Muscle Strength and Muscle Mass in Older Patients during Hospitalization: The EMPOWER Study
Autor: | Jeanine M. Van Ancum, Hanne E. Smeenk, Roeliene C. Kruizinga, Carel G. M. Meskers, Vincent D. Pierik, Siger T. Numans, Andrea B. Maier, Kira Scheerman, Monique S. Slee-Valentijn, Sjors Verlaan |
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Přispěvatelé: | Neuromechanics, AMS - Ageing and Morbidity, Internal medicine, Rehabilitation medicine, Amsterdam Movement Sciences - Rehabilitation & Development |
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
Aging Sarcopenia Activities of daily living medicine.medical_treatment Bed rest 0302 clinical medicine Activities of Daily Living risk factors Longitudinal Studies 030212 general & internal medicine Netherlands Aged 80 and over Geriatrics education.field_of_study Mortality rate Age-related changes Clinical Section / Original Paper Hospitalization medicine.anatomical_structure Muscle Female medicine.symptom medicine.medical_specialty Geriatric medicine Population 030209 endocrinology & metabolism 03 medical and health sciences SDG 3 - Good Health and Well-being Internal medicine medicine Journal Article Humans Muscle Skeletal education SDG 2 - Zero Hunger Geriatric Assessment Aged old age business.industry Muscle strength Malnutrition Skeletal muscle medicine.disease Physical therapy Delirium Accidental Falls Geriatrics and Gerontology business |
Zdroj: | Gerontology, 63(6), 507-514. S. Karger AG Van Ancum, J M, Scheerman, K, Pierik, V D, Numans, S T, Verlaan, S, Smeenk, H E, Slee-Valentijn, M, Kruizinga, R C, Meskers, C G M & Maier, A B 2017, ' Muscle Strength and Muscle Mass in Older Patients during Hospitalization : The EMPOWER Study ', Gerontology, vol. 63, no. 6, pp. 507-514 . https://doi.org/10.1159/000478777 |
ISSN: | 0304-324X |
DOI: | 10.1159/000478777 |
Popis: | Background: Low muscle strength and muscle mass are associated with an increased length of hospital stay and higher mortality rate in inpatients. To what extent hospitalization affects muscle strength and muscle mass is unclear. Objective: We aimed to assess muscle strength and muscle mass at admission and during hospitalization in older patients and its relation with being at risk of geriatric conditions. Methods: The EMPOWER study included patients aged 70 years and older, admitted to 4 wards of the VU University Medical Center in the Netherlands between April and December 2015. At admission, patients were screened for being at risk of 4 geriatric conditions: delirium, falls, malnutrition, and functional disability. At admission and at discharge, muscle strength and muscle mass were assessed. Results: A total of 373 patients (mean age, standard deviation [SD]: 79.6, 6.38 years) were included at admission, and 224 patients (mean age, SD: 80.1, 6.32 years) at discharge. At admission, lower muscle strength in both female and male patients and low muscle mass in male patients were associated with being at risk of a higher cumulative number of geriatric conditions. Muscle strength increased during hospitalization, but no change in muscle mass was observed. Changes in muscle measures were not associated with being at risk of geriatric conditions. Discussion: Older patients with lower muscle strength and muscle mass at admission were at risk of a higher cumulative number of geriatric conditions. However, being at risk of geriatric conditions did not forecast further decrease in muscle strength and muscle mass during hospitalization |
Databáze: | OpenAIRE |
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