Sarcopenia and Mortality among Older Nursing Home Residents
Abstract
Background and aims Sarcopenia has been indicated as a reliable marker of frailty and poor prognosis among the oldest individuals. At present, no data are available on sarcopenia in the nursing home population. The aim of the current study was to explore the relationship between sarcopenia and all-cause mortality in a population of elderly persons aged 70 years and older living in a nursing home in Italy.Methods This study was conducted among all subjects (n = 122) aged 70 years and older who lived in the teaching nursing home of Catholic University of Rome between August 1, 2010, and September 30, 2010. According to the European Working Group on Sarcopenia in Older People (EWGSOP), sarcopenia was diagnosed in presence of low muscle mass plus either low muscle strength or low physical performance. The primary outcome measure was survival after 6 months.Results Forty residents (32.8%) were indentified as affected by sarcopenia. This condition was more common in men (68%) than in women (21%). During the follow-up period, 26 (21.3%) patients died. After adjusting for age, gender, cerebrovascular diseases, osteoarthritis, chronic obstructive pulmonary disease, activity of daily living impairment, and body mass index, residents with sarcopenia were more likely to die compared with those without sarcopenia (adjusted hazard ratio 2.34; 95% confidence interval 1.04-5.24).Conclusions The present study suggests that among subjects living in a nursing home, sarcopenia is highly prevalent and is associated with a significantly increased risk of all-cause death. The current findings support the possibility that sarcopenia has an independent effect on survival among nursing home residents.
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The prevalence of sarcopenia was higher in elderly people in rehabilitation units, followed by nursing homes and hospitalized, in previous studies.
“In relation to the type of elderly population, the prevalence of sarcopenia was higher in elderly people in the rehabilitation units, followed by nursing homes and hospitalized in previous studies [19–21].”
From Prevalence of sarcopenia in the world: a systematic review and meta- analysis of general population studies (2017) · cites this paper as [20]
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“Consideration of sarcopenia plays an important role in dealing with and treating patients, and also in the prevention of functional loss.(36) Irrespective of the underlying disease, sarcopenia is an independent risk factor for mortality.”
BackgroundMethods, Diagnostic Criteria, Cutoff Points, and Prevalence of Sarcopenia among Older People
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“The study of sarcopenia is important in the areas of public health, geriatrics, and gerontology due to its contribution to adverse outcomes in the elderly [4, 9, 10], hospitalizations [10], and early death [11].”
BackgroundSarcopenia and Diabetes: Two Sides of the Same Coin
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“[40], using EWGSOP criteria in elderly persons aged 70 years and older who were living in a nursing home in Italy, reported that the prevalence of sarcopenia was approximately 32.”
MethodSarcopenia as a Risk Factor for Prosthetic Infection After Total Hip or Knee Arthroplasty
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“Consequently, sarcopenia is linked with disability [4], loss of mobility [5], impaired (static and dynamic) balance [6], and an increased risk of falls [7], fractures [8], and even death [9].”
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“As a whole, these observations lend support to the proposition that sarcopaenia and physical function impairment are major determinants of negative health outcomes in advanced age.(32) It follows that interventions specifically targeting physical function may provide preventive and therapeutic advantages against the d…”
ResultSelf-citationLow muscle mass and low muscle strength associate with nonalcoholic fatty liver disease
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“Sarcopenia, an age-related decline inmusclemass and function, is affecting the older populationworldwide.”
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“when defined according the EWGSOP recommendations [3].”
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- Authors
- Landi, F., Liperoti, R., Fusco, D., Mastropaolo, S., Quattrociocchi, D., Proia, A., Tosato, M., Bernabei, R., & Onder, G.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Landi, Francesco
- Venue
- Journal of the American Medical Directors Association
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 13
- Issue
- 2
- Pages
- 121-126
- ISSN
- 1525-8610 (ISSN-L)
- OpenAlex
- W1971550773
- Cited by
- 344
- References
- 39
- Citations by year
- 2026: 7 · 2025: 19 · 2024: 15 · 2023: 11 · 2022: 27 · 2021: 14 · 2020: 24 · 2019: 19 · 2018: 28 · 2017: 24 · 2016: 35 · 2015: 34 · 2014: 42 · 2013: 25 · 2012: 19
- FWCI
- 18.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Medical Directors Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- sarcopenia, nursing home residents, all-cause mortality, frailty, oldest old, muscle mass, muscle strength, physical performance, survival, EWGSOP criteria, sex differences
- MeSH terms
- Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Aging, Cause of Death, Female, Homes for the Aged, Humans, Italy, Male, Nursing Homes, Physical Fitness, Severity of Illness Index, Sex Factors, Cohort Studies, Comorbidity, Body Mass Index, Survival Rate, Frail Elderly, Risk Assessment, Statistics, Nonparametric, Kaplan-Meier Estimate, Muscle Strength, Sarcopenia
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