Risk of sarcopenia in hospitalized patients and related clinical factors: a multicenter study from Turkey

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dc.authoridFırat Özer, Firuzan/0000-0001-7470-7488en_US
dc.authoridAkın, Sibel/0000-0002-6139-7254en_US
dc.authoridSezgin, Gülbüz Güler/0000-0002-0774-2766en_US
dc.authoridSavas, Sumru/0000-0003-4836-3786en_US
dc.authoridTASCI, ILKER/0000-0002-0936-2476;en_US
dc.contributor.authorFırat Özer, Firuzan
dc.contributor.authorAkin, Sibel
dc.contributor.authorTasci, Ilker
dc.contributor.authorTasar, Pınar Tosun
dc.contributor.authorSavas, Sumru
dc.contributor.authorCincin, Asli Tufan
dc.contributor.authorYavuzer, Hakan
dc.date.accessioned2024-07-12T21:37:32Z
dc.date.available2024-07-12T21:37:32Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractKey summary points Aim To evaluate sarcopenia risk in hospitalized older patients. Findings The percentage of patients at risk of sarcopenia defined by the SARC-F was 48.8%. Sarcopenia risk was associated with unfavorable health care outcomes including dependency, malnutrition, and dysphagia. Message Sarcopenia risk is related with unfavorable outcomes in hospitalized patients and it is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. Purpose To investigate the risk of sarcopenia in hospitalized older patients and to assess the associations between sarcopenia risk and health care outcomes including dependency, malnutrition, and dysphagia. Methods This multicenter cross-sectional study was a part of the annual National Prevalence Measurement of Quality of Care (LPZ) in Turkey. Hospitalized patients age 65 and older were included in the study. The SARC-F was used to assess risk of sarcopenia. Dependency was appraised according to the Care Dependency Scale (CDS). Nutritional status was established with respect to the Malnutrition Universal Screening Tool (MUST). Dysphagia was screened by two structured questions. Results A total of 492 patients were included in the analysis. Two hundred and forty patients (48.8%) were at risk of sarcopenia. Sarcopenia risk was more prevalent among women (p = 0.007) and patients with risk of sarcopenia were older (p < 0.001). Hospital stay was longer and malnutrition and dysphagia were more prevalent in patients with sarcopenia risk than without (all p < 0.001). All nutritional interventions were applied mostly to patients with sarcopenia risk than without. In multivariate analysis, advanced age (OR: 1.068, CI 1.032-1.104, p < 0.001), female gender (OR: 2.414, CI 1.510-3.857, p < 0.001), and dependency (OR: 5.022, CI 2.922-8.632, p < 0.001) were independently associated with sarcopenia risk. Conclusions Sarcopenia risk is related with unfavorable outcomes in hospitalized patients. Primarily older female patients are at risk for sarcopenia. It is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. The SARC-F may be a useful tool for screening sarcopenia risk in hospitalized patients.en_US
dc.description.sponsorshipNutricia Turkeyen_US
dc.description.sponsorshipThis work was supported by Nutricia Turkey. The funding played no role in study design, collection, analysis, interpretation of data, writing the manuscript, or the decision to submit for publication.en_US
dc.identifier.doi10.1007/s41999-021-00499-z
dc.identifier.endpage870en_US
dc.identifier.issn1878-7649
dc.identifier.issn1878-7657
dc.identifier.issue4en_US
dc.identifier.pmid33866525en_US
dc.identifier.scopus2-s2.0-85104877306en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage863en_US
dc.identifier.urihttps://doi.org/10.1007/s41999-021-00499-z
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6836
dc.identifier.volume12en_US
dc.identifier.wosWOS:000640829300001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Geriatric Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY04178
dc.subjectSarcopenia Risken_US
dc.subjectHospitalizationen_US
dc.subjectDependencyen_US
dc.subjectMalnutritionen_US
dc.subjectSarc-Fen_US
dc.titleRisk of sarcopenia in hospitalized patients and related clinical factors: a multicenter study from Turkeyen_US
dc.typeArticle
dspace.entity.typePublication

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