Influence of nutritional status in the diagnosis of sarcopenia in nursing home residents

Lardiés-Sánchez, Beatriz; Sanz-París, A.; Pérez-Nogueras, Javier; Serrano-Oliver, Antonio; Torres-Anoro, María Elena; Cruz-Jentoft, Alfonso J.

doi:10.1016/j.nut.2017.03.002

Cited by 27 publications

(24 citation statements)

References 40 publications

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“…In addition, in the women studied who had a malnutrition risk and who were identified as malnourished, the percentage of sarcopenia was higher (57.1% vs 22.8%). Similarly, the study by Lardiés et al ., 28 which was conducted in older patients living in nursing homes, showed a high prevalence of malnutrition among female nursing home residents (45.4%).…”

Section: Discussionmentioning

confidence: 70%

Sarcopenia, nutritional status and type 2 diabetes mellitus: A cross‐sectional study in a group of Mexican women residing in a nursing home

Velázquez-Alva

Irigoyen-Camacho

Zepeda-Zepeda

et al. 2019

Nutrition & Dietetics

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Aim To evaluate the prevalence of sarcopenia and its association with nutritional status and type 2 diabetes mellitus (T2DM) in older women living in a nursing home. Methods This cross‐sectional study assessed nutritional status using the Mini Nutritional Assessment (MNA). Sarcopenia was defined according to the European Working Group on Sarcopenia in Older People; hand grip strength and physical performance were determined by dynamometry and gait speed, respectively. Muscle mass was assessed using calf circumference. Results The mean age of the 114 participants was 84.1 ± 7.0 years. The prevalence of sarcopenia and T2DM was 30.7% and 10.5%, respectively. The majority (66.7%) had a normal nutritional status, 29.8% were at risk of malnutrition, and 3.5% were undernourished. The prevalence of sarcopenia in participants at risk of malnutrition and those who were undernourished was higher compared with participants with a normal NS (P < 0.0001). A statistically significant difference was observed in the Barthel Index (BI) between women with and without sarcopenia (P = 0.048). The multivariate logistic regression model, adjusted by age (p = 0.007) showed an association between sarcopenia and nutritional status. Women with a poor nutritional status were more likely to have sarcopenia (OR 4.97, P = 0.003) whilst those with T2DM showed a higher probability of sarcopenia (OR 5.52, P = 0.019) than women without T2DM. Conclusions Sarcopenia was highly prevalent in women with a poor nutritional status and T2DM. It is necessary to implement intervention programs to reduce adverse outcomes.

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Section: Discussionmentioning

confidence: 70%

Sarcopenia, nutritional status and type 2 diabetes mellitus: A cross‐sectional study in a group of Mexican women residing in a nursing home

Velázquez-Alva

Irigoyen-Camacho

Zepeda-Zepeda

et al. 2019

Nutrition & Dietetics

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“…One of the studies only included women (28) and another only included men (18), whereas the remaining studies included both sexes. With respect to inclusion/exclusion criteria, 2 did not set a minimum age (28,36), whereas the minimum age was 60 y in 5 studies (18,23,27,32,33), 70 y in 3 (22,25,34), and 65 y in the remaining 11 studies. People unable to walk were excluded in 10 studies Values are means ± SDs, means (ranges), or means depending on data available.…”

Section: Resultsmentioning

confidence: 99%

“…Although the same indexes were used by different studies, the selection of cutoffs varied. The most frequently used index was the SMI in 10 studies (21,22,25,27,(30)(31)(32)(33)(34)38), 4 of which selected a cutoff of 6.42 kg/m 2 for females and 8.87 kg/m 2 for males (22,27,31,32). In the studies that used anthropometry, the CC cutoff was 31 cm (19,20,24,36) and the midupper arm muscle circumference cutoff was 23.3 cm for females and 23.8 cm for males.…”

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confidence: 99%

Prevalence and Diagnosis of Sarcopenia in Residential Facilities: A Systematic Review

