Malnutrition in Relation to Muscle Mass, Muscle Quality, and Muscle Strength in Hospitalized Older Adults

Xie, Li; Jiang, Jie; Fu, Hongbo; Zhang, Wenyi; Yang, Ling; Yang, Ming

doi:10.1016/j.jamda.2021.11.025

Cited by 22 publications

(27 citation statements)

References 39 publications

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“…Chest CT-images displayed that malnourished patients had lower skeletal muscle radiodensity, lower skeletal muscle index (men) and higher intermuscular adipose tissue (women). Moreover, HGS was reduced in malnourished patients [32]. Malnutrition, after screening with MNA-SF and diagnosed with the GLIM criteria, was observed in 43% of older Japanese patients with acute cerebral infarctions.…”

Section: Global Leadership Initiative On Malnutrition Feasibility Stu...mentioning

confidence: 88%

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Cederholm

Barazzoni

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of reviewEarly 2019, the Global Leadership Initiative on Malnutrition (GLIM) concept offered a clinically applicable and objective procedure for diagnosing malnutrition. This review summarizes 40 publications from August 2021 to August 2022 that applied the GLIM criteria in older populations from various clinical settings for criterion and predictive validation. Recent findingsCriterion validity studies, by comparing the GLIM construct with various semi-gold standards such as SGA, PG-SGA, MNA-FF/SF and ESPEN criteria, indicate by sensitivity, specificity and agreement that GLIM performs at least as well as the other tools to capture malnutrition. One meta-analysis of 20 studies with various comparators reports high accuracy for distinguishing malnutrition. GLIM-malnutrition prevalence figures vary with screening tool. Predictive validity of GLIM for mortality, and other outcomes, is good in all settings reported. Sarcopenia and GLIM show some expected overlapping.

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Section: Global Leadership Initiative On Malnutrition Feasibility Stu...mentioning

confidence: 88%

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Cederholm

Barazzoni

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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“…A previous study by Tsuji et al 14 ) did not perform such matching, and the BMI values of healthy individuals were significantly higher than those of patients with heart failure. In general, BMI is related to SMI 39 ) . Therefore, the possibility that skeletal muscle mass in healthy individuals was overestimated because of a higher BMI could not be ruled out.…”

Section: Discussionmentioning

confidence: 99%

Reduced upper and lower limb muscle strengths without reduced skeletal muscle in elderly patients with heart failure

et al. 2023

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Objective: This study aimed to characterize the muscle strength and skeletal muscle mass of patients with heart failure by investigating hand-grip strength, five times sit-to-stand (5STS) results, and skeletal muscle mass index (SMI). Materials and Methods: Muscle strength was assessed based on hand-grip strength and 5STS, while skeletal muscle mass was assessed using a bioelectrical impedance analyzer. Hierarchical logistic regression analysis was performed to explore the association between patients with heart failure and healthy elderly individuals. Results: Hierarchical logistic regression analysis was performed to examine the muscle strength and skeletal muscle mass characteristics in patients with heart failure. Hand-grip strength and 5STS responses but not SMI outcomes differed significantly between the two groups. The results of the hierarchical logistic regression analysis revealed that the hand-grip strength and 5STS were significant predictors of heart failure. The odds ratios for hand-grip strength and 5STS were 1.44 and 0.53, respectively. Conclusion: Our results suggested that upper and lower limb muscle strengths (handgrip strength and 5STS) in elderly patients with heart failure worsened significantly without a decrease in skeletal muscle mass.

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“…The structural and functional changes of diaphragm caused by malnutrition may evolve into diaphragm dysfunction. At the structural level, malnutrition could directly lead to increased muscle consumption ( Xie et al, 2021 ). Malnutrition is associated with increased diaphragmatic diastolic ratio, decreased muscle weight, decreased fibre size, decreased percentage of type II fibre, and consumption of energy-rich compounds ( Orozco-Levi, 2003 ).…”

Section: Mechanisms Of Diaphragm Dysfunction In Copdmentioning

confidence: 99%

Diaphragm Dysfunction and Rehabilitation Strategy in Patients With Chronic Obstructive Pulmonary Disease

Cao

Wang

et al. 2022

Front. Physiol.

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Chronic obstructive pulmonary disease (COPD) affects the whole body and causes many extrapulmonary adverse effects, amongst which diaphragm dysfunction is one of the prominent manifestations. Diaphragm dysfunction in patients with COPD is manifested as structural changes, such as diaphragm atrophy, single-fibre dysfunction, sarcomere injury and fibre type transformation, and functional changes such as muscle strength decline, endurance change, diaphragm fatigue, decreased diaphragm mobility, etc. Diaphragm dysfunction directly affects the respiratory efficiency of patients and is one of the important pathological mechanisms leading to progressive exacerbation of COPD and respiratory failure, which is closely related to disease mortality. At present, the possible mechanisms of diaphragm dysfunction in patients with COPD include systemic inflammation, oxidative stress, hyperinflation, chronic hypoxia and malnutrition. However, the specific mechanism of diaphragm dysfunction in COPD is still unclear, which, to some extent, increases the difficulty of treatment and rehabilitation. Therefore, on the basis of the review of changes in the structure and function of COPD diaphragm, the potential mechanism of diaphragm dysfunction in COPD was discussed, the current effective rehabilitation methods were also summarised in this paper. In order to provide direction reference and new ideas for the mechanism research and rehabilitation treatment of diaphragm dysfunction in COPD.

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Malnutrition in Relation to Muscle Mass, Muscle Quality, and Muscle Strength in Hospitalized Older Adults

Cited by 22 publications

References 39 publications

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Reduced upper and lower limb muscle strengths without reduced skeletal muscle in elderly patients with heart failure

Diaphragm Dysfunction and Rehabilitation Strategy in Patients With Chronic Obstructive Pulmonary Disease

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