Prevalence of sarcopenia in outpatients of the kinesiology service of a General Hospital for Acute Care in the Autonomous City of Buenos Aires.

Authors

Abstract

Objective: To know the clinical-epidemiological characteristics of outpatients from the kinesiology service of a public hospital in the Autonomous City of Buenos Aires and to describe the prevalence of sarcopenia in them.

Materials and methods: Descriptive, observational, prospective study carried out in a physical therapy clinic service of a public hospital in Autonomous City of Buenos Aires between February and March 2023. Individuals 18 years of age or older, referred to the service, were included. The algorithm proposed by the European Working Group on Sarcopenia in Older People 2 was used for the diagnosis.

Results: Of 137 patients evaluated, the mean age was 51 (SD 15,6) years and 63,5 % were women. Most of the derivations were due to musculoskeletal pathologies. The prevalence of probable sarcopenia was 11,7 %, they had a mean age of 65,1 (SD 14,3) years, and 81,3 % were women. 75 % of the individuals did not perform physical activity and had a body mass index (BMI) of 28,3 (SD 6,8).

Conclusion: The characteristics of the outpatients of the physical therapy clinic service of a public hospital in Autonomous City of Buenos Aires, indicated a mean age of 51 (SD 15,6) years, with a predominance of women. Most of them did not perform physical activity and had a median BMI of 28,4 kg/m2. Although no patients with confirmed sarcopenia were found, 11,7 % had probable sarcopenia.

References

Noli EM, Aguirre P, Bertozzi M, Carroll S, Castro D, Covello G, et al. Prevalencia de los motivos de consulta y las características de los sujetos en un consultorio externo de kinesiología de un hospital público de la Ciudad de Buenos Aires. AJRPT. 2020;2(3):12-21. https://doi.org/10.58172/ajrpt.v2i3.101 doi: 10.58172/ajrpt.v2i3.101
Crossref | Google Scholar

Abdala R, Elena Del Valle E, Negri AL, Bridoux P, Paganti LG, Bravo M, et al. Sarcopenia in hemodialysis patients from Buenos Aires, Argentina. Osteoporos Sarcopenia. 2021;7(2):75-80. https://doi.org/10.1016/j.afos.2021.04.001 doi: 10.1016/j.afos.2021.04.001
Crossref | Google Scholar

Asaduroglu AV, Tablada M, Cosiansi Bai J, Carrillo M, Canale M, Gallerano R. Perfil corporal y función física y cognitiva según edad en mujeres mayores ambulatorias de la ciudad de Córdoba [Body profile and physical and cognitive function by age in ambulatory elderly women from the city of Córdoba]. Rev Fac Cien Med Univ Nac Córdoba. 2015;72(2):78-92. https://doi.org/10.31053/1853.0605.v72.n2.12442

Chapela SP, Pegoraro PM, Aquino M, Mangiarotti D, Coronil J, Areas N. Métodos de evaluación muscular para el diagnóstico de sarcopenia en pacientes cirróticos [Muscle assessment methods for the diagnosis of sarcopenia in cirrhotic patients]. Medicina (B Aires). 2021;81(6):958-964.

Jerkovich F, Nuñez S, Mocarbel Y, Pignatta A, Elías N, Cassinelli H, et al. Burden of Disease in Patients With Tumor-Induced Osteomalacia. JBMR Plus. 2020 Dec 18;5(2):e10436. https://doi.org/10.1002/jbm4.10436 doi: 10.1002/jbm4.10436
Crossref | Google Scholar

Romeo FJ, Chiabrando JG, Seropian IM, Raleigh JV, de Chazal HM, Garmendia CM, et al. Sarcopenia index as a predictor of clinical outcomes in older patients undergoing transcatheter aortic valve replacement. Catheter Cardiovasc Interv. 2021;98(6):E889-E896. https://doi.org/10.1002/ccd.29799 doi: 10.1002/ccd.29799
Crossref | Google Scholar

Zanchetta MB, Abdala R, Massari F, Rey P, Spivacow R, Miechi L, et al. Postmenopausal women with sarcopenia have higher prevalence of falls and vertebral fractures. Medicina (B Aires). 2021;81(1):47-53.

Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5 Suppl):990S-991S. https://doi.org/10.1093/jn/127.5.990S doi: 10.1093/jn/127.5.990S
Crossref | Google Scholar

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-423. https://doi.org/10.1093/ageing/afq034 doi: 10.1093/ageing/afq034
Crossref | Google Scholar

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis [published correction appears in Age Ageing. 2019 Jul 1;48(4):601]. Age Ageing. 2019;48(1):16-31. https://doi.org/10.1093/ageing/afy169 doi: 10.1093/ageing/afz046
Crossref | Google Scholar

Dirección General de Atención Primaria (DGATP-SSAPAC). Ministerio de Salud Gobierno de la Ciudad de Buenos Aires. Programa Nutricional. Informe de la situación nutricional de población atendida en Centros de Salud Nivel 1. 2021. [citado 1ro Junio 2023]. Disponible en: https://buenosaires.gob.ar/salud/programasdesalud/monitoreo-epidemiologico-del-programa-nutricional.

Parra-Rodríguez L, Szlejf C, García-González AI, Malmstrom TK, Cruz-Arenas E, Rosas-Carrasco O. Cross-Cultural Adaptation and Validation of the Spanish-Language Version of the SARC-F to Assess Sarcopenia in Mexican Community-Dwelling Older Adults. J Am Med Dir Assoc. 2016;17(12):1142-1146. https://doi.org/10.1016/j.jamda.2016.09.008 doi: 10.1016/j.jamda.2016.09.008
Crossref | Google Scholar

Morley JE, Abbatecola AM, Argiles JM, Baracos V, Bauer J, Bhasin S, et al. Sarcopenia with limited mobility: an international consensus. J Am Med Dir Assoc. 2011;12(6):403-409. https://doi.org/10.1016/j.jamda.2011.04.014 doi: 10.1016/j.jamda.2011.04.014
Crossref | Google Scholar

Dirks ML, Wall BT, van de Valk B, Holloway TM, Holloway GP, Chabowski A, et al. One Week of Bed Rest Leads to Substantial Muscle Atrophy and Induces Whole-Body Insulin Resistance in the Absence of Skeletal Muscle Lipid Accumulation. Diabetes. 2016;65(10):2862-2875. https://doi.org/10.2337/db15-1661 doi: 10.2337/db15-1661
Crossref | Google Scholar

Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12(4):249-256. https://doi.org/10.1016/j.jamda.2011.01.003 doi: 10.1016/j.jamda.2011.01.003
Crossref | Google Scholar

Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle. 2016;7(1):28-36. https://doi.org/10.1002/jcsm.12048 doi: 10.1002/jcsm.12048
Crossref | Google Scholar

Sánchez-Rodríguez D, Marco E, Dávalos-Yerovi V, López-Escobar J, Messaggi-Sartor M, Barrera C, et al. Translation and Validation of the Spanish Version of the SARC-F Questionnaire to Assess Sarcopenia in Older People. J Nutr Health Aging. 2019;23(6):518-524. https://doi.org/10.1007/s12603-019-1204-z doi: 10.1007/s12603-019-1204-z
Crossref | Google Scholar

Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, Sayer AA. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40(4):423-429. https://doi.org/10.1093/ageing/afr051 doi: 10.1093/ageing/afr051
Crossref | Google Scholar

Mathiowetz V, Vizenor L, Melander D. Comparison of Baseline Instruments to the Jamar Dynamometer and the B&L Engineering Pinch Gauge. The Occupational Therapy Journal of Research. 2000;20(3):147-162. https://doi.org/10.1177/153944920002000301 doi: 10.1177/153944920002000301
Crossref | Google Scholar

Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am. 1984;9(2):222-226. https://doi.org/10.1016/s0363-5023(84)80146-x doi: 10.1016/S0363-5023(84)80146-X
Crossref | Google Scholar

IRONMAN® Body Composition Monitor. [citado 1ro Junio 2023]. Disponible en: https://www.tanita.com/en/bc554/

Sergi G, De Rui M, Stubbs B, Veronese N, Manzato E. Measurement of lean body mass using bioelectrical impedance analysis: a consideration of the pros and cons. Aging Clin Exp Res. 2017;29(4):591-597. https://doi.org/10.1007/s40520-016-0622-6 doi: 10.1007/s40520-016-0622-6
Crossref | Google Scholar

ICRP. [citado 1ro Junio 2023]. Disponible en: https://www.icrp.org/publication.asp?id=ICRP%20Publication%2023

Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, et al. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci. 2014;69(5):547-558. https://doi.org/10.1093/gerona/glu010 doi: 10.1093/gerona/glu010
Crossref | Google Scholar

Akın S, Mucuk S, Öztürk A, Mazıcıoğlu M, Göçer Ş, Arguvanlı S, Şafak ED. Muscle function-dependent sarcopenia and cut-off values of possible predictors in community-dwelling Turkish elderly: calf circumference, midarm muscle circumference and walking speed. Eur J Clin Nutr. 2015;69(10):1087-1090. https://doi.org/10.1038/ejcn.2015.42 doi: 10.1038/ejcn.2015.42
Crossref | Google Scholar