Rodríguez-Rejón

Ruiz-López

Wanden-Berghe

et al. 2019

Advances in Nutrition

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Assessing sarcopenia, the age-related loss of muscle mass and function, in institutionalized older adults is a challenging task. Data on its prevalence in residential facilities are scant and highly variable. Our objective was to report the prevalence of sarcopenia in older adults living in residential facilities (nursing/long term-care homes and assisted-living facilities) and review the criteria and methodologies used to diagnose sarcopenia in this setting. Bibliographic searches were carried out in 6 electronic databases (Medline via PubMed, Web of Science, Scopus, CINAHL, LILACS, and Cochrane) with the use of the Medical Subject Heading terms "Sarcopenia" and "Residential Facilities." We included studies that evaluated the prevalence of sarcopenia among older adults (aged ≥60 y) living in residential facilities. Forty-four studies were identified, of which 21 studies were included after applying eligibility criteria. The reported prevalence of sarcopenia ranged widely between 17.7% and 73.3% in long term-care homes and between 22% and 87% in assisted-living facilities. Most studies (n = 14) followed the consensus on sarcopenia diagnosis published by the European Working Group on Sarcopenia in Older People. In the other 7 studies, sarcopenia was diagnosed according to muscle mass, which was measured via 5 different techniques, most frequently bioelectrical impedance analysis, establishing cutoff scores for low muscle mass with the use of 5 different indexes, most frequently the skeletal muscle index. There are major differences in study design, methodology, and the approach to sarcopenia diagnosis in this setting, which would, in part, explain the enormous variability in the reported prevalence data. The lack of consensus on the correct diagnostic approach hampers the implementation of appropriate nutritional interventions.

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“…Despite the different recommendations, it is recognised that adiposity must be taken into account to obtain a more accurate SMI estimate in overweight and obese individuals (47,52) . Sarcopenia evaluated through SMI/ht 2 in older people from the general population showed that this syndrome was associated with lower BMI (53)(54)(55) . Conversely, when muscle mass is evaluated by SMI/BMI, sarcopenia may be associated with higher values of BMI or adiposity.…”

Section: Discussionmentioning

confidence: 99%

Sarcopenia and its components in adult renal transplant recipients: prevalence and association with body adiposity

et al. 2019

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Sarcopenia is a progressive and generalised skeletal muscle disorder associated with adverse outcomes. Ageing causes primary sarcopenia, while secondary causes include chronic kidney disease (CKD), long-term use of glucocorticoids and obesity. The aim of the present study was to evaluate the prevalence of sarcopenia using guidelines recommended by the European Working Group on Sarcopenia in Older People (EWGSOP, 2010; EWGSOP2, 2018) and the Foundation of the National Institutes of Health (FNIH) and analyse the relationship between sarcopenia and body adiposity in adult renal transplant recipients (RTR). This was a cross-sectional study of adult RTR (BMI ≥ 18·5 kg/m2). Body composition was evaluated by dual-energy X-ray absorptiometry (DXA) and anthropometry. Glomerular filtration rate was estimated (eGFR) by CKD-Epidemiology Collaboration equation. The prevalence of sarcopenia in adult RTR (n 185; 57 % men, 50 (se 0·82) years and eGFR 55·80 (se 1·52) ml/min) was 7 % (FNIH), 11 % (EWGSOP2) and 17 % (EWGSOP). Low muscle mass, muscle function and physical performance affected, respectively, up to 28, 46 and 10 % of the participants. According to EWGSOP and EWGSOP2, body adiposity evaluated by anthropometry and DXA (percentage trunk fat) was lower in participants with sarcopenia. Conversely, according to the FNIH criteria, RTR with sarcopenia presented higher waist:height ratio. The present study suggests that adult RTR sarcopenia prevalence varies according to the diagnostic criteria; low muscle mass, low muscle function and low physical performance are common conditions; the association of body adiposity and sarcopenia depends on the criteria used to define this syndrome; and the FNIH criteria detected higher adiposity in individuals with sarcopenia.

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Influence of nutritional status in the diagnosis of sarcopenia in nursing home residents

Cited by 27 publications

References 40 publications

Sarcopenia, nutritional status and type 2 diabetes mellitus: A cross‐sectional study in a group of Mexican women residing in a nursing home

Sarcopenia, nutritional status and type 2 diabetes mellitus: A cross‐sectional study in a group of Mexican women residing in a nursing home

Prevalence and Diagnosis of Sarcopenia in Residential Facilities: A Systematic Review

Sarcopenia and its components in adult renal transplant recipients: prevalence and association with body adiposity

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