dentists. Only 82 dentists responded. To carry out the descriptive study, we used the SPSS software version 21.0. Results. Our results proved the lack of knowledge among dentists in the governorate of Manouba with regard to the management of patients at risk of infective endocarditis. An overestimation of the risk and an overprescription of antibiotic were found in order to ensure an over-protection for the patients as well as the dentist. In fact, 85.4% of these dentists prescribed antibiotic prophylaxis for the two groups of patients (high risk and moderate risk). Only 9.8% followed the right modality of antibiotic prophylaxis prescription; 4.9% of the dentists prescribed antibiotic only 1 hour before the act and 4.9% of them prescribed antibiotic 1 hour before the act and continued the treatment in case of the presence of an infectious site. Conclusion. A discrepancy towards an over-estimation of risk and overprescription of antibiotic was found between the recommendations and real practice. Similar studies in the other governorates of Tunisia are recommended in order to better understand the problem.

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