Agreement between the EWGSOP2 and SDOC consensuses for sarcopenia in patients receiving hemodialysis: Findings of a cross sectional analysis from the SARC-HD study.

Autor: Duarte MP; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Nóbrega OT; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Baião VM; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Vieira FA; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Monteiro JS; DaVita Kidney Care Brazil, Brasília, Brazil., Pereira MS; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Pires LF; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Queiroz GG; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Silva MJ; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Silva MZC; Internal Medicine Department, Botucatu Medical School, São Paulo State University, UNESP, Botucatu, Brazil., Costa FL; Internal Medicine Department, Botucatu Medical School, São Paulo State University, UNESP, Botucatu, Brazil., Disessa HS; Department of Physical Education, São Paulo State University, Bauru, Brazil., Rosa CC; Department of Physical Education, São Paulo State University, Bauru, Brazil., Monteiro HL; Department of Physical Education, São Paulo State University, Bauru, Brazil., Mondini DR; Laboratory of Applied Kinesiology, Faculty of Physical Education, Universidade Estadual de Campinas, Campinas, Brazil., Medina LR; PlanoAr Reabilitação, São Paulo, Brazil., Nishimaru FI; NefroClass, Paulínia, Brazil., Rosa MG; Renal Quality, Jundiaí, Brazil., Uchida MC; Laboratory of Applied Kinesiology, Faculty of Physical Education, Universidade Estadual de Campinas, Campinas, Brazil., Krug RR; Postgraduation Program in Comprehensive Health Care, University of Cruz Alta, Cruz Alta, Brazil., Moreira PR; Postgraduation Program in Comprehensive Health Care, University of Cruz Alta, Cruz Alta, Brazil., Sant'Helena BM; IELUSC Faculty, Joinville, Brazil., Bundchen DC; Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil., Molin CD; Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil., Polo L; Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil., Bohlke M; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil., Mendes CS; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil., Almeida AS; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil., Adamoli AN; Serviço de Educação Física e Terapia Ocupacional, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Colling C; Serviço de Educação Física e Terapia Ocupacional, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., Lima RM; Faculty of Physical Education, University of Brasília, Brasília, Brazil., Inda-Filho AJ; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Ferreira AP; Faculty of Health Sciences, University of Brasília, Brasília, Brazil., Avesani CM; Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Institute, Stockholm, Sweden., Vogt BP; Graduate Program in Health Sciences, Medicine Faculty, Federal University of Uberlândia, Uberlândia, Brazil., Reboredo MM; School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Ribeiro HS; Faculty of Health Sciences, University of Brasília, Brasília, Brazil.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2024 Dec; Vol. 39 (6), pp. 1441-1451. Date of Electronic Publication: 2024 Oct 15.
DOI: 10.1002/ncp.11227
Abstrakt: Background: Differences in definitions and operational diagnoses for sarcopenia create difficulties in understanding the epidemiology of the disease. We examined the prevalences of sarcopenia using the revised European Working Group on Sarcopenia in Older People (EWGSOP2) and the Sarcopenia Definitions and Outcomes Consortium (SDOC) consensuses and analyzed their level of agreement in patients receiving hemodialysis.
Methods: Data from the SARCopenia trajectories and associations with clinical outcomes in patients receiving hemodialysis (SARC-HD) multicenter study in Brazil were analyzed. Muscle strength was assessed using handgrip strength, muscle mass by calf circumference, and physical performance by the 4-m gait speed test. Sarcopenia was diagnosed according to both the EWGSOP2 (low muscle strength plus low muscle mass) and the SDOC (low muscle strength plus low physical performance). The Cohen kappa statistic was used to determine the level of agreement between the consensuses.
Results: 838 patients (57.8 ± 15.0 years; 61% men) from 19 dialysis units were included. We found similar prevalences of sarcopenia between the consensuses (EWGSOP2, n = 128, 15.3%; SDOC, n = 105, 12.5%) but with weak agreement (50 of 233 patients, 21.5%; κ = 0.34, 95% CI 0.25-0.43). Agreement was also weak within age categories (≥60 years, κ = 0.34; <60 years, κ = 0.15; both P < 0.001). Of the 51 patients diagnosed by the EWGSOP2 criterion as having severe sarcopenia, all but 1 (98.0%) met the SDOC criterion for sarcopenia (κ = 0.61, 95% CI 0.52-0.70). Low muscle strength was more frequently diagnosed using the SDOC than with the EWGSOP2 (52.3% vs 25.9%).
Conclusion: We found a weak agreement between the EWGSOP2 and SDOC consensuses for the diagnosis of sarcopenia in patients receiving hemodialysis. Although still weak, agreement was marginally better for older patients. These findings highlight the importance of a global and standardized conceptual diagnosis of sarcopenia.
(© 2024 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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