Skeletal muscle mass abnormalities are associated with survival rates of institutionalized elderly nursing home residents

Lim

J American Geriatrics Society

et al. 2014

Section: Discussionmentioning

confidence: 99%

Frailty Status Can Predict Further Lean Body Mass Decline in Older Adults

Lim

J American Geriatrics Society

et al. 2014

“…It leads to nosocomial infections [3], postoperative complications [4][5][6][7], increased length of hospital stay [7,8], and decreased survival in nonmalignant as well as malignant populations [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Skeletal muscle loss after total gastrectomy, exacerbated by adjuvant chemotherapy

et al. 2014

Background Skeletal muscle loss is associated with physical disability, nosocomial infections, postoperative complications, and decreased survival. Preventing the loss of skeletal muscle mass after gastrectomy may lead to improved outcomes. The aims of this study were to assess changes in skeletal muscle mass after total gastrectomy (TG) and to clarify the clinical factors affecting significant loss of skeletal muscle after TG. Patients and methods One hundred and two patients undergoing TG for primary gastric cancer underwent abdominal computed tomography before and 1 year after TG to precisely quantify postoperative changes in skeletal muscle and adipose tissue. Univariate and multivariate logistic regression analyses identified clinical factors contributing to significant loss of skeletal muscle after TG.Results At 1 year after TG, the mass of both skeletal muscle and adipose tissue was reduced by 6.20 ± 6.80 and 65.8 ± 36.1 % of the preoperative values, respectively, and 26 patients (25.5 %) showed a significant loss of skeletal muscle of more than 10 %. Adjuvant chemotherapy with S-1 for C6 months (hazard ratio 26.61, 95 % confidence interval, 3.487-203.1) was identified as the single independent risk factor for a significant loss of skeletal muscle. Conclusions Skeletal muscle loss was exacerbated by extended adjuvant chemotherapy after TG. Further research should identify appropriate nutritional interventions for maintaining skeletal muscle mass and leading to improved outcomes.

“…They reported that the prevalence of sarcopenia was 85.4%. In Israel, the prevalence of skeletal muscle mass abnormalities in 109 nursing home residents was 67.0%; 97.8% in males and 43.8% in females [18]. In Italy, Landi et al, 2012 [19] conducted their study on 122 nursing home residents, their mean age was 84.1 ± 6.9.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Sarcopenia among Nursing Home Older Residents in Cairo, Egypt

Rahman¹,

Elkholy²,

Mortagy³

2014

AAR

Sarcopenia is highly prevalent in community dwelling older adults in many countries; however, the prevalence of sarcopenia in nursing home older residents is not well characterized. The aim of this study is to assess the prevalence of sarcopenia in nursing home older residents in Cairo. Cross sectional study was performed among 357 nursing home residents in Cairo. The European Working Group on Sarcopenia in Older People (EWGSOP) recommendation was used for diagnosing sarcopenia. The study showed that the prevalence of sarcopenia in nursing home older residents in Cairo was 17.7%, 22.2% in elderly men and 14.4% in elderly women. Age, underweight and lack of physical activity were found to be associated with sarcopenia among studied participants. The study concluded that sarcopenia is an emerging health problem in nursing home older residents in Cairo.