The relationship between osteoporosis and sarcopenia, according to EWGSOP-2 criteria, in outpatient elderly

Öntan, Mehmet Selman; Dokuzlar, Özge; Bulut, Esra Ateş; Soysal, Pınar; Işık, Ahmet Turan

doi:10.1007/s00774-021-01213-6

Cited by 15 publications

(9 citation statements)

References 36 publications

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“…The SARC-F questionnaire can indicate muscular dysfunction, including low muscle strength and poor physical performance; however, it cannot detect changes in muscle mass. In the EWGSOP algorithm, sarcopenia is confirmed by a measurement of muscle quantity and quality after positive results are found on the SARC-F questionnaire and low levels of muscle strength are identified [9,40]. In the present study, low muscle mass was not correlated with sarcopenia on the SARC-F, though patients with sarcopenia on the SARC-F had a higher aLM than those without sarcopenia.…”

Section: Discussioncontrasting

confidence: 44%

“…In our sample of 320 patients with long-standing RA, 2.2-6.6% patients were found to have sarcopenia, while 16.9% had presarcopenia, which is a condition of low muscle mass without compromised muscle strength or physical performance [9]. Patients with a low muscle mass were found to have lower body weight and BMI and were taking higher doses of glucocorticoids than those with a normal muscle mass.…”

Section: Discussionmentioning

confidence: 78%

“…In this study, three different sets of criteria for sarcopenia were used, the EWGS, AWGS, and SARC-F. Each set of criteria utilized different cutoff values for low muscle mass, strength, and performance. For the AWGS, a low muscle mass was defined by an aLM of ≤7.0 kg/m 2 in men and ≤5.7 kg/m 2 in women, while an aLM ≤8.87 kg/m 2 in men and ≤6.42 kg/m 2 in women in the EWGS [8,9]. Having low muscle mass without an impairment on muscle strength or physical performance was defined as "presarcopenia", and "sarcopenia" is defined as low muscle mass with low muscle strength or low physical performance.…”

Section: Measurement Of Body Composition and Muscle Mass Indexmentioning

confidence: 99%

“…In RA, loss of muscle and change of body composition occur through a variety of complicated mechanisms, including decreased physical activity, chronic inflammation, drugs affecting patients' diet and body metabolism, and mood disturbance [6,7]. Patients with RA also commonly have sarcopenia, which is characterized by a generalized loss of skeletal muscle mass and function and an increased risk of fragility [8,9]. Sarcopenia is known to be a risk factor for osteoporosis and fracture, decreasing the quality of life and immune function of patients, while increasing the risk of cardiovascular disease and the metabolic syndrome [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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The Assessment of Muscle Mass and Function in Patients with Long-Standing Rheumatoid Arthritis

Yun

Kim

et al. 2021

JCM

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Muscular dysfunction in rheumatoid arthritis (RA) can affect the quality of life and comorbidities. We enrolled 320 patients with RA, and evaluated their muscle mass, grip strength, and physical performance. Seven (2.2%) and 21 RA patients (6.6%) had sarcopenia, as defined by the European and Asian Working Group for Sarcopenia (EWGS and AWGS), respectively; 54 patients (16.9%) were determined to have low muscle mass with normal muscle function, as defined by the EWGS; 38 patients (11.9%) reported sarcopenia by SARC-F questionnaire. Male sex (odds ratio (OR) 140.65), low body mass index (BMI) (OR 0.41), and use of tumor necrosis factor (TNF) inhibitors (OR 4.84) were associated with a low muscle mass as defined by the EWGS, while male sex, old age, and low BMI were associated with sarcopenia as defined by the AWGS. Old age (OR 1.11), high BMI (OR 1.13), and a high Disease Activity Score 28 (OR 1.95) were associated with sarcopenia as reported on the SARC-F. Male, low BMI, and use of TNF inhibitors were associated with a low muscle mass, while male sex, old age, and low BMI were associated with sarcopenia in patients with long-standing RA.

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Section: Discussioncontrasting

confidence: 44%

Section: Discussionmentioning

confidence: 78%

Section: Measurement Of Body Composition and Muscle Mass Indexmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Assessment of Muscle Mass and Function in Patients with Long-Standing Rheumatoid Arthritis

Yun

Kim

et al. 2021

JCM

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“…Osteoporozun en önemli sonuçlarından biri ise morbidite, mortalite, sağlık harcamalarında önemli artışa yol açması nedeni ile kalça kırıklarıdır (3,4). Diğer yandan, osteoporoz yaşlılarda sarkopeni, kırılganlık, polifarmasi, demans gibi pek çok geriatrik sendromla birlikteliği gösterilmiş önemli bir sağlık sorunudur (4)(5)(6). Tüm bu olumsuz sonuçlar osteoporozun nedenlerinin aydınlatılması, erken tanı ve tedavisinin önemini ortaya koymaktadır (7).…”

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Yaşlılarda Serum Homosistein Düzeyi ile Osteoporoz Arasında İlişki Var mı?

