Bertschi, Dominic; Kiss, Caroline M; Beerli, Nadine; Mauthner, Oliver; Kressig, Reto W (2022). Impact of sarcopenia on daily functioning: a cross-sectional study among older inpatients. Aging clinical and experimental research, 34(9), pp. 2041-2046. Springer 10.1007/s40520-022-02175-z
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BACKGROUND AND AIM
Geriatric patients with sarcopenia are at increased risk for functional decline with loss of independence in daily living. This cross-sectional study aims to investigate the impact of sarcopenia on different domains of functional status in hospitalized geriatric patients.
METHODS
Sarcopenia was assessed at hospital admission using the recommendations of the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Body impedance analysis (BIA) was performed to determine muscle mass, and a pneumatic hand dynamometer was used to assess muscle strength. The functional independence measure (FIM) score, an 18-item tool exploring an individual's physical, cognitive and social functions, was used to measure functional status.
RESULTS
In 305 included inpatients with a median age of 84.0 years (65.6% female), prevalence of sarcopenia was 22.6%. Overall, sarcopenic patients had significant lower FIM scores compared to non-sarcopenic patients (p = 0.006). An association with sarcopenia was found for the FIM items bed/chair/wheelchair transfer (p = 0.047), transfer to toilet (p = 0.048), locomotion (p = 0.001), climbing stairs (p = 0.012), comprehension (p = 0.029), and social interaction (p = 0.028).
CONCLUSION
In hospitalized geriatric patients, sarcopenia was found to be associated with both cognitive and mobility domains, but not with self-care domains of the FIM score. Therefore, when addressing sarcopenia in inpatients, tailored and multi-dimensional training interventions mainly should focus on motor-cognitive abilities.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic |
UniBE Contributor: |
Bertschi, Dominic |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1720-8319 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
08 Jul 2022 09:47 |
Last Modified: |
05 Dec 2022 16:21 |
Publisher DOI: |
10.1007/s40520-022-02175-z |
PubMed ID: |
35794312 |
Uncontrolled Keywords: |
Cognition Functional status Geriatrics Older adults Sarcopenia |
BORIS DOI: |
10.48350/171190 |
URI: |
https://boris.unibe.ch/id/eprint/171190 |
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