Estimation of Prevalence of Sarcopenia by Using Bia in Chinese Community-Dwelling Elderly People

Wang, H; S, Hai; Zhou, Jianghua; Yang, Yongxue; P, Liu; Dong, Bi Rong

doi:10.1093/geroni/igx004.1394

Cited by 3 publications

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“…Moreover, Erel et al reported that thiol-disul de balance deteriorated in diseases characterized by intense in ammation and oxidative stress, such as hypertension, diabetes, metabolic syndrome and burns 33 . Therefore, although the albumin level of patients with sarcopenia should be lower than that of patients without sarcopenia in theory, it is actually affected by comorbidities and other factors, which has been reported in previous studies 34,35 .…”

Section: Discussionmentioning

confidence: 72%

Sarcopenia and nutritional status are associated with Severe Postoperative Complications in Gastric Cancer Patients: A Multicenter Study

Sun

Zhao

He³

et al. 2023

Preprint

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Purpose The aim of this study was to determine the risk of severe postoperative complications (SPCs) in patients with gastric cancer and to construct a nomogram based on independently related factors to identify high-risk patients.Methods We retrospectively analyzed 297 consecutive patients undergoing gastrectomy in this multicenter study. Sarcopenia was diagnosed by preoperative computed tomography of the L3 skeletal muscle area. Nutritional status was assessed according to the Global Leadership Initiative on Malnutrition criteria. According to the Clavien–Dindo classification system, SPCs were classified as C-D Grade ≥ IIIa. A nomogram consisting of the independent risk factors was constructed to quantify the individual risk of SPCs.Results Of the 297 patients analyzed in this study, 86 (28.96%) were diagnosed with malnutrition, 55 (18.52%) were diagnosed with sarcopenia, and 24 (8.08%) were diagnosed with SPCs. Patients who developed SPCs had longer hospital stays (SPCs vs. non-SPCs: 23 vs. 11 days, P < 0.001) and higher hospitalization expenses (SPCs vs. non-SPCs: 121456¥ vs. 72012¥, P < 0.001) than those who did not. Logistic analysis revealed that malnutrition (P < 0.001), sarcopenia (P = 0.017), combined resection (P = 0.028), and duodenostomy (P = 0.001) independently predicted the occurrence of SPCs. The nomogram exhibited good discrimination, with a discriminant consistency index of 0.822, and the calibration was also excellent.Conclusions Sarcopenia, malnutrition, combined resection and duodenostomy are independent predictors of SPCs. Our nomogram exhibited good discrimination and was practical for identifying patients at high risk of SPCs.

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Section: Discussionmentioning

confidence: 72%

Sarcopenia and nutritional status are associated with Severe Postoperative Complications in Gastric Cancer Patients: A Multicenter Study

Sun

Zhao

He³

et al. 2023

Preprint

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“…Another cohort study in northern Taiwan included 302 individuals (157 men and 145 women) aged 65 years and older, and the prevalence of sarcopenia in that study was 18.6% in elderly women and 23.6% in elderly men using BIA analysis 11 . A previous study in Chengdu found approximately 10% communitydwelling elderly have sarcopenia in a number of 947 residents aged ≥60 years old which is also estimated by the BIA analysis 19 . And the prevalence of sarcopenia was 12.3% in Chinese men and 7.6% in Chinese women aged 70 years and older in Hongkong estimated by dual-energy X-ray absorptiometry 20 .…”

Section: Discussionmentioning

confidence: 74%

Prevalence of sarcopenia in multi ethnics adults and the association with cognitive impairment: findings from West-China Health and Aging Trend Study

Hou

Xia

Yang

et al. 2020

Preprint

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Background Sarcopenia is a condition that is characterized by loss of muscle mass, muscle strength and muscle functional impairment with ageing. It is associated with poor health outcomes, premature death and a significant burden on the global health economy. The prevalence of sarcopenia in China is unknown since most of the studies are lack of uniform standard. The study was undertaken to study the prevalence of sarcopenia and the association with cognitive impairment among multi-ethnic adults aged 50 years old or older in western China. Methods We measured gait speed, handgrip strength and muscle mass by using bioelectrical impedance analysis (BIA) for all eligible participants and 4500 participants were eligible for the analysis. We defined sarcopenia using the diagnostic algorithm recommended by the Asian Working Group for Sarcopenia (AWGS) . We assessed the participants' cognitive functions using the 10-item Short Portable Mental Status Questionnaire (SPMSQ) . Relationships between sarcopenia and cognitive impairment were analyzed using univariate and multivariate analyses. Results Of 4500 participants (mean age 62.4 ± 8.3 years), 869 (19.31%) adults were sarcopenia. 446 (9.9%) participants were identified as having mild cognitive impairment, 144 (3.2%) adults were identified as having moderate/severe cognitive impairment. After adjusting for age, gender, ethnics and other potential cofounders, cognitive impairment was found to be independently associated with sarcopenia with a dosage effect (mild cognitive impairment: odds ratio [OR] : 1.52, 95% CI 1.18–1.95; moderate/severe cognitive impairment: OR: 3.26, 95% CI 2.23–4.76). After gender stratification, the association between mild cognitive impairment with sarcopenia in male is not significant, while is still significant in female. While the association between moderate/severe cognitive impairment is independently associated with sarcopenia in both male and female. Conclusions The prevalence rates of sarcopenia, mild cognitive impairment, moderate/severe cognitive impairment among the communities aged 50 or older in western China were 19.31%, 9.9% and 3.2%, respectively. Cognitive impairment was significantly associated with sarcopenia with a dosage effect, especially in female.

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“…To date, numerous studies have been carried out to determine the epidemiology of sarcopenia in older Chinese adults. [3][4][5][6][7][8] The prevalence of sarcopenia was characterized by the following: I) sarcopenia occurred frequently in older Chinese people, and the prevalence estimates (8-14% of men vs. 9-12% of women) were comparable with those among Europeans (13% of men vs. 14% of women), even though older non-Asian adults were reported to be more prone to sarcopenia than older Asian adults; 4-6 II) it remains unknown whether gender is independently associated with sarcopenia. Most previous studies indicated that sarcopenia was more common among men than among women.…”

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confidence: 99%

“…4 Currently, a series of studies have identified that associated factors, such as older age, cigarette smoking, chronic diseases, underweight/malnutrition, and lower physical activity levels, are associated with the incidence of sarcopenia, whereas younger age, no smoking, higher body mass index, and appropriate physical activity are related to its reversibility. 3,4,8 In addition to the above factors, prospective studies have identified that certain nutrients play a pivotal role in affecting the occurrence of sarcopenia with aging. First, the importance of protein and vitamin D in relation to skeletal muscle mass and function has been studied, even though the source and dose for the greatest benefit remain unclear.…”

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confidence: 99%

Prevalence of sarcopenia and associated dietary factors among older Chinese adults

Zhou,

Wu,

Zhang

2023

SMJ

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Estimation of Prevalence of Sarcopenia by Using Bia in Chinese Community-Dwelling Elderly People

Cited by 3 publications

References 0 publications

Sarcopenia and nutritional status are associated with Severe Postoperative Complications in Gastric Cancer Patients: A Multicenter Study

Sarcopenia and nutritional status are associated with Severe Postoperative Complications in Gastric Cancer Patients: A Multicenter Study

Prevalence of sarcopenia in multi ethnics adults and the association with cognitive impairment: findings from West-China Health and Aging Trend Study

Prevalence of sarcopenia and associated dietary factors among older Chinese adults

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