FRAX score and recent fall history predict the incidence for sarcopenia in community-dwelling older adults: a prospective cohort study

Matsumoto, Hiromi; Tanimura, Chika; Kushida, Daisuke; Osaka, Hiroshi; Kawabata, Yuji; Hagino, Hiroshi

doi:10.1007/s00198-020-05447-4

Cited by 10 publications

(13 citation statements)

References 29 publications

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“…The FRAX algorithm includes items related to both osteoporotic fracture and sarcopenia, such as age, weight and height (i.e., BMI), prevalent fractures, smoking habit, and alcohol intake [ 15 , 18 ]. A previous report revealed that patients with prevalent vertebral fractures are at an increased risk of developing further fractures, even after adjusting for confounding factors [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, approximately one-third of participants were at a high risk of fractures. In other studies of the general population, the FRAX score was independently associated with sarcopenia and could predict sarcopenia with high sensitivity [ 18 , 19 ]. Therefore, the FRAX algorithm might be useful as a simple and convenient screening tool for predicting sarcopenia, as well as estimating the probabilities of further fractures.…”

Section: Introductionmentioning

confidence: 98%

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Clinical Usefulness of FRAX Score for Predicting Sarcopenia in Patients with Chronic Liver Disease

Saeki

Saito

Kanai

et al. 2021

JCM

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We investigated the usefulness of the Fracture Risk Assessment tool (FRAX) for predicting sarcopenia in chronic liver disease (CLD). In this cross-sectional study, we evaluated 321 patients with CLD. The FRAX with and without bone mineral density (BMD) was employed to calculate the 10-year risks of major osteoporotic and hip fractures. The FRAX score for high fracture risk was defined as a 10-year major osteoporotic fracture probability of ≥20% or a 10-year hip fracture probability of ≥3%. The diagnosis of sarcopenia was based on the Japan Society of Hepatology criteria. According to the FRAX, with and without BMD, 134 (41.7%) and 193 (60.1%) patients had a high fracture risk, respectively. The high fracture risk group had a significantly higher frequency of sarcopenia than the non-high fracture risk group. FRAX scores of major osteoporotic and hip fractures were negatively correlated with handgrip strength and muscle mass. Using the FRAX with BMD, the cutoff scores of major osteoporotic and hip fractures for predicting sarcopenia were 8.55% (sensitivity/specificity, 0.847/0.568) and 3.35% (0.729/0.746), respectively. Using the FRAX without BMD, they were 18.5% (0.635/0.725) and 7.65% (0.729/0.758), respectively. The FRAX is a simple and convenient screening tool for predicting sarcopenia in patients with CLD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Clinical Usefulness of FRAX Score for Predicting Sarcopenia in Patients with Chronic Liver Disease

Saeki

Saito

Kanai

et al. 2021

JCM

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“…Falls are one of the major risk factors for osteoporotic fracture and are a risk factor for fractures independent of the FRAX score [42,43]. Falls have been reported in around 38% of older community-dwelling adults in Turkey, while 45% have a fear of falling [44].…”

Section: Non-pharmacological Approachesmentioning

confidence: 99%

“…Falls have been reported in around 38% of older community-dwelling adults in Turkey, while 45% have a fear of falling [44]. Falls can cause a further decrease in physical function and muscle strength [42]. Fall screening should be performed yearly in all older adults [45], and gait and balance should be assessed in older adults as they become more prevalent with age [46].…”

Section: Non-pharmacological Approachesmentioning

confidence: 99%

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

et al. 2021

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Purpose The total number of older adults in Turkey is striking, amounting to around 8 million, and this translates into considerably higher numbers of cases of osteoporosis (OP) and fractures in older adults. In this article, we outlined the current situation of OP in older adults in Turkey and investigated the differences between Turkey and a representative developed European country (Belgium), in terms of the screening, diagnosis, and treatment of OP. Our intention in this regard was to identify areas in need of improvement and subsequently to make a clear call for action to address these issues. Methods Herein, considering the steps related to the OP approach, we made a complete review of the studies conducted in Turkey and compared with the literature recommendations. Results There is a need for a national osteoporotic fracture registry; measures should be taken to improve the screening and treatment of OP in older males, such as educational activities; technicians involved in dual-energy X-ray absorptiometry (DXA) scanning should undergo routine periodic training; all DXA centers should identify center-specific least significant change values; all older adults should be considered for routine lateral dorsolumbar X-ray imaging for the screening of vertebral fractures while ordering DXA scans; the inclusion of vertebral fracture assessment (VFA) software in DXA assessments should be considered; screening using a fracture risk assessment tool (FRAX) algorithm that is specific to Turkey should be integrated; the fortification of foods with vitamin D is required; the high fracture risk by country-specific FRAX algorithm and the presence of falls/high fall risk should be integrated in reimbursement terms; and finally, more "fracture liaison services" should be established. ConclusionWe suggest that the practical consideration of our suggestions will provide considerable support to the efforts for combating with the adverse consequences of OP in society. This approach can be subsequently modeled for other populations to improve the management of OP globally. KeywordsOsteoporosis • Current situation • Turkey • Older • Improvement Abbreviations BMD Bone mineral density DXA Dual-energy X-ray absorptiometry eGFR Estimated glomerular filtration rate ESCEO Economic evaluation of osteoporosis and osteoarthritis * Gulistan Bahat

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“…The Time Up and Go (TUG) is an instrument used to assess both low physical performance and the risk of falls (Cruz‐Jentoft et al, 2010). Sarcopenia and falls are directly related in older people, and the presence of either should be systematically assessed in order to implement useful prevention strategies (Benjumea et al, 2018; Matsumoto et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

FallSkip device is a useful tool for fall risk assessment in sarcopenic older community people

Pérez‐Ros

Sanchis-Aguado

Durá-Gil

et al. 2021

Int J Older People Nursing

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FRAX score and recent fall history predict the incidence for sarcopenia in community-dwelling older adults: a prospective cohort study

Cited by 10 publications

References 29 publications

Clinical Usefulness of FRAX Score for Predicting Sarcopenia in Patients with Chronic Liver Disease

Clinical Usefulness of FRAX Score for Predicting Sarcopenia in Patients with Chronic Liver Disease

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations

FallSkip device is a useful tool for fall risk assessment in sarcopenic older community people

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