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Title: The prevalence of sarcopenia in fallers and those at risk of falls in a secondary care falls unit as measured by bioimpedance analysis
Authors: Barnes, Kate
Smeed, Barbara
Taylor, Rachael
Hood, Victoria
Brooke-Wavell, Katherine S.F.
Slee, Adrian
Ryg, Jesper
Masud, Tahir
Keywords: Sarcopenia
Falls
Bio-impedance
Prevalence
Muscle
Issue Date: 2018
Publisher: Hylonome Publications
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.
Abstract: 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.
Description: 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/
Sponsor: This work was supported by Nottingham hospitals charity [grant number 1762-09/15].
Version: Published
DOI: 10.22540/jfsf-03-128
URI: https://dspace.lboro.ac.uk/2134/36810
Publisher Link: https://doi.org/10.22540/jfsf-03-128
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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