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Cited by 18Nutrition and Health in AgingClinical Nutrition and GastroenterologyFrailty in Older Adults

Comparison of the value of malnutrition and sarcopenia for predicting mortality in hospitalized old adults over 80 years

Tao, Jun, Ke, Ying-Ying, Zhang, Zhen, Zhang, Yue, Wang, Yan-Yan, Ren, Chen-Xi, Xu, Jun, Zhu, Yun-Xia +2 more·2020·Experimental Gerontology
DOI 10.1016/j.exger.2020.111007
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Abstract

Objective This study aimed to compare the prognostic value of malnutrition and sarcopenia for mortality in old adults over 80 years. Methods A prospective analysis was performed in 427 hospitalized old adults. Anthropometric measures and biochemical parameters were carried out for each patient. Sarcopenia was defined according to the revised consensus definition of the European Working Group on Sarcopenia in Older People (EWGSOP2). Malnutrition was defined according to the European Society of Clinical Nutrition and Metabolism (ESPEN) criteria. Mortality data were available for up to 32 months of follow-up. Results The overall prevalence of sarcopenia and malnutrition was 35.1% and 19.4%, respectively. The percentage of coexistence of sarcopenia and malnutrition was 12.2%. Of the 427 participants, 83 deaths were reported during the mean follow-up periods of 24.9 months. Compared with non-sarcopenic subjects with well-nutrition, sarcopenic subjects with well-nutrition and non-sarcopenic subjects with well-nutrition had higher mortality risk (Hazard Ratio (HR), 2.36; 95% confidence interval (CI), 1.31-4.24, P Conclusion When malnutrition and sarcopenia were compared together in a longitude cohort, malnutrition was an independent risk factor for mortality, while sarcopenia was not. The coexistence of malnutrition and sarcopenia showed a synergistically accumulated risk for death.

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  • Malnutrition is associated with sarcopenia in older adults with diabetes.

    “Special attention should be paid to malnutrition or the risk of malnutrition in older adults with diabetes given its association with sarcopenia”

    From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [90]

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Authors
Tao, J., Ke, Y.-Y., Zhang, Z., Zhang, Y., Wang, Y.-Y., Ren, C.-X., Xu, J., Zhu, Y.-X., Zhang, X.-L., & Zhang, X.-Y.
Affiliations
Shanghai Jiao Tong University (CN)
ORCID
Venue
Experimental Gerontology
Publisher
Elsevier BV
Published
2020-09
Volume
138
Pages
111007
ISSN
0531-5565 (ISSN-L)
DOI
10.1016/j.exger.2020.111007
OpenAlex
W3037187376
Cited by
18
References
6
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 5
FWCI
2.10
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Experimental Gerontology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
malnutrition, sarcopenia, mortality prediction, hospitalized older adults, prognostic factors, synergistic risk, EWGSOP2 criteria, ESPEN criteria
MeSH terms
Aged, Aged, 80 and over, Humans, Nutritional Status, Prospective Studies, Proportional Hazards Models, Malnutrition, Sarcopenia

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