Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients

Yoshimura, Yoshihiro; Wakabayashi, Hidetaka; Bise, Takahiro; Tanoue, Maiko

doi:10.1016/j.clnu.2017.09.009

Cited by 179 publications

(166 citation statements)

References 41 publications

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“…Higher risks of fractures were reported in 11 studies (58%) among sarcopenic individuals compared with non‐sarcopenic individuals . Non‐significant associations between sarcopenia and fractures were found in eight studies …”

Section: Resultsmentioning

confidence: 96%

“…Review of the titles and abstracts yielded 241 relevant studies for full‐text screening. Thirty‐six studies met all inclusion criteria and were included in this review . A total of 33 studies were included in the meta‐analysis; four of them presented data for both falls and fractures, leaving 20 studies included in the meta‐analysis for falls and 17 studies for fractures …”

Section: Resultsmentioning

confidence: 99%

“…Four studies included a combined group of hospitalized patients with fractures and community‐dwelling individuals without fractures . Two studies reported retrospective data, 20 studies were cross‐sectional, 13 studies were prospective, and 1 study was a randomized controlled trial examining the effect of nutritional supplementation on bone mineral density and risk of falls . Most of the studies were performed in Europe (12 studies), and Asia (12 studies), followed by Australia (5 studies), South America (4 studies), and North America (3 studies) .…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of sarcopenia varied from 0.3% to 73.0%, depending on the sarcopenia definition applied and the study population. Sarcopenia was diagnosed using one definition or more than one definition . Out of the 36 included studies, EWGSOP (23 studies) was the most commonly used definition, followed by FNIH (7 studies), Baumgartner definition (5 studies), AWGS (4 studies), and IWGS (4 studies) …”

Section: Resultsmentioning

confidence: 99%

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Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Yeung

Reijnierse

Pham

et al. 2019

J cachexia sarcopenia muscle

650

463

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Sarcopenia is a potentially modifiable risk factor for falls and fractures in older adults, but the strength of the association between sarcopenia, falls, and fractures is unclear. This study aims to systematically assess the literature and perform a meta‐analysis of the association between sarcopenia with falls and fractures among older adults. A literature search was performed using MEDLINE, EMBASE, Cochrane, and CINAHL from inception to May 2018. Inclusion criteria were the following: published in English, mean/median age ≥ 65 years, sarcopenia diagnosis (based on definitions used by the original studies' authors), falls and/or fractures outcomes, and any study population. Pooled analyses were conducted of the associations of sarcopenia with falls and fractures, expressed in odds ratios (OR) and 95% confidence intervals (CIs). Subgroup analyses were performed by study design, population, sex, sarcopenia definition, continent, and study quality. Heterogeneity was assessed using the I 2 statistics. The search identified 2771 studies. Thirty‐six studies (52 838 individuals, 48.8% females, and mean age of the study populations ranging from 65.0 to 86.7 years) were included in the systematic review. Four studies reported on both falls and fractures. Ten out of 22 studies reported a significantly higher risk of falls in sarcopenic compared with non‐sarcopenic individuals; 11 out of 19 studies showed a significant positive association with fractures. Thirty‐three studies (45 926 individuals) were included in the meta‐analysis. Sarcopenic individuals had a significant higher risk of falls (cross‐sectional studies: OR 1.60; 95% CI 1.37–1.86, P < 0.001, I 2 = 34%; prospective studies: OR 1.89; 95% CI 1.33–2.68, P < 0.001, I 2 = 37%) and fractures (cross‐sectional studies: OR 1.84; 95% CI 1.30–2.62, P = 0.001, I 2 = 91%; prospective studies: OR 1.71; 95% CI 1.44–2.03, P = 0.011, I 2 = 0%) compared with non‐sarcopenic individuals. This was independent of study design, population, sex, sarcopenia definition, continent, and study quality. The positive association between sarcopenia with falls and fractures in older adults strengthens the need to invest in sarcopenia prevention and interventions to evaluate its effect on falls and fractures.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Yeung

