Screening for sarcopenia in hospitalized elderly using the SARC-F and SARC-CALF methods and associated factors
DOI:
https://doi.org/10.33448/rsd-v12i8.42714Keywords:
Diagnostic screening programs; Sarcopenia; Aging; Hospitalization; Malnutrition.Abstract
Objective: to track the risk of sarcopenia and associated factors in hospitalized elderly, applying the SARC-F and SARC-CALF screening methods. Methodology: this is a cross-sectional study carried out between May and October 2022 in elderly people admitted to the emergency room of a public hospital. Information regarding age, gender, diagnosis and comorbidities was collected from medical records. Socioeconomic data were obtained through a questionnaire. Nutritional risk screening, anthropometric assessment and application of the SARC-F and SARC-CALF screening tools were performed. The association between risk of sarcopenia and independent variables was obtained through binary logistic regression, using odds ratio (OR) and 95% confidence interval. They were considered associated with variables that presented a significance level of 5%. Results: 225 elderly were evaluated, 53.3% were at risk of sarcopenia according to the SARC-F and 49.8% according to the SARC-CALF. Both tools were associated with the female gender, age greater than or equal to 80 years, risk of malnutrition and malnutrition according to the MAN. Only SARC-F was associated with previous diseases. Only the SARC-CALF associated schooling, nutritional status and adductor pollicis muscle thickness depletion. Conclusion: both tools proved to be viable, low-cost and easy-to-apply methods. It was observed that the number of elderly people admitted to the hospital at risk of sarcopenia is high. Thus, it is extremely important to include the application of sarcopenia screenings in the admission routine, to guide health professionals and provide intervention aimed at the prevention and recovery of these individuals.
References
Alexandre, T. da S., Duarte, Y. A. de O., Santos, J. L. F., & Lebrão, M. L. (2018). Prevalência e fatores associados à sarcopenia, dinapenia e sarcodinapenia em idosos residentes no Município de São Paulo—Estudo SABE. Revista Brasileira de Epidemiologia, 21(suppl 2), e180009. https://doi.org/10.15 90/1980-549720180009.supl.2
Barbosa-Silva, T. G., Menezes, A. M. B., Bielemann, R. M., Malmstrom, T. K., & Gonzalez, M. C. (2016). Enhancing SARC-F: Improving Sarcopenia Screening in the Clinical Practice. Journal of the American Medical Directors Association, 17(12), 1136–1141. https://doi.org/10.1016/j.jamda.2016.08.004
Beaudart, C., Biver, E., Reginster, J.-Y., Rizzoli, R., Rolland, Y., Bautmans, I., Petermans, J., Gillain, S., Buckinx, F., Dardenne, N., and Bruyère, O. (2017) Validação do SarQoL®, um questionário específico de qualidade de vida relacionada à saúde para sarcopenia. Journal of Cachexia, Sarcopenia and Muscle, 8: 238-244. 10.1002/jcsm.12149 .
