Sarcopenia Identification during Comprehensive Geriatric Assessment

Comprehensive geriatric assessment (CGA) is a multidimensional diagnostic process enabling evaluation of elderly patients' physical and mental health status that implies implementation of the management targeted on the preservation of functional independence. Sarcopenia is a common but often un...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-12, Vol.19 (1), p.32
Main Authors: Pachołek, Krzysztof, Sobieszczańska, Małgorzata
Format: Article
Language:English
Subjects:
Activities of Daily Living
Age
Aged
Algorithms
Body composition
Body mass index
Dementia
Epidemiology
Evaluation
Female
Gait
Geriatric Assessment
Geriatrics
Hand Strength
Humans
Male
Mental health
Mortality
Muscle Strength
Musculoskeletal system
Patients
Population
Prevalence
Quality of life
Sarcopenia
Sarcopenia - diagnosis
Sarcopenia - epidemiology
Software
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Summary:Comprehensive geriatric assessment (CGA) is a multidimensional diagnostic process enabling evaluation of elderly patients' physical and mental health status that implies implementation of the management targeted on the preservation of functional independence. Sarcopenia is a common but often underdiagnosed geriatric syndrome associated with increased likelihood of functional dependence and mortality risk. The main objectives of the study were the evaluation of sarcopenia prevalence in the patient group subjected to CGA with the upgraded EWGSOP2 algorithm considering muscle strength as the key criterion and usage of bioimpedance (BIA) muscle mass assessment. The study group consisted of 101 patients (76 women and 25 men) admitted for planned CGA to the Geriatrics Department of Wroclaw University Hospital. A diagnosis of sarcopenia was made according to the EWGSOP2 protocol. Body composition was determined with the bioimpedance technique. Functional status was assessed with ADLs from the VES-13 scale and additional questions. Sarcopenia was diagnosed in 16.8% of the study participants. Sarcopenic individuals presented worse functional status and impaired social activity. Muscle strength, gait speed and muscle mass below cut-off values were associated with dependence found in ADLs. Results showed that sarcopenia is a common impairment correlated with worse functional status and vulnerability to adverse outcomes. BIA can be treated as an accessible and accurate technique for muscle mass measurement in screening for sarcopenia, and the EWGSOP2 algorithm should be an essential part of the routine CGA procedure.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19010032