Puntos de corte provisionales para el diagnóstico de sarcopenia en ancianos de Caldas (Colombia)

Villada-Gómez, J S; González-Correa, Clara Helena; Marulanda-Mejía, F

doi:10.7705/biomedica.v38i4.4302

Cited by 9 publications

(4 citation statements)

References 21 publications

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“…The cut-off points for low muscle mass by this technique were defined as an SMI of less than −2 standard deviations (SD) of the mean value for Colombian young adults, as defined previously from [25]; 6.42 and of 8.39 kg/m 2 for women and men respectively.…”

Section: Smimentioning

confidence: 99%

Skeletal muscle mass by bioelectrical impedance analysis and calf circumference for sarcopenia diagnosis

González-Correa

Pineda-Zuluaga

Marulanda-Mejía

2020

Journal of Electrical Bioimpedance

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Skeletal muscle mass (SMM) plays an important role in health and physical performance. Its estimation is critical for the early detection of sarcopenia, a disease with high prevalence and high health costs. While multiple methods exist for estimating this body component, anthropometry and bioelectrical impedance analysis (BIA) are the most widely available in low- to middle-income countries. This study aimed to determine the correlation between muscle mass, estimated by anthropometry through measurement of calf circumference (CC) and skeletal mass index (SMI) by BIA. This was a cross-sectional and observational study that included 213 functional adults over 65 years of age living in the community. Measurements of height, weight, CC, and SMM estimated by BIA were made after the informed consent was signed. 124 women mean age 69.6 ± 3.1 years and 86 men mean age 69.5 ± 2.9 years had the complete data and were included in the analysis. A significant positive moderate correlation among CC and SMI measured by BIA was found (Pearson r= 0.57 and 0.60 for women and men respectively (p=0.0001)). A moderate significant correlation was found between the estimation of SMM by CC and by BIA. This suggests that CC could be used as a marker of sarcopenia for older adults in settings in lower-middle-income countries where no other methods of diagnosing muscle mass are available. Although the CC is not the unique parameter to the diagnosis of sarcopenia, it could be a useful procedure in the clinic to identify patients at risk of sarcopenia.

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Section: Smimentioning

confidence: 99%

Skeletal muscle mass by bioelectrical impedance analysis and calf circumference for sarcopenia diagnosis

González-Correa

Pineda-Zuluaga

Marulanda-Mejía

2020

Journal of Electrical Bioimpedance

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“…Patients with sarcopenia were classified at the initial assessment according to the 2019 revised European consensus 16 into sarcopenia probable group with the International Mobility in Aging Study cutoff point for dynamometry 17 . Confirmed sarcopenia was diagnosed according to the study by Villada et al 18…”

Section: Methodsmentioning

confidence: 99%

“…-Probable sarcopenia: Defined by dynamometry < 23.2 kg/force in men and < 17.05 kg/force in women 17 . -Confirmed sarcopenia: In addition to probable sarcopenia, defined by BIA, skeletal muscle mass index (SMMI) < 8.39 kg/m 2 in men and 6.42 kg/m 2 in women 18 .…”

Section: Parameters For the Definition Of Sarcopeniamentioning

confidence: 99%

Impact of sarcopenia in clinical and functional outcomes and dependency degree in stroke patients

Morcillo-Muñoz¹,

Marulanda-Mejia²,

González-Correa³

et al. 2022

LAGM

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Background: Stroke presents high morbidity. Sarcopenia is a poorer prognostic factor in different pathologies. Objective: The aim of this study was to establish the impact of sarcopenia on important outcomes in patients with ischemic stroke. Patients and methods: A prospective cohort study of patients > 45 years of age with recent ischemic stroke was performed, assessed at inclusion, and followed up at 3 months. The presence of sarcopenia, clinical, and functional outcomes and degree of dependence was evaluated. Results: Twenty-eight stroke patients were included, the mean aged was 68.5 years, 42.8% had sarcopenia, the patients with sarcopenia presented statistically significantly lower strength on the healthy body side, lower bilateral brachial and calf circumference, and lower skeletal muscle mass and a tendency to present greater disability, dependence, and low muscle mass after 3 months. Conclusions: Patients with ischemic stroke and sarcopenia have worse clinical outcomes, lower strength, as well as a trend towards increased risk of disability, dependency, and low muscle mass after 3 months. Sarcopenia assessment should be routinely performed in stroke patients.

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“…As an example, Baumgartner et al ., 20 defined cut-off points for low muscle mass at 7.26 kg/m 2 and 5.45 kg/m 2 , for men and women, respectively; while a previous study in our city, defined it as 8.39 kg/m 2 and 6.42 kg/m 2 , for men and women. 21 These variations in the young population demonstrate the need to establish ethnic cut-off points and even those derived from older adults who live in the community to achieve real diagnoses that promote preventive and therapeutic strategies to impact sarcopenia.…”

Section: Introductionmentioning

confidence: 99%

Cut-off points for low skeletal muscle mass in older adults: Colombia versus other populations

2023

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Background: The European Working Group on Sarcopenia in the Elderly defined sarcopenia as a geriatric syndrome with a diagnostic criteria of low skeletal muscle mass (LMM). Various sarcopenia consensuses recommend as cut-offs for LMM, the use of below 2 SDs from the mean skeletal muscle mass index (SMI) of a young reference group. Given the contrast between reported cut-offs, the objective of this study was to establish cut-offs for LMM from older adults in Manizales and compare them with those published in the literature. Methods: This was a prospective, cross-sectional analytical study in 237 healthy elderly patients from the city of Manizales, Colombia. Anthropometric measurements of weight, height and body mass index were estimated. The SMI was estimated with the Xitron Technologies bioimpedance meter using the Janssen formula. For the comparison of SMI cut-offs, studies that evaluated this parameter with bioelectrical impedance analysis (BIA) were taken into account, in addition to being obtained from the −2 SD from the sex-specific mean of a young reference group. Results: The cut-off points for SMI were 8.0 kg/m2 for men and 6.1 kg/m2 for women. There was a statistically significant difference when evaluating LMM from the cut-offs of the present study and those reported in Spain, Turkey, and Finland. The cut-off points of SMI derived from this sample of Colombian men and women may be adequate for the diagnosis in the Colombian geriatric population. However, we did not find significant differences when comparing the cut-offs for SMI from a population of older adults and young adults from the same city. Conclusions: The cut-off points of SMI by BIA derived from a sample of Colombian men and women may be adequate for the diagnosis of LMM in the Colombian geriatric population or populations with similar characteristics to those of the sample evaluated here.

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Puntos de corte provisionales para el diagnóstico de sarcopenia en ancianos de Caldas (Colombia)

Cited by 9 publications

References 21 publications

Skeletal muscle mass by bioelectrical impedance analysis and calf circumference for sarcopenia diagnosis

Skeletal muscle mass by bioelectrical impedance analysis and calf circumference for sarcopenia diagnosis

Impact of sarcopenia in clinical and functional outcomes and dependency degree in stroke patients

Cut-off points for low skeletal muscle mass in older adults: Colombia versus other populations

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