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The prevalence of sarcopenia in fallers and those at risk of falls in a secondary care falls unit as measured by bioimpedance analysis

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posted on 07.02.2019, 11:53 authored by Kate Barnes, Barbara Smeed, Rachael Taylor, Victoria Hood, Katherine Brooke-WavellKatherine Brooke-Wavell, Adrian Slee, Jesper Ryg, Tahir Masud
Objectives: Sarcopenia is characterised by loss of skeletal muscle mass and strength with adverse outcomes: physical disability, poor quality of life and death. Low muscle mass and strength are risk factors for falls, although there are few data available on the prevalence of sarcopenia in fallers. This study aimed to determine prevalence of sarcopenia in older people referred to a falls clinic. Methods: Consecutive patients referred to a secondary care falls unit were recruited. Sarcopenia was diagnosed using the European Working Group on Sarcopenia definition (low muscle mass and function) and cut-off points. Bio-impedance measured appendicular skeletal muscle mass. Gait speed and grip strength were functional measures. Results: Fifty-eight patients were recruited. Mean (SD) grip strength for women and men respectively were 17.9 (4.9) and 29.9(8.7) kg, mean (SD) gait speeds were 0.61(0.18) and 0.72 (0.4) m/s, mean (SD) appendicular skeletal muscle index in women and men were 6.98(1.0) and 7.85 (1.0) kg/m2 (p=0.018). Prevalence of sarcopenia was 9.8% (95% CI=1.6%-18%). Conclusions: Sarcopenia, as measured by bio-impedance is not uncommon in older people accessing a secondary care falls clinic. Bio-impedance was simple to perform, although further validation against gold standard methods is needed. As nutritional and exercise interventions for sarcopenia are available, simple methods for diagnosing sarcopenia in fallers should be considered.

Funding

This work was supported by Nottingham hospitals charity [grant number 1762-09/15].

History

School

  • Sport, Exercise and Health Sciences

Published in

Journal of Frailty, Sarcopenia and Falls

Volume

03

Issue

03

Pages

128 - 131

Citation

BARNES, K. ... et al., 2018. The prevalence of sarcopenia in fallers and those at risk of falls in a secondary care falls unit as measured by bioimpedance analysis. Journal of Frailty, Sarcopenia and Falls, 3 (3), pp. 128 - 131.

Publisher

Hylonome Publications

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/by-nc-sa/4.0/

Acceptance date

31/10/2018

Publication date

2018-09-01

Notes

This is an Open Access Article. It is published by Hylonome Publications under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/by-nc-sa/4.0/

eISSN

2459-4148

Language

en