Dokuzlar¹

2021

Geriatrik Bilimler Dergisi

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Amaç: Osteoporoz ilerleyen yaşla sıklığı artan, çok sayıda morbidite, mortalite ve artan sağlık harcamalarına yol açan bir sorundur. Homosistinüri hastalarında erken yaşta görülen osteoporoz serum homosistein düzeyi ile osteoporoz arasında ilişki olabileceğini düşündürmüştür. Bu çalışmanın amacı, yaşlı erişkinlerde serum homosistein düzeyi ile osteoporoz arasında herhangi bir ilişki olup olmadığının araştırılmasıdır.Gereç ve Yöntemler: Çalışmaya 65 yaş ve üzeri dosyalarında eş zamanlı dual enerji X-ray absorbsiyometri (DEXA) ve serum homosistein seviyesi olan 168 hasta dahil edildi. Hastaların dosyalarında yer alan demografik veriler, DEXA ölçümleri, serum homosistein düzeyi ve laboratuvar analizleri kaydedildi. Retrospektif ve kesitsel bir çalışma olarak dizayn edildi. Bulgular: Katılımcıların yaş ortalaması 75,79±7,40 yıl ve %74,4’ü kadın idi. 67 hastada osteoporoz, 80 hastada osteopeni saptandı. Kontrol, osteopeni ve osteoporoz gruplarında serum homosistein düzeyleri sırası ile 15,01±5,84, 15,42±7,09 ve 15,61±7,88 mmol/L idi. Vitamin B12, Folat, Vitamin D ve TSH düzeyleri gruplar arasında anlamlı fark yoktu. Gruplar arasında yaş, cinsiyet ve vücut kitle indekslerinin karıştırıcı etkileri ortadan kaldırıldıktan sonra artmış serum homosistein düzeyleri ile osteoporoz arasında anlamlı ilişki saptandı (OR:1,114; p<0,05). Diğer sonuçlarda ise istatistiksel anlamlı bir değişiklik olmadı.Sonuç: Yüksek serum homosistein düzeylerinin yaşlı erişkinlerde sık ve önemli bir sorun olan osteoporoz riskini artırdığı saptanmıştır. Bu sonuçların desteklenmesi ve nedenlerinin aydınlatılması için prospektif çalışmalara ihtiyaç duyulmaktadır.

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Predicting physical activity and sarcopenia‐related health outcomes in women with rheumatoid arthritis: A test of the self‐determination theory

Kim

Yun²,

Kang

et al. 2023

Nursing Open

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AimThis study aimed to examine a hypothetical model of physical activity (PA) and health outcomes related to sarcopenia in women with rheumatoid arthritis (RA) based on self‐determination theory.DesignCross‐sectional study.MethodsThis study included 214 women diagnosed with RA from the outpatient rheumatology department of a university‐affiliated hospital in South Korea. Data were collected from September 2019 to August 2020 through structured questionnaires and anthropometric measurements and analysed using path analysis to test the hypothesized model. The primary health outcomes were perceived health status and sarcopenia‐related health (thigh circumference, handgrip strength and sarcopenia risk).ResultsThe final model's fit indices were adequate. Physical activity was directly affected by motivation for PA, while depression, self‐efficacy for PA, health care provider's autonomy support and basic psychological needs satisfaction indirectly affected PA. Physical activity directly affected perceived health status and thigh circumference, while perceived sarcopenia risk and handgrip strength were directly affected by disease activity and age.Patient or Public ContributionPatients were involved in a questionnaire‐based survey.

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The relationship between osteoporosis and sarcopenia, according to EWGSOP-2 criteria, in outpatient elderly

Cited by 15 publications

References 36 publications

The Assessment of Muscle Mass and Function in Patients with Long-Standing Rheumatoid Arthritis

The Assessment of Muscle Mass and Function in Patients with Long-Standing Rheumatoid Arthritis

Yaşlılarda Serum Homosistein Düzeyi ile Osteoporoz Arasında İlişki Var mı?

Predicting physical activity and sarcopenia‐related health outcomes in women with rheumatoid arthritis: A test of the self‐determination theory

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