Halil M, Ulger Z, Varlı M, Döventaş A, Oztürk G B, Kuyumcu M E, Yavuz B B, Yesil Y, Tufan F, Cankurtaran M, Saka B, Sahin S, Curgunlu A, Tekin N, Akçiçek F, Karan M A, Atlı T, Beger T, Erdinçler D S, Arıoğul S
Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
Gazi University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
Eur J Clin Nutr. 2014 Jun;68(6):690-4. doi: 10.1038/ejcn.2014.15. Epub 2014 Feb 26.
BACKGROUND/OBJECTIVES: Sarcopenia and sarcopenic obesity (SO) are geriatric syndromes leading to physical disability, poor quality of life and death. The aim of this study was to investigate the prevalence of sarcopenia and SO in nursing homes in Turkey and to define local disparities for diagnosing sarcopenia and SO.
SUBJECTS/METHODS: This cross-sectional multicenter study was performed in 711 patients in 14 nursing homes. Comprehensive geriatric assessment tests, handgrip strength and calf circumference (CC) measurements were carried out. Sarcopenia was both defined by handgrip strength and CC criteria.
According to handgrip strength measurement, 483 (68%) of patients were sarcopenic (male: 72%, female: 63.8%), 228 were non-sarcopenic. The prevalence of SO was 22% (13.7% in men, 30.2% in women). Patients (82.5%) who were diagnosed as sarcopenic by the handgrip strength test were not sarcopenic according to CC sarcopenia criteria. Therefore, we tried to determine the optimal CC value for diagnosing sarcopenia in our population.
Both sarcopenia and SO were prevalent among Turkish nursing home elderly residents. Most of the patients with sarcopenia were obese or overweight. We showed that diagnosing sarcopenia with CC measurement underestimated the sarcopenia prevalence assessed by handgrip strength. So we concluded that, although different assessment methods are recommended for the diagnosis of sarcopenia local disparities should be considered.
背景/目的：肌肉减少症和肌肉减少性肥胖是导致身体残疾、生活质量差和死亡的老年综合征。本研究的目的是调查土耳其养老院中肌肉减少症和肌肉减少性肥胖的患病率，并确定诊断肌肉减少症和肌肉减少性肥胖的地区差异。
受试者/方法：这项横断面多中心研究在14家养老院的711名患者中进行。进行了全面的老年评估测试、握力和小腿围（CC）测量。肌肉减少症通过握力和CC标准进行定义。
根据握力测量，483名（68%）患者存在肌肉减少症（男性：72%，女性：63.8%），228名患者无肌肉减少症。肌肉减少性肥胖的患病率为22%（男性为13.7%，女性为30.2%）。通过握力测试诊断为肌肉减少症的患者中，有82.5%根据CC肌肉减少症标准并非肌肉减少症患者。因此，我们试图确定在我们的人群中诊断肌肉减少症的最佳CC值。
肌肉减少症和肌肉减少性肥胖在土耳其养老院老年居民中均很普遍。大多数肌肉减少症患者肥胖或超重。我们发现，用CC测量诊断肌肉减少症会低估通过握力评估的肌肉减少症患病率。所以我们得出结论，尽管推荐使用不同的评估方法来诊断肌肉减少症，但应考虑地区差异。
