The relationship between all-cause mortality sarcopenia and sarcopenic obesity among hospitalized older people.

Abstract:

BACKGROUND AND AIM:Sarcopenia and sarcopenic obesity (SO) are associated with adverse health outcomes in older people. Data on sarcopenia- and SO-related mortality are insufficient for hospitalized older people. The aim of this study was to evaluate the relationship between sarcopenia, SO and mortality among hospitalized older people. METHODS:Two-centered prospective observational study was conducted among 350 hospitalized older people in geriatric units of two university hospitals. Sarcopenia was defined according to the European Working Group on Sarcopenia in Older People. Obesity was defined according to fat mass percentage. Medical history, cognitive status, nutritional status and functionality and laboratory tests were assessed. All-cause mortality rate was recorded at 2 years. RESULTS:The prevalence of SO was 21.1%. The prevalence of sarcopenia was 11.4%. Both sarcopenia (log rank p < 0.001) and SO (log rank p < 0.001) were associated with all-cause mortality at 2 years. There was no difference between sarcopenia and SO for mortality. SO (HR 5.23, p < 0.001), sarcopenia (HR 9.26, p < 0.001), male gender (HR 2.25, p = 0.035), Lawton IADL (HR 0.77, p = 0.02), heart failure (HR 3.25, p = 0.02) and chronic obstructive lung disease (HR 5.16, p = 0.01) were independently related to all-cause mortality. DISCUSSION AND CONCLUSIONS:Both sarcopenia and SO showed an independent relationship for 2-year all-cause mortality after hospital discharge. These results suggest that preventive and treatment options should be taken to decrease mortality associated with these conditions among hospitalized older people.

journal_name

Aging Clin Exp Res

authors

Atmis V,Yalcin A,Silay K,Ulutas S,Bahsi R,Turgut T,Mut Sürmeli D,Selvi Öztorun H,Yaman S,Çoşarderelioğlu Ç,Aras S,Varli M

doi

10.1007/s40520-019-01277-5

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

1563-1572

issue

11

eissn

1594-0667

issn

1720-8319

pii

10.1007/s40520-019-01277-5

journal_volume

31

pub_type

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