Prevalence of Sarcopenia in Geriatric Hospitalized Patients
Abstract
Objectives Sarcopenia, a common syndrome in older individuals, is characterized by a progressive loss of muscle mass and muscle strength. Although data exist on the prevalence of sarcopenia in community-dwelling older individuals and nursing home residents, there has been no systematic research in hospitalized older patients according to newly developed criteria.Design Cross-sectional study design.Setting Acute geriatric ward of a general hospital.Participants Geriatric inpatients.Measurements Hand grip strength was measured with the Jamar dynamometer, skeletal muscle index was calculated from raw data obtained from the bioelectrical impedance analysis, and physical function was assessed with the Short Physical Performance Battery. Sarcopenia was defined according to the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP).Results This study involved 198 patients from a geriatric acute ward. Mean age was 82.8 ± 5.9 years and 70.2% (n = 139) of the study participants were women. Thirteen patients (6.6%) were defined as sarcopenic and 37 (18.7%) were defined as severely sarcopenic. In a group comparison, patients with sarcopenia had a poorer nutritional status. In a binary logistic regression analysis, only body mass index was associated with sarcopenia, whereas gender, age, length of stay, cognitive function, and self-care capacity were not.Conclusion The prevalence of sarcopenia in geriatric hospitalized patients is high and does not differ from those of other older individuals. Nutritional status is associated with sarcopenia. The predictive value of sarcopenia regarding outcome for older individuals still requires evaluation.
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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 [21]
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- Authors
- Smoliner, C., Sieber, C. C., & Wirth, R.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Corresponding author
- Wirth, Rainer
- Venue
- Journal of the American Medical Directors Association
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 15
- Issue
- 4
- Pages
- 267-272
- ISSN
- 1525-8610 (ISSN-L)
- OpenAlex
- W2012074350
- Cited by
- 117
- References
- 41
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 15 · 2020: 11 · 2019: 11 · 2018: 22 · 2017: 8 · 2016: 16 · 2015: 12 · 2014: 9
- FWCI
- 9.97
- 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 › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- sarcopenia, prevalence, hospitalized older adults, grip strength, skeletal muscle index, bioelectrical impedance analysis, Short Physical Performance Battery, nutritional status, body mass index, EWGSOP criteria, muscle mass and strength
- MeSH terms
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Hospitalization, Humans, Male, Geriatric Assessment, Prevalence, Sarcopenia
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