Prevalence of sarcopenia in cardiac inpatients
DOI: https://doi.org/10.29296/25877305-2020-09-13
Issue:
9
Year:
2020
Patients of older age groups have high comorbidity. Among geriatric diseases, sarcopenia that is a
risk factor for adverse outcomes attracts increasing attention. Objective: to study the incidence of
sarcopenia in persons over 60 years of age who have been admitted to a cardiology department. Subjects and
methods. Thirty-six elderly and 64 senile patients were diagnosed with sarcopenia according to the updated
EWGSOP2 guidelines (2018). After screening with the SARC-F questionnaire, all the patients at risk of
sarcopenia underwent muscle strength measurement using a handheld dynamometer and the chair stand test, the
muscle function assessment using the Short Physical Performance Battery (SPPB), as well as muscle mass
estimation by bioimpedence. Results. There was a risk of sarcopenia in 78 (78%) persons [elderly (n=21) and
senile (n=57) ones]. There was a decline in muscle strength, muscle function, and muscle mass in 64%, 55%,
and 60% of the patients, respectively. Sarcopenia was diagnosed in 53% of the patients (42% in women and 11%
in men); severe sarcopenia was identified in 49%. Sarcopenia was detected in 19.4% of elderly cases and in
71.9% of senile ones. In 100% of the senile women, the SARC-F scores coincided with the results obtained by
other sarcopenia diagnostic techniques. Conclusion. Sarcopenia is a common comorbidity in patients with
cardiovascular diseases. The rate of sarcopenia in elderly and senile cardiac patients is 53%, substantially
increasing with age; severe sarcopenia was diagnosed in 49% of cases. Sarcopenia is detected much more
common in women than in men. The SARC-F questionnaire to screen sarcopenia is highly predictable, especially
in elderly women.
Keywords:
sarcopenia
geriatrics
comorbidity
muscle strength
dynamometry
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