Frequency of sarcopenia in diabetic elderly patients
Ismail Abd El Hamid Abd El Badia Ali Kandil;
Abstract
The current study demonstrated the frequency of sarcopenia in diabetic elderly patients attending to diabetes outpatient clinic in the specialized medical hospital in Mansoura University hospital.166 elderly type two diabetes patients aged ≥ 60 years old participate in the study were randomly selected from the outpatient clinic, 72 (43.4%) males and 94 (56.6%) females.
As regard special habit and occupation, 97.9% of women versus 50% of men were nonsmoker.
91.7% of men were manual workers while 72.3% and 27.7% of women were house wives and manual workers respectively.
As regard mean LBM, ASM, TBF, TUGT, hand grip power of the dominant hand, and hand grip power of the non-dominant hand, men show higher values for LBM, ASM, and hand grip power and lower duration of the TUGT, while women show higher value for TBF and TBF percent.
Only 111 participants were asked about history of fall within the last year. 25% (n= 15), 9.8% (n= 5), and 18% (n= 20) of women, men, and total participants who were asked about history of fall within the last year respectively have history of fall or recurrent fall.
The frequency of osteoporosis was 19.1% in females, 1.4% in males, and 11% in total participants.
The criteria of the European Working Group on Sarcopenia in Older People (EWGSOP) were used to define sarcopenia. Presarcopenia defined as having low muscle mass and normal muscle function (strength and performance); sarcopenia as having low muscle mass combined with low muscle strength or low muscle performance; and severe sarcopenia as having low muscle mass, low muscle strength and low muscle performance.
In the current study the total frequency of sarcopenia among participants was 79.5% (n= 132) [sarcopenic 30.7% (n=51) and severely sarcopenic 48.8% (n= 81)].
There is a significant relation between sarcopenia and gender, age group, TUGT, and hand grip power in both men and women,
There is a significant relation between sarcopenia and insulin dose, and fat mass of right and left arms and legs in women
There is a significant relation between sarcopenia and LBM, degree of diabetic neuropathy, and fat mass of right arm in men.
The prevalence of sarcopenia in the current study was 58.3% (n=42) in men (31.9% sarcopenic and 26.4% severely sarcopenic) versus 95.8% (n=90) in women (29.8% sarcopenic and 66% severely sarcopenic).
prevalence of sarcopenia in the current study increased in older age groups, it was 77.6% (n=95) in age group between 60 and 69 years old, 80.5% (n=33) in age group between 70 and 79 years old, and all participants aged ≥ 80 years (n=9).
Hand grip power significantly reduced and TUGT significantly prolonged in both sarcopenic and severely sarcopenic men and women.
The prevalence of sarcopenia (sarcopenic and severely sarcopenic) among different occupational groups was 66.3% among manual workers, 97.1% among house wives, and 80% among employee.
None of presarcopenic patients show history of fall while, 6.67% of sarcopenic and14.75% of severely sarcopenic participants reported a history of fall.
History of recurrent fall was reported only in severely sarcopenics participants (14.75% of severely sarcopenic participants).
Fall related serious injuries were reported only in those with sever sarcopenia.
17.3% of severely sarcopenic participants were osteoporotic versus 7.8% and 2.9% of sarcopenic and non sarcopenic respectively.
The total ADL score was significantly impaired in the sarcopenic and severely sarcopenic groups.
Female gender, high BMI and neuropathy are the main independent contributing factors to the incidence of sarcopenia among this group of elder population.
As regard special habit and occupation, 97.9% of women versus 50% of men were nonsmoker.
91.7% of men were manual workers while 72.3% and 27.7% of women were house wives and manual workers respectively.
As regard mean LBM, ASM, TBF, TUGT, hand grip power of the dominant hand, and hand grip power of the non-dominant hand, men show higher values for LBM, ASM, and hand grip power and lower duration of the TUGT, while women show higher value for TBF and TBF percent.
Only 111 participants were asked about history of fall within the last year. 25% (n= 15), 9.8% (n= 5), and 18% (n= 20) of women, men, and total participants who were asked about history of fall within the last year respectively have history of fall or recurrent fall.
The frequency of osteoporosis was 19.1% in females, 1.4% in males, and 11% in total participants.
The criteria of the European Working Group on Sarcopenia in Older People (EWGSOP) were used to define sarcopenia. Presarcopenia defined as having low muscle mass and normal muscle function (strength and performance); sarcopenia as having low muscle mass combined with low muscle strength or low muscle performance; and severe sarcopenia as having low muscle mass, low muscle strength and low muscle performance.
In the current study the total frequency of sarcopenia among participants was 79.5% (n= 132) [sarcopenic 30.7% (n=51) and severely sarcopenic 48.8% (n= 81)].
There is a significant relation between sarcopenia and gender, age group, TUGT, and hand grip power in both men and women,
There is a significant relation between sarcopenia and insulin dose, and fat mass of right and left arms and legs in women
There is a significant relation between sarcopenia and LBM, degree of diabetic neuropathy, and fat mass of right arm in men.
The prevalence of sarcopenia in the current study was 58.3% (n=42) in men (31.9% sarcopenic and 26.4% severely sarcopenic) versus 95.8% (n=90) in women (29.8% sarcopenic and 66% severely sarcopenic).
prevalence of sarcopenia in the current study increased in older age groups, it was 77.6% (n=95) in age group between 60 and 69 years old, 80.5% (n=33) in age group between 70 and 79 years old, and all participants aged ≥ 80 years (n=9).
Hand grip power significantly reduced and TUGT significantly prolonged in both sarcopenic and severely sarcopenic men and women.
The prevalence of sarcopenia (sarcopenic and severely sarcopenic) among different occupational groups was 66.3% among manual workers, 97.1% among house wives, and 80% among employee.
None of presarcopenic patients show history of fall while, 6.67% of sarcopenic and14.75% of severely sarcopenic participants reported a history of fall.
History of recurrent fall was reported only in severely sarcopenics participants (14.75% of severely sarcopenic participants).
Fall related serious injuries were reported only in those with sever sarcopenia.
17.3% of severely sarcopenic participants were osteoporotic versus 7.8% and 2.9% of sarcopenic and non sarcopenic respectively.
The total ADL score was significantly impaired in the sarcopenic and severely sarcopenic groups.
Female gender, high BMI and neuropathy are the main independent contributing factors to the incidence of sarcopenia among this group of elder population.
Other data
| Title | Frequency of sarcopenia in diabetic elderly patients | Other Titles | معدل تكرار ضعف العضلات فى مرضى البول السكري كبار السن | Authors | Ismail Abd El Hamid Abd El Badia Ali Kandil | Issue Date | 2014 |
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