Bezerra, R. K. C., Lemos, P. F., & Carvalho, F. P. B. de. (2020). Associação entre deficiências nutricionais e sarcopenia em idosos: Uma revisão integrativa. Research, Society and Development, 9(11), e3099119638. https://doi.org/10.33448/rsd-v9i11.9638
Chumlea, W. C., Roche, A. F., & Steinbaugh, M. L. (1985). Estimating Stature from Knee Height for Persons 60 to 90 Years of Age. Journal of the American Geriatrics Society, 33(2), 116–120. https://doi.org/10.1111/j.1532-5415.1985.tb02276.x
Cristaldo, M. R. A., Guandalini, V. R., Faria, S. de O., & Spexoto, M. C. B. (2021). Rastreamento do risco de sarcopenia em adultos com 50 anos ou mais hospitalizados. Revista Brasileira de Geriatria e Gerontologia, 24(2), e210016. https://doi.org/10.1590/1981-22562021024.210016pub-date
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., Zamboni, M., Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2, Bautmans, I., Baeyens, J.-P., & Schols, J. (2019). Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. https://doi.org/10.1093/ageing/afy169
Deschenes, M. R. (2004). Effects of Aging on Muscle Fibre Type and Size: Sports Medicine, 34(12), 809–824. https://doi.org/10.2165/00007256-200434120-00002
Diz, J. B. M., Leopoldino, A. A. O., Moreira, B. de S., Henschke, N., Dias, R. C., Pereira, L. S. M., & Oliveira, V. C. (2017). Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis: Prevalence of sarcopenia in Brazil. Geriatrics & Gerontology International, 17(1), 5–16. https://doi.org/10.1111/ggi.12720
dos Santos Pereira, D., Cristina dos Santos Oliveira, A., Henrique Queiroz Pereira, M., & Luiza Amorim Sena Pereira, M. (2017). Mini avaliação nutricional: utilização e panorama nos diferentes cenários de atenção do idoso. Saúde.com, 13(1). https://doi.org/10.22481/rsc.v13i1.426
El Kik, R. M., Raasch, J., Da Rosa, M. C., Gomes, I., & Schwanke, C. H. A. (2017). Espessura do músculo adutor do polegar em idosos hospitalizados: Relação com sexo e idade. Ciência & Saúde, 10(4), 226. https://doi.org/10.15448/1983-652X.2017.4.27082
Grimble, R. F. (2003). Inflammatory response in the elderly: Current Opinion in Clinical Nutrition and Metabolic Care, 6(1), 21–29. https://doi.org/10.1097/00075197-200301000-00005
Hwang, J., & Park, S. (2022). Gender-Specific Risk Factors and Prevalence for Sarcopenia among Community-Dwelling Young-Old Adults. International Journal of Environmental Research and Public Health, 19(12), 7232. https://doi.org/10.3390/ijerph19127232
Kauffman, T. L., ed. (2001). Manual de reabilitaçao geriatrica. Guanabra Koogan.
Keller, K., & Engelhardt, M. (2013). Strength and muscle mass loss with aging process. Age and strength loss. Muscles, Ligaments and Tendons Journal, 3(4), 346–350.
Lameu, E. B., Gerude, M. F., Campos, A. C., & Luiz, R. R. (2004). The thickness of the adductor pollicis muscle reflects the muscle compartment and may be used as a new anthropometric parameter for nutritional assessment: Current Opinion in Clinical Nutrition and Metabolic Care, 7(3), 293–301. https://doi.org/10.1097/00075197-200405000-00009
Lipschitz, D. A. (1994). Screening for nutritional status in the elderly. Primary Care, 21(1), 55–67
Malmstrom, T. K., & Morley, J. E. (2013). SARC-F: A Simple Questionnaire to Rapidly Diagnose Sarcopenia. Journal of the American Medical Directors Association, 14(8), 531–532. https://doi.org/10.1016/j.jamda.2013.05.018
Moreira, V. G., Perez, M., & Lourenço, R. A. (2019). Prevalence of sarcopenia and its associated factors: The impact of muscle mass, gait speed, and handgrip strength reference values on reported frequencies. Clinics, 74, e477. https://doi.org/10.6061/clinics/2019/e477
Pacheco, D. A., Paiva, G. T. de, Araújo, R. G., Barbosa, J. M., & Moura, R. B. B. de. (2021). Associação entre a espessura do músculo adutor do polegar e parâmetros nutricionais em idosos hospitalizados / Association between adductor pollicis muscle thickness and nutritional parameters in hospitalized elderly patients. Brazilian Journal of Health Review, 4(2), 4949–4963. https://doi.org/10.34119/bjhrv4n2-077
Pacifico, J., Geerlings, M. A. J., Reijnierse, E. M., Phassouliotis, C., Lim, W. K., & Maier, A. B. (2020). Prevalence of sarcopenia as a comorbid disease: A systematic review and meta-analysis. Experimental Gerontology, 131, 110801. https://doi.org/10.1016/j.exger.2019.110801
Papadopoulou, S. K., Tsintavis, P., Potsaki, G., & Papandreou, D. (2020). Differences in the Prevalence of Sarcopenia in Community-Dwelling, Nursing Home and Hospitalized Individuals. A Systematic Review and Meta-Analysis. The Journal of Nutrition, Health & Aging, 24(1), 83–90. https://doi.org/10.1007/s12603-019-1267-x
Parra, B. F. C. S.; Matos, L. B. N.; Ferrer, R., & Toledo, D. O. (2019). SARCPRO: Proposta de protocolo para sarcopenia em pacientes internados. Braspen Journal., 34(1),58-63.