Reijnierse

Pham

et al. 2019

J cachexia sarcopenia muscle

650

463

View full text Add to dashboard Cite

show abstract

“…Indeed, sarcopenia found in stroke patients has been separately classified as “stroke‐related sarcopenia.” This specific condition might differ from age‐related sarcopenia in that it can be independent of age, has varying speeds of exacerbation over its course, can sometimes switch among different types of muscle fiber, be unilateral in nature and can also exist in the presence of inflammation, as well as during reconstruction of the affected muscles . From a clinical viewpoint, its epidemiological nature certainly should be better understood, and indeed, several interesting studies have recently shown that both dysphagia and poor oral health status frequently occur in post‐acute stroke patients, and these conditions might promote sarcopenia simply due to decreased food intake . Progression of stroke‐related sarcopenia could lead to the exacerbation of physical dysfunction and a reduction in activities of daily living (ADL) satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia as a predictor of activities of daily living capability in stroke patients undergoing rehabilitation

Matsushita¹,

Nishioka²,

Taguchi³

et al. 2019

Geriatrics Gerontology Int

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Aim The aim of the present study was to clarify the relationship between sarcopenia, as defined by the European Working Group on Sarcopenia in Older People, and the recovery of the capability to carry out activities of daily living in convalescent stroke patients who completed a rehabilitation program. Methods This retrospective study included consecutive stroke patients admitted to convalescent rehabilitation wards. To determine which patients had sarcopenia, we used the European Working Group on Sarcopenia in Older People criteria. At admission, participants were classified by either the presence or absence of sarcopenia. Baseline characteristics, including the Functional Independence Measure–motor domain score (FIM‐M), were retrospectively analyzed. The primary outcome to be explained was the FIM‐M at discharge. A multiple linear regression analysis was used to examine how well a sarcopenia diagnosis and various baseline characteristics could predict the FIM‐M score at discharge. Results In total, 267 participants (117 women) were included in this study. Of these, 129 (48.3%) were classified as definitely having sarcopenia. Participants with sarcopenia showed lower FIM‐M at discharge than those without this condition (median 72 vs 89, P < 0.001). Multiple linear regression analyses exploring determinants of the FIM‐M scores showed that a diagnosis of sarcopenia independently predicted them at discharge for men (B −4.957, 95% confidence interval −9.902–−0.012), but not for women. Conclusions Stroke‐related sarcopenia appears to be a predictor of how well male patients can engage in activities of daily living after rehabilitation. Geriatr Gerontol Int 2019; 19: 1124–1128.

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Effects of muscle mass and muscle quality estimated by phase angle on functional outcomes in older patients undergoing rehabilitation: A prospective cohort study

Ohtsubo¹,

Nozoe

Kanai

et al. 2022

Nut in Clin Prac

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Background: Both skeletal muscle mass and muscle quality are important predictors of poor prognosis in older patients. However, the effects of muscle mass and muscle quality estimated by the phase angle (PhA) on functional outcomes in older patients undergoing rehabilitation have yet to be reported. This study aimed to investigate whether appendicular skeletal muscle index (SMI) and muscle quality estimated by PhA were independently associated with activities of daily living (ADL) and physical function in older patients undergoing rehabilitation.Methods: This prospective cohort study included older patients in a subacute rehabilitation hospital (n = 443). Baseline SMI and PhA were measured using bioelectrical impedance analysis, and low SMI or low PhA were determined using each cutoff value. The primary outcomes were ADL abilities measured using the functional independence measure for motor function (FIM-M) score and physical function measured using the short physical performance battery (SPPB) score at hospital discharge. Association between low SMI and low PhA and FIM-M or SPPB scores at discharge were determined using multiple regression analysis adjusted for confounding factors.Results: There were significant differences between the normal-and low-PhA groups in the FIM-M and SPPB scores at discharge (P < 0.001). In multiple regression analysis, low PhA was independently associated with FIM-M (β = −0.109, P = 0.013) and SPPB scores (β = 0.535, P < 0.001) at discharge; however, low SMI was not independently associated with these functional outcomes. Conclusion: Decreased muscle quality estimated by the PhA was independently associated with poor ADL abilities and poor physical function in older patients undergoing rehabilitation.

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Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients

Cited by 179 publications

References 41 publications

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis

Sarcopenia as a predictor of activities of daily living capability in stroke patients undergoing rehabilitation

Effects of muscle mass and muscle quality estimated by phase angle on functional outcomes in older patients undergoing rehabilitation: A prospective cohort study

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