Bewegung und Gesundheit im Alter

Füzéki, Eszter; Banzer, Winfried

doi:10.1007/978-3-662-50335-5_10

Cited by 5 publications

(3 citation statements)

References 85 publications

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“…The loss of muscle strength and muscle mass confirms sarcopenia. If there is also reduced physical functioning, severe sarcopenia is present [1,2]. For the standardized quantification of sarcopenia, the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) published recommendations with cut-off values and an algorithm for the European population in 2019 [3].…”

Section: Introductionmentioning

confidence: 99%

Bioelectrical impedance analysis in the BaSAlt cohort-study: the phase angle as an additional parameter for sarcopenia quantification among German nursing home residents?

Haigis

Wagner²,

Thiel³

et al. 2023

Eur Geriatr Med

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Purpose Sarcopenia is characterized by the loss of muscle mass, strength, and physical functioning. The bioelectrical impedance analysis (BIA) is a simplify method for the measurement of muscle quantity and quality. But there is a lack of evidence in the interpretation of the muscle quality parameter phase angle (PhA), which was recommended by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). We hypothesize that the PhA shows differences between sarcopenia categorized groups and can be used as an additional parameter for sarcopenia quantification among residents of nursing homes (NH). Methods Based on EWGSOP2 specifications, 78 residents from five German NH was categorized into sarcopenia groups. Group comparisons with Kruskal–Wallis tests, Dunn–Bonferroni post-hoc-Tests, and correlations with Spearman coefficients were conducted with the muscle quality parameter PhA. Results Significant group differences by Kruskal–Wallis test for PhA was detected (H = 8.150, p = 0.017). The Dunn–Bonferroni post-hoc-Test showed significant results by group comparison for “confirmed/ severe sarcopenia” (4.1° [3.1–5.0]) with “no sarcopenia” (4.6° [3.7–11.2]; p =0 .049) and “probable sarcopenia” (4.7° [3.4–13.5]; p = 0.016), respectively. Conclusions There is a limitation for differentiation in preliminary stage of sarcopenia among multimorbid NH residents by PhA. Moreover, further research for specific cut-off-values and the individual sarcopenia progression monitoring by PhA are needed. Trial registration No. AZ A2.5.4-096_aa (Date of approval: July 2019).

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Section: Introductionmentioning

confidence: 99%

Bioelectrical impedance analysis in the BaSAlt cohort-study: the phase angle as an additional parameter for sarcopenia quantification among German nursing home residents?

Haigis

Wagner²,

Thiel³

et al. 2023

Eur Geriatr Med

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“…If there is a reduction in muscle strength and muscle quantity or quality, sarcopenia is considered confirmed. The diagnosis of severe sarcopenia exists when all three characteristics are present [ 5 ]. Sarcopenia is a predictor of all-cause mortality in nursing home residents [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Geriatric Assessment to Detect and Quantify Sarcopenia and Physical Functioning in German Nursing Home Residents—A Pilot Study

et al. 2021

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Background: Entering into a nursing home leads to increased immobility and further reductions in physical and cognitive functioning. As a result, there is a risk of sarcopenia, which is characterized by loss of muscle strength, muscle mass and physical functioning. To our knowledge, the feasibility of sarcopenia screening has not yet been performed in the German nursing home setting. Methods: For sarcopenia screening, the specifications of EWGSOP2 were applied. The quantification of sarcopenia was performed according to the corresponding cut-off values. The collection of anthropometric data and the morbidity status were recorded. SARC-F, mini-mental state examination, Barthel Index, Short Physical Performance Battery and Timed Up and Go tests were implemented. Results: In one participant, severe sarcopenia could be identified. The quantification was not possible for four participants. A suspicion of sarcopenia was not confirmed in five participants. Only one person was able to perform all assessments. Conclusions: Sarcopenia screening according to EWGSOP2 presented satisfactory feasibility by nursing home residents. However, further tests to assess the physical functioning of the participants often could not be performed. Moreover, inconsistencies in individual assessments became apparent, leading to inconclusive analyses. The recording of sarcopenia prevalence in German nursing homes should be the goal of further research.

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“…This is associated with the fact that older people require more care. Lastly, independent care can no longer be ensured and the move into the NH follows [15]. Statistics from Germany also show that women represent the majority of NH residents with more than 66% [16].…”

Section: Introductionmentioning

confidence: 99%

Identification of Sarcopenic Obesity in German Nursing Home Residents—The Role of Body Composition and Malnutrition in the BaSAlt Cohort-Study

et al. 2021

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Background: Sarcopenic obesity (SO) is a phenotype, which is defined by reduced muscle strength, muscle mass, and obesity. Limited mobility leads to increased sedentary behavior and decreased physical activity. Both sarcopenia and obesity are aggravated by these factors. In combination, SO is an additional challenge for the setting nursing home (NH). Previous studies have shown a low prevalence of residents with SO in comparable settings, such as community-dwelling. We hypothesize that the BaSAlt cohort also has a small proportion of residents with SO. Methods: For the analysis, 66 residents (women: 74.2%) aged ≥ 65 years from NH, were screened for SO based on EWGSOP2 specifications and cut-off values to classify obesity. Results: Severe sarcopenia was quantified in eleven residents (16.7%). The majority of sarcopenic residents were women (n = 10) compared to men (n = 1). However, no SO could be identified by assessment of body mass index, fat mass in percentage, and fat mass index. Conclusion: As expected, the setting-specific cohort showed a low number of SO. Furthermore, no case of SO was identified in our study. Sarcopenia was associated with an increased fat-free mass in NH residents. Nevertheless, sarcopenia and obesity play important roles in the preservation of residents’ health.

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Bewegung und Gesundheit im Alter

Cited by 5 publications

References 85 publications

Bioelectrical impedance analysis in the BaSAlt cohort-study: the phase angle as an additional parameter for sarcopenia quantification among German nursing home residents?

Bioelectrical impedance analysis in the BaSAlt cohort-study: the phase angle as an additional parameter for sarcopenia quantification among German nursing home residents?

Feasibility of a Geriatric Assessment to Detect and Quantify Sarcopenia and Physical Functioning in German Nursing Home Residents—A Pilot Study

Identification of Sarcopenic Obesity in German Nursing Home Residents—The Role of Body Composition and Malnutrition in the BaSAlt Cohort-Study

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