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
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