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 ◽  
...  

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.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Umut Safer ◽  
Vildan Binay Safer

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.


2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Jorge Cancino-López ◽  
Patricio Zarricueta Vergara ◽  
Bárbara Leyton Dinamarca ◽  
Pedro Figueroa Contreras ◽  
Luis Miño Cárcamo, ◽  
...  

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.


Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 8
Author(s):  
Morten Tange Kristensen ◽  
Signe Hulsbæk ◽  
Louise Lohmann Faber ◽  
Lise Kronborg

To examine if knee-extension strength (KES) measures indicating probable sarcopenia are associated with health-related outcomes and if KES and hand grip strength (HGS) measures are associated with 1-year mortality after hip fracture. Two groups of older patients with hip fracture had either HGS (n = 32) or KES (n = 150) assessed during their acute hospital stay. Cut-points for HGS (<27 kg for men and <16 kg for women), and cut-points for maximal isometric KES (non-fractured limb), being the lowest sex-specific quintile (<23.64 kg for men and <15.24 kg for women), were used to examine association with health-related outcomes and 1-year mortality. Overall, 1-year mortality was 12.6% in the two strength groups, of which 47% (HGS) and 46% (KES) respectively, were classified as probable sarcopenia. Probable sarcopenia patients (KES) had lower prefracture function, performed poorly in mobility measures and expressed a greater concern of falling compared to their stronger counterparts. Hazard ratio for 1-year mortality was 2.7 (95%CI = 0.49–14.7, p = 0.3) for HGS and 9.8 (95%CI = 2.2–43.0, p = 0.002) for KES for probable sarcopenia patients compared to those not. Sex-specific KES measures indicating sarcopenia is associated with health-related outcomes and a strong predictor of 1-year mortality after hip fracture.


2020 ◽  
Vol 6 (3) ◽  
pp. 139-145
Author(s):  
Ming Li Yee ◽  
Raphael Hau ◽  
Alison Taylor ◽  
Mark Guerra ◽  
Peter Guerra ◽  
...  

Maturitas ◽  
2007 ◽  
Vol 56 (4) ◽  
pp. 404-410 ◽  
Author(s):  
Marco Di Monaco ◽  
Fulvia Vallero ◽  
Roberto Di Monaco ◽  
Rosa Tappero ◽  
Alberto Cavanna

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