Pelegrini, A., Mazo, G. Z., Pinto, A. de A., Benedetti, T. R. B., Silva, D. A. S., & Petroski, E. L. (2018). Sarcopenia: Prevalence and associated factors among elderly from a Brazilian capital. Fisioterapia em Movimento, 31(0). https://doi.org/10.1590/1980-5918.031.ao02
Petermann‐Rocha, F., Balntzi, V., Gray, S. R., Lara, J., Ho, F. K., Pell, J. P., & Celis‐Morales, C. (2022). Global prevalence of sarcopenia and severe sarcopenia: A systematic review and meta‐analysis. Journal of Cachexia, Sarcopenia and Muscle, 13(1), 86–99. https://doi.org/10.1002/jcsm.12783
Pierine D. T., Nicola, M., & Oliveira E. P. Sarcopenia: alterações metabólicas e consequências no envelhecimento. R. bras. Ci. e Mov 2009;17(3):96-103.
Pícoli, T. da S., Figueiredo, L. L. de, & Patrizzi, L. J. (2011). Sarcopenia e envelhecimento. Fisioterapia em Movimento, 24(3), 455–462. https://doi.org/10.1590/S0103-51502011000300010
Roubenoff, R. (2003). Catabolism of aging: Is it an inflammatory process? Current Opinion in Clinical Nutrition & Metabolic Care, 6(3), 295–299. https://doi.org/10.1097/01.mco.0000068965.34812.62
Stenholm, S., Alley, D., Bandinelli, S., Griswold, M. E., Koskinen, S., Rantanen, T., Guralnik, J. M., & Ferrucci, L. (2009). The effect of obesity combined with low muscle strength on decline in mobility in older persons: Results from the InCHIANTI Study. International Journal of Obesity, 33(6), 635–644. https://doi.org/10.1038/ijo.2009.62
Santos, V. R. dos, Gomes, I. C., Bueno, D. R., Christofaro, D. G. D., Freitas Jr., I. F., & Gobbo, L. A. (2017). Obesity, sarcopenia, sarcopenic obesity and reduced mobility in Brazilian older people aged 80 years and over. Einstein (São Paulo), 15(4), 435–440. https://doi.org/10.1590/s1679-45082017ao4058
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., van Asselt, D., Wirth, R., & Bischoff, S. C. (2022). ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clinical Nutrition, 41(4), 958–989. https://doi.org/10.1016/j.clnu.2022.01.024
Yamada, M., Nishiguchi, S., Fukutani, N., Tanigawa, T., Yukutake, T., Kayama, H., Aoyama, T., & Arai, H. (2013). Prevalence of Sarcopenia in Community-Dwelling Japanese Older Adults. Journal of the American Medical Directors Association, 14(12), 911–915. https://doi.org/10.1016/j.jamda.2013.08.015
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Copyright (c) 2023 Dhaiane Alves Araujo Pita; Martha de Oliveira Martinelli ; Leidiane Lacerda Fogaça ; Vitória Santos Caires; Araceles Barbosa Oliveira; Vivian Francielle França; Luiz Gustavo Vieira Cardoso
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