Prevalence of sarcopenia in a Danish geriatric out-patient population

Mathilde Glud Christensen; Katrine Storm Piper; Rasmus Dreier; Charlotte Suetta; Hanne Elkjær Andersen

Prevalence of sarcopenia in a Danish geriatric out-patient population

Mathilde Glud Christensen, Katrine Storm Piper, Rasmus Dreier, Charlotte Suetta, Hanne Elkjær Andersen

Department of Clinical Medicine

5 Citations (Scopus)

23 Downloads (Pure)

Abstract

INTRODUCTION: The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS: Patients referred to a geriatric outpatient-clinic were included. Using the EWGSOP´s recommendations, Ap-pendicular skeletal muscle mass (ASM), hand-grip strength (HGS) and gait speed (ten-meter walk (GS)) were assessed. Skeletal muscle mass index (SMI) was calculated by ASM/ height² (kg/m²), and patients were classified with: no sarcopenia (normal SMI), pre-sarcopenia (reduced SMI, normal HGS and GS), sarcopenia (reduced SMI and reduced HGS or GS) or severe sarcopenia (reduced SMI, HGS and GS). RESULTS: A total of 189 patients were screened, 80 were included. In all, 12 (15%) had severe sarcopenia, nine (11%) sarcopenia, eight (10%) pre-sarcopenia and 51 (64%) no sarcopenia. Mean age was significantly higher in the SARC-group (sarcopenia and severe sarcopenia) than in the NO-SARC-group (pre-sarcopenia and no sarcopenia) (p = 0.009), and BMI was significantly lower in the SARC-group (p < 0.0001). No difference was found in gender distribution (p = 0.729). CONCLUSIONS: 26% of patients in a geriatric outpatient population had sarcopenia, which highlights that this is a common condition. Standard assessments can identify functional limitations, but not sarcopenia. The EWGSOP’s recommendations are feasible, and we suggest that they should form part of the standard clinical comprehensive geriatric assessment.

Original language	English
Article number	A5485
Journal	Danish Medical Journal
Volume	65
Issue number	6
Number of pages	6
ISSN	1603-9629
Publication status	Published - Jun 2018

Keywords

Absorptiometry, Photon
Aged
Aged, 80 and over
Denmark/epidemiology
Female
Geriatric Assessment
Hand Strength
Humans
Logistic Models
Male
Multivariate Analysis
Outpatients
Prevalence
Sarcopenia/epidemiology
Walking Speed

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title = "Prevalence of sarcopenia in a Danish geriatric out-patient population",

abstract = "INTRODUCTION: The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS: Patients referred to a geriatric outpatient-clinic were included. Using the EWGSOP´s recommendations, Ap-pendicular skeletal muscle mass (ASM), hand-grip strength (HGS) and gait speed (ten-meter walk (GS)) were assessed. Skeletal muscle mass index (SMI) was calculated by ASM/ height2 (kg/m2), and patients were classified with: no sarcopenia (normal SMI), pre-sarcopenia (reduced SMI, normal HGS and GS), sarcopenia (reduced SMI and reduced HGS or GS) or severe sarcopenia (reduced SMI, HGS and GS). RESULTS: A total of 189 patients were screened, 80 were included. In all, 12 (15%) had severe sarcopenia, nine (11%) sarcopenia, eight (10%) pre-sarcopenia and 51 (64%) no sarcopenia. Mean age was significantly higher in the SARC-group (sarcopenia and severe sarcopenia) than in the NO-SARC-group (pre-sarcopenia and no sarcopenia) (p = 0.009), and BMI was significantly lower in the SARC-group (p < 0.0001). No difference was found in gender distribution (p = 0.729). CONCLUSIONS: 26% of patients in a geriatric outpatient population had sarcopenia, which highlights that this is a common condition. Standard assessments can identify functional limitations, but not sarcopenia. The EWGSOP{\textquoteright}s recommendations are feasible, and we suggest that they should form part of the standard clinical comprehensive geriatric assessment.",

keywords = "Absorptiometry, Photon, Aged, Aged, 80 and over, Denmark/epidemiology, Female, Geriatric Assessment, Hand Strength, Humans, Logistic Models, Male, Multivariate Analysis, Outpatients, Prevalence, Sarcopenia/epidemiology, Walking Speed",

