Artikel
Prevalence of sarcopenia in geriatric patients hospitalised for rehabilitation
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Veröffentlicht: | 24. Oktober 2011 |
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Gliederung
Text
Objective: Sarcopenia is characterized by progressive muscle wasting during aging and is often associated and aggravated by acute or chronic diseases. Last year a consensus statement of the european working group on sarcopenia in older people was published with the intention to established criteria for the diagnosis of sarcopenia (1). Concerning these criteria a patient is characterized as sarcopenic if there is a significant reduction in skeletal muscle mass and a reduction in muscle strength or in physical performance. The consensus statement recommends screening of older patients by testing of the hand grip strength and walking speed. If there is a significant reduction in one of these parameters an assessment of the skeletal muscle mass should follow. Therefore with these simple screening parameters patients at risk for sarcopenia could be identified and treated early.
Material/Methods: All patients with an age over 65 years submitted to the department of acute geriatric rehabilitation are screened for sarcopenia by measurements of the handgrip strength and walking speed. Additionally quantification of skeletal muscle mass by dual energy X ray absorptiometry (DEXA) will follow. To evaluate whether DEXA is a useful method to quantify muscle mass a magnetic resonance tomography of both tights will be performed. Moreover age, gender, diagnosis for hospital admission and medication are documented to identify possible factors for amplification of sarcopenia. Mobility at admission is documented by basic mobility score and Tinetti testing.
Conclusion: The aim of this study is to investigate the prevalence of sarcopenia in geriatric patients hospitalised for rehabilitation.
References
- 1.
- Cruz-Jentoft AJ, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age and Ageing. 2010;39(4):412-23.