Akademik Veri Yönetim Sistemi
EUROPEAN GERIATRIC MEDICINE, cilt.5, ss.245, 2014 (SCI-Expanded, Scopus)
Prevalence of sarcopenia in hospitalized elderly patients in Turkey: a cross-sectional study M. Yuruyen1, H. Yavuzer2, S. Yavuzer3, M. Cengiz3, N. Ozgur Yurttas2, A. Alitoska2, M.S. Islamoglu3, E. Imre3, A. Doventas2, D.S. Erdincler2 1Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey; 2Department of Geriatrics, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey; 3Department of Internal Medicine, Cerrahpasa Faculty of Medicine, Istanbul Univer, Istanbul, Turkey Introduction: Sarcopenia is known to be significantly associated with functional impairment and disability in elderly. We aimed to investigate the prevalence of sarcopenia and its related conditions in hospitalized elderly patients via bioelectrical impedance analysis (BIA) method. Methods: Between October 2013-January 2014 patients older than 65 years hospitalized in medical wards were included. Nutrition status,hand grip strength, walking speed and free fat mass index (FFMI) were evaluated by MNA test, hand dynamometer, ‘get up and go test’ and BIA (Bodystat Quadscan 4000) method respectively. The relationship between variables and sarcopenia were examined with Spearman’s correlation test. Results: In this study composed of 84 patients (48 female, 57.1%), mean age, comorbid diseases, number of medication and hospitalization period days were detected as 75.7±7.3, 3.29±1.9, 7.1±3.6, 23.6±15.3, respectively. Risk of malnutrition, malnutrition and sarcopenia prevalence were found 53.6%, 19%, 7.1% respectively. The correlation analysis of sarcopenia were associated with; longer duration of hospitalization (r=0.363, p=0.001), lower body mass index, low-waist, mid-upper arm and calf circumference (r =−0.444, p<0.0001, r=−0.369, p=0.001, r=−0.266, p=0.015, r =−0.373, p<0.0001 respectively), smoking (r=0.214, p=0.05), malnutrition (r=0.301, p=0.006), chronic lung disease (r=0.244, p=0.025), presence of malignancy (r=0.265, p=0.015). Low hand grip strength were associated with lower walking speed and FFM (r =0.364, p=0.001; r=0.418, p<0.0001 respectively). Conclusion: Sarcopenia that can be overlooked is an important geriatric syndrome in elderly. Particularly, if a patient has longer duration of hospitalization, low BMI, malnutrition, chronic lung disease and malignancy sarcopenia should be suspected and screened with methods such as anthropometric measurements and BIA.