author = "Christensen, {Mathilde Glud} and Piper, {Katrine Storm} and Rasmus Dreier and Charlotte Suetta and Andersen, {Hanne Elkj{\ae}r}",

note = "Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.",

year = "2018",

month = jun,

language = "English",

volume = "65",

journal = "Danish Medical Journal",

issn = "1603-9629",

publisher = "Almindelige Danske Laegeforening",

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TY - JOUR

T1 - Prevalence of sarcopenia in a Danish geriatric out-patient population

AU - Christensen, Mathilde Glud

AU - Piper, Katrine Storm

AU - Dreier, Rasmus

AU - Suetta, Charlotte

AU - Andersen, Hanne Elkjær

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2018/6

Y1 - 2018/6

N2 - INTRODUCTION: The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS: Patients referred to a geriatric outpatient-clinic were included. Using the EWGSOP´s recommendations, Ap-pendicular skeletal muscle mass (ASM), hand-grip strength (HGS) and gait speed (ten-meter walk (GS)) were assessed. Skeletal muscle mass index (SMI) was calculated by ASM/ height2 (kg/m2), and patients were classified with: no sarcopenia (normal SMI), pre-sarcopenia (reduced SMI, normal HGS and GS), sarcopenia (reduced SMI and reduced HGS or GS) or severe sarcopenia (reduced SMI, HGS and GS). RESULTS: A total of 189 patients were screened, 80 were included. In all, 12 (15%) had severe sarcopenia, nine (11%) sarcopenia, eight (10%) pre-sarcopenia and 51 (64%) no sarcopenia. Mean age was significantly higher in the SARC-group (sarcopenia and severe sarcopenia) than in the NO-SARC-group (pre-sarcopenia and no sarcopenia) (p = 0.009), and BMI was significantly lower in the SARC-group (p < 0.0001). No difference was found in gender distribution (p = 0.729). CONCLUSIONS: 26% of patients in a geriatric outpatient population had sarcopenia, which highlights that this is a common condition. Standard assessments can identify functional limitations, but not sarcopenia. The EWGSOP’s recommendations are feasible, and we suggest that they should form part of the standard clinical comprehensive geriatric assessment.

AB - INTRODUCTION: The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS: Patients referred to a geriatric outpatient-clinic were included. Using the EWGSOP´s recommendations, Ap-pendicular skeletal muscle mass (ASM), hand-grip strength (HGS) and gait speed (ten-meter walk (GS)) were assessed. Skeletal muscle mass index (SMI) was calculated by ASM/ height2 (kg/m2), and patients were classified with: no sarcopenia (normal SMI), pre-sarcopenia (reduced SMI, normal HGS and GS), sarcopenia (reduced SMI and reduced HGS or GS) or severe sarcopenia (reduced SMI, HGS and GS). RESULTS: A total of 189 patients were screened, 80 were included. In all, 12 (15%) had severe sarcopenia, nine (11%) sarcopenia, eight (10%) pre-sarcopenia and 51 (64%) no sarcopenia. Mean age was significantly higher in the SARC-group (sarcopenia and severe sarcopenia) than in the NO-SARC-group (pre-sarcopenia and no sarcopenia) (p = 0.009), and BMI was significantly lower in the SARC-group (p < 0.0001). No difference was found in gender distribution (p = 0.729). CONCLUSIONS: 26% of patients in a geriatric outpatient population had sarcopenia, which highlights that this is a common condition. Standard assessments can identify functional limitations, but not sarcopenia. The EWGSOP’s recommendations are feasible, and we suggest that they should form part of the standard clinical comprehensive geriatric assessment.

KW - Absorptiometry, Photon

KW - Aged

KW - Aged, 80 and over

KW - Denmark/epidemiology

KW - Female

KW - Geriatric Assessment

KW - Hand Strength

KW - Humans

KW - Logistic Models

KW - Male

KW - Multivariate Analysis

KW - Outpatients

KW - Prevalence

KW - Sarcopenia/epidemiology

KW - Walking Speed

M3 - Journal article

C2 - 29886880

SN - 1603-9629

VL - 65

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 6

M1 - A5485

ER -

Prevalence of sarcopenia in a Danish geriatric out-patient population

Abstract

Keywords

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