Sarcopenia as a mortality predictor in community-dwelling older adults: a comparison of the diagnostic criteria of the European Working Group on Sarcopenia in Older People
Background/objectives The definition of sarcopenia remains a matter of discussion and there is no globally accepted consensus for its diagnosis. The aim of this study was to assess the effect of sarcopenia diagnostic components on mortality, as well as to compare the associations between sarcopenia...
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| Veröffentlicht in: | European journal of clinical nutrition 2020-04, Vol.74 (4), p.573-580 |
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| creator | Bachettini, Nathalia Perleberg Bielemann, Renata Moraes Barbosa-Silva, Thiago Gonzalez Menezes, Ana Maria Baptista Tomasi, Elaine Gonzalez, Maria Cristina |
| description | Background/objectives
The definition of sarcopenia remains a matter of discussion and there is no globally accepted consensus for its diagnosis. The aim of this study was to assess the effect of sarcopenia diagnostic components on mortality, as well as to compare the associations between sarcopenia diagnosed via the 2010 and 2018 Consensuses of the European Working Group on Sarcopenia in Older People (EWGSOP) and mortality.
Methods
Prospective cohort study involving noninstitutionalized older adults aged ≥ 60 years. For the diagnosis of sarcopenia, the definitions proposed by the 2010 (EWGSOP) and 2018 (EWGSOP2) Consensuses were used. The diagnostic components corresponded to muscle mass, muscular strength, and physical performance. The associations of sarcopenia and its components with mortality were investigated using Cox proportional hazard regression models.
Results
The sample consisted of 1291 older adults. After an average of 2.6 years of follow-up, 88 (6.8%) participants had died. The diagnosis of severe sarcopenia by both Consensuses was associated with an increased risk of mortality. Severe sarcopenia was associated with an increased risk of death compared with that in people without sarcopenia when using EWGSOP (hazard ratio (HR) 3.15, 95% confidence interval (CI) 1.44–6.90) and EWGSOP2 (HR 4.11, 95% CI 1.88–9.00). Older adults with decreased gait speed had a 76% higher risk of dying (
p
= 0.033). There was no statistically significant association between the other sarcopenia components and mortality risk.
Conclusions
Older adults with severe sarcopenia and those with changes in physical performance had an increased risk of death in the short term. |
| doi_str_mv | 10.1038/s41430-019-0508-8 |
| format | Article |
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The definition of sarcopenia remains a matter of discussion and there is no globally accepted consensus for its diagnosis. The aim of this study was to assess the effect of sarcopenia diagnostic components on mortality, as well as to compare the associations between sarcopenia diagnosed via the 2010 and 2018 Consensuses of the European Working Group on Sarcopenia in Older People (EWGSOP) and mortality.
Methods
Prospective cohort study involving noninstitutionalized older adults aged ≥ 60 years. For the diagnosis of sarcopenia, the definitions proposed by the 2010 (EWGSOP) and 2018 (EWGSOP2) Consensuses were used. The diagnostic components corresponded to muscle mass, muscular strength, and physical performance. The associations of sarcopenia and its components with mortality were investigated using Cox proportional hazard regression models.
Results
The sample consisted of 1291 older adults. After an average of 2.6 years of follow-up, 88 (6.8%) participants had died. The diagnosis of severe sarcopenia by both Consensuses was associated with an increased risk of mortality. Severe sarcopenia was associated with an increased risk of death compared with that in people without sarcopenia when using EWGSOP (hazard ratio (HR) 3.15, 95% confidence interval (CI) 1.44–6.90) and EWGSOP2 (HR 4.11, 95% CI 1.88–9.00). Older adults with decreased gait speed had a 76% higher risk of dying (
p
= 0.033). There was no statistically significant association between the other sarcopenia components and mortality risk.
Conclusions
Older adults with severe sarcopenia and those with changes in physical performance had an increased risk of death in the short term.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-019-0508-8</identifier><identifier>PMID: 31586126</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/1702/295 ; 692/700/478/174 ; Adults ; Aged ; Clinical Nutrition ; Confidence intervals ; Diagnosis ; Diagnostic systems ; Epidemiology ; Gait ; Health aspects ; Health risks ; Internal Medicine ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Mortality ; Mortality risk ; Muscle strength ; Older people ; Physiological aspects ; Public Health ; Regression analysis ; Regression models ; Risk ; Sarcopenia ; Statistical analysis ; Working groups</subject><ispartof>European journal of clinical nutrition, 2020-04, Vol.74 (4), p.573-580</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2019</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-d275601003e2f119a52d915c9f13eaf7f5e515a7d8b757af7af7cdae31260aad3</citedby><cites>FETCH-LOGICAL-c574t-d275601003e2f119a52d915c9f13eaf7f5e515a7d8b757af7af7cdae31260aad3</cites><orcidid>0000-0002-3901-8182</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41430-019-0508-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41430-019-0508-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31586126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bachettini, Nathalia Perleberg</creatorcontrib><creatorcontrib>Bielemann, Renata Moraes</creatorcontrib><creatorcontrib>Barbosa-Silva, Thiago Gonzalez</creatorcontrib><creatorcontrib>Menezes, Ana Maria Baptista</creatorcontrib><creatorcontrib>Tomasi, Elaine</creatorcontrib><creatorcontrib>Gonzalez, Maria Cristina</creatorcontrib><title>Sarcopenia as a mortality predictor in community-dwelling older adults: a comparison of the diagnostic criteria of the European Working Group on Sarcopenia in Older People</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives
The definition of sarcopenia remains a matter of discussion and there is no globally accepted consensus for its diagnosis. The aim of this study was to assess the effect of sarcopenia diagnostic components on mortality, as well as to compare the associations between sarcopenia diagnosed via the 2010 and 2018 Consensuses of the European Working Group on Sarcopenia in Older People (EWGSOP) and mortality.