Bohannon RW, Wang YC. Four-Meter Gait Speed: Normative Values and Reliability Determined for Adults Participating in the NIH Toolbox Study. Arch Phys Med Rehabil. 2019;100(3):509-513. https://doi.org/10.1016/j.apmr.2018.06.031 doi: 10.1016/j.apmr.2018.06.031
Crossref | Google Scholar

Muhafara GJ, Cura AJ, Tozzi WA, Villarruel M, Virgilio SA, Alí MA, Esperón LF. Prevalence of Musculoskeletal disorders of the Shoulder in a Hospital of the City of Buenos Aires. Retrospective study. J Shoulder Elbow Surg. 2017;2(2):20–23. https://doi.org/10.13107/ases.2457-0338.2017.077

Syed MA, Azim SR, Baig M. Frequency of orthopedic problems among patients attending an orthopedic outpatient department: a retrospective analysis of 23 495 cases. Ann Saudi Med. 2019;39(3):172-177. https://doi.org/10.5144/0256-4947.2019.172 doi: 10.5144/0256-4947.2019.172
Crossref | Google Scholar

Carter SK, Rizzo JA. Use of outpatient physical therapy services by people with musculoskeletal conditions. Phys Ther. 2007;87(5):497-512. https://doi.org/10.2522/ptj.20050218 doi: 10.2522/ptj.20050218
Crossref | Google Scholar

Dodds RM, Granic A, Robinson SM, Sayer AA. Sarcopenia, long-term conditions, and multimorbidity: findings from UK Biobank participants. J Cachexia Sarcopenia Muscle. 2020;11(1):62-68. https://doi.org/10.1002/jcsm.12503 doi: 10.1002/jcsm.12503
Crossref | Google Scholar

Cherin P, Voronska E, Fraoucene N, de Jaeger C. Prevalence of sarcopenia among healthy ambulatory subjects: the sarcopenia begins from 45 years. Aging Clin Exp Res. 2014 Apr;26(2):137-46. http://doi.org/10.1007/s40520-013-0132-8 doi: 10.1007/s40520-013-0132-8
Crossref | Google Scholar

Pang BWJ, Wee SL, Lau LK, Jabbar KA, Seah WT, Ng DHM, et al. Prevalence and Associated Factors of Sarcopenia in Singaporean Adults-The Yishun Study. J Am Med Dir Assoc. 2021;22(4):885.e1-885.e10. https://doi.org/10.1016/j.jamda.2020.05.029 doi: 10.1016/j.jamda.2020.05.029
Crossref | Google Scholar

INDEC, Instituto Nacional de Estadística y Censos de la REPÚBLICA ARGENTINA. INDEC: Instituto Nacional de Estadística y Censos de la República Argentina. [citado 1ro Junio 2023]. Disponible en: https://www.indec.gob.ar/indec/web/Nivel4-Tema-4-32-68

Trevisan C, Vetrano DL, Calvani R, Picca A, Welmer AK. Twelve-year sarcopenia trajectories in older adults: results from a population-based study. J Cachexia Sarcopenia Muscle. 2022;13(1):254-263. https://doi.org/10.1002/jcsm.12875 doi: 10.1002/jcsm.12875
Crossref | Google Scholar

Al Snih S, Markides KS, Ottenbacher KJ, Raji MA. Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clin Exp Res. 2004;16(6):481-486. https://doi.org/10.1007/BF03327406 doi: 10.1007/BF03327406
Crossref | Google Scholar

Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A Jr, Orlandini A, et al. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. 2015;386(9990):266-273. https://doi.org/10.1016/S0140-6736(14)62000-6 doi: 10.1016/S0140-6736(14)62000-6
Crossref | Google Scholar

Published

2023-10-31

Downloads

Additional Files

Download data is not yet available.

Keywords

How to Cite

1.
Cura A, Tozzi W, Agrasar J, Battistotti R, Esperón F, Garraza S, Gonzalez T, Greschner MN, Grosman E, Micheli K, Muhafara G, Ochoa FM, Pensa L, Prota M, Rico S, Schneir J, Urga M, Vega ML, Villarruel M. Prevalence of sarcopenia in outpatients of the kinesiology service of a General Hospital for Acute Care in the Autonomous City of Buenos Aires. AJRPT. 2023;5(3):4-13. doi: 10.58172/ajrpt.v5i3.273