Protocol for understanding acute sarcopenia: a cohort study to characterise changes in muscle quantity and physical function in older adults following hospitalisation
Autor: | Thomas Pinkney, Carolyn A. Greig, Thomas A Jackson, Carly Welch, Tahir Masud |
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Rok vydání: | 2020 |
Předmět: |
Sarcopenia
medicine.medical_specialty medicine.medical_treatment Acute sarcopenia lcsh:Geriatrics Bed rest Cohort Studies Study Protocol 03 medical and health sciences 0302 clinical medicine Hospitalisation medicine Humans Muscle Strength 030212 general & internal medicine Muscle Skeletal Aged Aged 80 and over Rehabilitation business.industry Muscles medicine.disease Colorectal surgery Hospitalization lcsh:RC952-954.6 Older adults Physical function Physical therapy Patient-reported outcome Geriatrics and Gerontology business Bioelectrical impedance analysis 030217 neurology & neurosurgery Abdominal surgery Cohort study |
Zdroj: | BMC Geriatrics BMC Geriatrics, Vol 20, Iss 1, Pp 1-11 (2020) |
ISSN: | 1471-2318 |
Popis: | BackgroundOlder adults are vulnerable to the effects of acute sarcopenia (acute muscle insufficiency) following hospitalisation. However, this condition remains poorly characterised to date. It is hypothesised that acute sarcopenia arises due to a combination of bed rest and inflammatory surge. This study aims to characterise changes in muscle quantity and function, determining which factors (clinical and biological) are most predictive, and how these relate to change in physical function at 13 weeks.MethodsThis study will include three groups of patients aged 70 years and older; patients undergoing elective colorectal surgery, patients admitted for emergency abdominal surgery, and patients admitted under general medicine with acute bacterial infections. Changes in muscle quantity (Bilateral Anterior Thigh Thickness with ultrasound and bioelectrical impedance analysis) and muscle function (muscle strength, physical performance) within 1 week of hospitalisation or surgery will be characterised, with follow-up of patients at 13 weeks. Physical function will be measured using the Patient Reported Outcome Measures Information System, and the Short Physical Performance Battery (or gait speed alone within 1 week of surgery).DiscussionThis study will fully characterise changes in muscle quantity and function in hospitalised older adults and enable risk stratification towards targeted interventions in clinical practice. The results of this study will inform further research involving interventions to ameliorate changes.Trial registrationClinicalTrials.govIdentifier:NCT03858192; Prospectively registered 28th February 2019. |
Databáze: | OpenAIRE |
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