Methods
Prospective cohort study involving noninstitutionalized older adults aged ≥ 60 years. For the diagnosis of sarcopenia, the definitions proposed by the 2010 (EWGSOP) and 2018 (EWGSOP2) Consensuses were used. The diagnostic components corresponded to muscle mass, muscular strength, and physical performance. The associations of sarcopenia and its components with mortality were investigated using Cox proportional hazard regression models.
Results
The sample consisted of 1291 older adults. After an average of 2.6 years of follow-up, 88 (6.8%) participants had died. The diagnosis of severe sarcopenia by both Consensuses was associated with an increased risk of mortality. Severe sarcopenia was associated with an increased risk of death compared with that in people without sarcopenia when using EWGSOP (hazard ratio (HR) 3.15, 95% confidence interval (CI) 1.44–6.90) and EWGSOP2 (HR 4.11, 95% CI 1.88–9.00). Older adults with decreased gait speed had a 76% higher risk of dying (
p
= 0.033). There was no statistically significant association between the other sarcopenia components and mortality risk.
Conclusions
Older adults with severe sarcopenia and those with changes in physical performance had an increased risk of death in the short term.</description><subject>692/699/1702/295</subject><subject>692/700/478/174</subject><subject>Adults</subject><subject>Aged</subject><subject>Clinical Nutrition</subject><subject>Confidence intervals</subject><subject>Diagnosis</subject><subject>Diagnostic systems</subject><subject>Epidemiology</subject><subject>Gait</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Internal Medicine</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Mortality</subject><subject>Mortality risk</subject><subject>Muscle strength</subject><subject>Older people</subject><subject>Physiological aspects</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Sarcopenia</subject><subject>Statistical analysis</subject><subject>Working 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diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Mortality</topic><topic>Mortality risk</topic><topic>Muscle strength</topic><topic>Older people</topic><topic>Physiological aspects</topic><topic>Public Health</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Sarcopenia</topic><topic>Statistical analysis</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bachettini, Nathalia Perleberg</creatorcontrib><creatorcontrib>Bielemann, Renata Moraes</creatorcontrib><creatorcontrib>Barbosa-Silva, Thiago Gonzalez</creatorcontrib><creatorcontrib>Menezes, Ana Maria Baptista</creatorcontrib><creatorcontrib>Tomasi, Elaine</creatorcontrib><creatorcontrib>Gonzalez, Maria Cristina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central 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Elaine</au><au>Gonzalez, Maria Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sarcopenia as a mortality predictor in community-dwelling older adults: a comparison of the diagnostic criteria of the European Working Group on Sarcopenia in Older People</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>74</volume><issue>4</issue><spage>573</spage><epage>580</epage><pages>573-580</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background/objectives
The definition of sarcopenia remains a matter of discussion and there is no globally accepted consensus for its diagnosis. The aim of this study was to assess the effect of sarcopenia diagnostic components on mortality, as well as to compare the associations between sarcopenia diagnosed via the 2010 and 2018 Consensuses of the European Working Group on Sarcopenia in Older People (EWGSOP) and mortality.
Methods
Prospective cohort study involving noninstitutionalized older adults aged ≥ 60 years. For the diagnosis of sarcopenia, the definitions proposed by the 2010 (EWGSOP) and 2018 (EWGSOP2) Consensuses were used. The diagnostic components corresponded to muscle mass, muscular strength, and physical performance. The associations of sarcopenia and its components with mortality were investigated using Cox proportional hazard regression models.
Results
The sample consisted of 1291 older adults. After an average of 2.6 years of follow-up, 88 (6.8%) participants had died. The diagnosis of severe sarcopenia by both Consensuses was associated with an increased risk of mortality. Severe sarcopenia was associated with an increased risk of death compared with that in people without sarcopenia when using EWGSOP (hazard ratio (HR) 3.15, 95% confidence interval (CI) 1.44–6.90) and EWGSOP2 (HR 4.11, 95% CI 1.88–9.00). Older adults with decreased gait speed had a 76% higher risk of dying (
p
= 0.033). There was no statistically significant association between the other sarcopenia components and mortality risk.
Conclusions
Older adults with severe sarcopenia and those with changes in physical performance had an increased risk of death in the short term.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31586126</pmid><doi>10.1038/s41430-019-0508-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3901-8182</orcidid></addata></record> |
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| subjects | 692/699/1702/295 692/700/478/174 Adults Aged Clinical Nutrition Confidence intervals Diagnosis Diagnostic systems Epidemiology Gait Health aspects Health risks Internal Medicine Medical diagnosis Medicine Medicine & Public Health Metabolic Diseases Mortality Mortality risk Muscle strength Older people Physiological aspects Public Health Regression analysis Regression models Risk Sarcopenia Statistical analysis Working groups |
| title | Sarcopenia as a mortality predictor in community-dwelling older adults: a comparison of the diagnostic criteria of the European Working Group on Sarcopenia in Older People |
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