PREVALENCE OF SARCOPENIA USING SARC-F IN THE ELDERLY PATIENTS: CORRELATION BETWEEN BODY COMPOSITION, FUNCTIONAL STATUS AND PHYSICAL PERFORMANCE-A PRELIMINARY STUDY


Borman P., Doğan Y., Bilgiç P., Öteleş S., Kutsal F. Y. , Karahan S.

World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO Paris 2019), Paris, France, 4 - 07 April 2019, vol.30, pp.697-698

  • Publication Type: Conference Paper / Full Text
  • Volume: 30
  • Doi Number: 10.1007/s00198-019-04993-w
  • City: Paris
  • Country: France
  • Page Numbers: pp.697-698

Abstract

Objectives: Sarcopenia is the age-dependent loss of

skeletal muscle mass and strength which causes disability,

falls and hospitalizations in the elderly. A definite

consensus on the diagnosis of sarcopenia has not been

reached yet (2). The aim of this study was to assess the

prevalence of sarcopenia by SARC-F -a simple clinical

symptom index (1) and to investigate the relationship

between SARC-F scores and body composition parameters,

muscle strength. functional status and physical

performance scores in a group of geriatric patients.

Methods: 60 patients from the outpatient clinics of

Physical Medicine and Rehabilitation department were

recruited according to the eligibility criteria. The demographical

and clinical characteristics were recorded.

Body composition comprising BMI, body fat, fat-free

mass; muscle strength assessed by grip strength measurement

and functional status assessed by short physical

performance battery (SPPB) were determined. 4m

gait speed, chair stand and balance tests were performed.

The nutritional status assessed by mini nutritional

assessment (MNA), and physical activity status

assessed by Physical Activity Scale for the Elderly

(PASE) were also recorded.

Results: 9 male and 51 female patients with a mean age

of 66+4.8 y were included to the study. The mean BMI

was 30.2±5.4 kg/m2. 13.3% of patients had falls, 75%

of them were nonsmokers, 92% nonalcoholic and 76%

of them had more than two chronic diseases. 18% of the

patients had sarcopenia. The demographical and clinical

parameters except BMI, number of falls and the scores

of chair stand and balance tests, were similar between

patients with and without sarcopenia (Table 1). There

were negative correlations between the scores of

SARC-F and the grip strength (p:0.002,r:-0.39) chair

stand (p:0.000, r:-0.44, balance test (p:0.033, r:-0.28)

and SBBP total scores (p:0.011,r:-0.33).

Conclusion: Nearly 20% of the elderly had sarcopenia,

in whom obesity and falls were common. Sarcopenia

screened using SARC-F was associated with decreased

muscle strength, balance and increased functional disability.

We suggest the use of SARC-F as an easy,

quick and practical screening tool for the diagnosis of

sarcopenic elderly in the routine clinical practice.

References:

1. Malmstrom TK and Morley JE. J Am Med Dir Assoc

2013;14:531.

2. McLean RR and Kiel DP. J Bone Mineral Res 2015;30:588.