Clinical Department of Geriatrics, Wroclaw Medical University, ul. M. Curie Skłodowskiej 66, 50-369 Wroclaw, Poland.
Int J Environ Res Public Health. 2021 Dec 21;19(1):32. doi: 10.3390/ijerph19010032.
Comprehensive geriatric assessment (CGA) is a multidimensional diagnostic process enabling evaluation of elderly patients' physical and mental health status that implies implementation of the management targeted on the preservation of functional independence. Sarcopenia is a common but often underdiagnosed geriatric syndrome associated with increased likelihood of functional dependence and mortality risk. The main objectives of the study were the evaluation of sarcopenia prevalence in the patient group subjected to CGA with the upgraded EWGSOP2 algorithm considering muscle strength as the key criterion and usage of bioimpedance (BIA) muscle mass assessment. The study group consisted of 101 patients (76 women and 25 men) admitted for planned CGA to the Geriatrics Department of Wroclaw University Hospital. A diagnosis of sarcopenia was made according to the EWGSOP2 protocol. Body composition was determined with the bioimpedance technique. Functional status was assessed with ADLs from the VES-13 scale and additional questions. Sarcopenia was diagnosed in 16.8% of the study participants. Sarcopenic individuals presented worse functional status and impaired social activity. Muscle strength, gait speed and muscle mass below cut-off values were associated with dependence found in ADLs. Results showed that sarcopenia is a common impairment correlated with worse functional status and vulnerability to adverse outcomes. BIA can be treated as an accessible and accurate technique for muscle mass measurement in screening for sarcopenia, and the EWGSOP2 algorithm should be an essential part of the routine CGA procedure.
全面老年评估（CGA）是一种多维诊断过程，能够评估老年患者的身心健康状况，意味着实施以保持功能独立性为目标的管理。肌肉减少症是一种常见但常被低估的老年综合征，与功能依赖和死亡风险增加有关。该研究的主要目的是评估根据 EWGSOP2 算法（将肌肉力量作为关键标准）并使用生物阻抗（BIA）评估肌肉质量的升级版，对接受 CGA 的患者群体中肌肉减少症的患病率进行评估。研究组包括 101 名（76 名女性和 25 名男性）因计划进行 CGA 而入住弗罗茨瓦夫大学医院老年病科的患者。根据 EWGSOP2 方案诊断为肌肉减少症。使用生物阻抗技术确定身体成分。使用 VES-13 量表和其他问题的 ADL 来评估功能状态。研究参与者中有 16.8%被诊断为肌肉减少症。肌肉减少症患者的功能状态较差，社会活动受损。肌肉力量、步态速度和低于临界值的肌肉质量与 ADL 中的依赖有关。结果表明，肌肉减少症是一种常见的功能障碍，与较差的功能状态和易发生不良后果有关。BIA 可以作为一种易于获得且准确的肌肉质量测量技术，用于筛查肌肉减少症，EWGSOP2 算法应该是常规 CGA 程序的重要组成部分。
