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Using the European Working Group on Sarcopenia in Older People (EWGSOP) definition to estimate the prevalence of sarcopenia in community dwelling older people in the uK: Findings from the Hertfordshire Cohort Study (HCS)
S76
9th Congress of the EUGMS / European Geriatric Medicine 4 (2013) S20–S80
P188
Sarcopenic obesity and health outcomes in Asian older men and women: Data from KNHANES V-1 S.Y. Hong Kangnam University, Korea Republic Background.– The loss of muscle mass and strength combined with the gain in abdominal fat may act synergistically to exacerbate metabolic disorders and to increase disability. Despite their enormous clinical importance, associations of SO with various health outcome in Asian are under-recognized. This study aimed to examine the association of sarcopenic obesity with the prevalence of chronic illness and mobility limitation among 1204 subjects (576 men and 628 women) aged 60 years or older from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1). Method.– This study was based on the data obtained from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), 2010, a cross-sectional and nationally representative survey conducted by the Korean Ministry of Health and Welfare. Participants completed four parts of a questionnaire that included health interview, health behavior, health examination survey and a whole body dual energy X-ray absortiometry(DXA) scan. Sarcopenia was defined as an appedicular skeletal muscle mass (ASM) divided by weight(%) of 2 SD below the sex-specific mean for young adults. Obesity was defined as percent body fat above 60th percentile of the study sample. Body composition was categorized into four categories: Normal, sarcopenic nonobese, normal obese, Sarcopenic obese(SO). Data for functional dimensions were extracted from the EQ-5D in KNHANES data (mobility, self-care, usual activities) and pain/discomfort. Results.– The prevalence of SO was 4.1% in men and 7.3% in women, respectively. Hypertension (men: odds ratio[OR], 3.14, 95% CI, 1.51–6.53, women: OR: 2.80, 95% CI, 1.65–4.73) and arthritis (women: OR: 2.39, 95% CI., 1.43–3.99) were associated with a significantly increased likelihood for SO. Older persons with SO are likely to report problems in mobility (OR: 3.34, 95% CI., 1.97–5.65), self-care (men: OR: 2.92, 95% CI., 1.05–8.07, women: OR: 2.33, 95% CI., 1.29–4.21), usual activity (men: OR: 2.28, 95% CI.,1.02–5.08, women: OR: 2.13, 95% CI., 1.29–3.52). Conclusion.– In conclusion, our results showed that sarcopenic obese group was more closely associated mobility, self-care, and usual activity problems. Considering that Korean population is becoming older and more obese, more attention should be given for the prevention and management of sarcopenic obese seniors. http://dx.doi.org/10.1016/j.eurger.2013.07.250 P189
Using the European Working Group on Sarcopenia in Older People (EWGSOP) definition to estimate the prevalence of sarcopenia in community dwelling older people in the uK: Findings from the Hertfordshire Cohort Study (HCS) H.P. Patel a,b , H.E. Syddall a , K.A. Jameson a , S.M. Robinson a , H.J. Denison a , H.C. Roberts a,b , M.H. Edwards a , E.M. Dennison a , C. Cooper a , A.A. Sayer a,b a MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK b Academic Geriatric Medicine, University of Southampton, Southampton, UK
People (EWGSOP) consensus definition to describe the prevalence of sarcopenia in community dwelling older people in the UK. Methods.– The EWGSOP definition was applied to 103 community dwelling older men (mean age 73 years), participating in the Hertfordshire Sarcopenia Study (HSS) using both the lowest third of DXA lean mass (LM), and the lowest third of skinfold based fat free mass (FFM) as markers of low muscle mass. We also used the FFM approach among 765 male and 1022 female participants (mean age 67 years) in the Hertfordshire Cohort Study (HCS). Self-reported health, body size and physical performance measures were compared in participants with and without sarcopenia. Results.– Sarcopenia prevalence in HSS men was 6.8% and 7.8% when using the lowest third of DXA LM and FFM respectively. DXA LM and FFM correlated highly (0.91, P < 0.001). Sarcopenia prevalence amongst the HCS men and women was 4.6% and 7.9% respectively. Participants with sarcopenia were shorter, weighed less and had worse physical performance. HCS men and women with sarcopenia had poorer self-reported general health and physical functioning scores. Conclusions.– This is one of the first studies describing the prevalence of sarcopenia in community dwelling older people within the UK. The EWGSOP definition was of practical use for sarcopenia case finding. This consensus definition now needs to be applied in other ageing cohorts and among older people in a range of healthcare settings. http://dx.doi.org/10.1016/j.eurger.2013.07.251 P190
Testing the reliability and validity of the “Edmonton Frail Scale” in turkish population H. Eskiizmirli Aygör a , C¸. Fadılo˘glu b , F. S¸enuzun Aykar b , F. Akc¸ic¸ek a a Ege University Medical Faculty, Internal Medicine Department Geriatrics Section, Izmir, Turkey b Ege University Nursing Faculty, Bornova, Izmir, Turkey Introduction.– This research was carried out methodologically to test the reliability and validity of the “Edmonton Frail Scale (EFS)” to determine the frail elderly individuals, in Turkish population. Methods.– The sample of the research consisted of 130 elderly individuals who live in Nursing home. Results.– The Turkish translation, back translation and preapplication were performed in order to provide the language adaptation for the scale. EFS was primarily applied to 30 individuals 2–3 week after the first application in order to determine the time-dependent invariance of the scale. The concordance between first and second applications was analyzed with kappa concordance analysis and the invariance of the scale was rather high. When the scale’s item total score correlations are analyzed, the correlation values of 6th questions were below 0.20. However, 6th questions regarding the amount of drug didn’t remove the scale since the number of medication was important to determine the frail elders. Cronbach Alpha coefficient was used to test the internal consistency of the scale where the overall values of the scale were 0.75. There were six experts who contributed with their opinions while testing of the content validity of the scale. The result of Kendall Coefficient of Concordance (W) correlation test, which was performed with the given scores of six experts, indicated that there were no major statistical difference among the expert’s scores, on the contrary,they were quite similar. (Kendall W = 0.147, P = 0.549). Consequently, the results indicate that the“Edmonton Frail Scale” had very sufficient reliability and validity indicators for the Turkish population. http://dx.doi.org/10.1016/j.eurger.2013.07.252
Introduction.– Sarcopenia is associated with morbidity and mortality. We used the European Working Group on Sarcopenia in Older
9th Congress of the EUGMS / European Geriatric Medicine 4 (2013) S20–S80
P188
Sarcopenic obesity and health outcomes in Asian older men and women: Data from KNHANES V-1 S.Y. Hong Kangnam University, Korea Republic Background.– The loss of muscle mass and strength combined with the gain in abdominal fat may act synergistically to exacerbate metabolic disorders and to increase disability. Despite their enormous clinical importance, associations of SO with various health outcome in Asian are under-recognized. This study aimed to examine the association of sarcopenic obesity with the prevalence of chronic illness and mobility limitation among 1204 subjects (576 men and 628 women) aged 60 years or older from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1). Method.– This study was based on the data obtained from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), 2010, a cross-sectional and nationally representative survey conducted by the Korean Ministry of Health and Welfare. Participants completed four parts of a questionnaire that included health interview, health behavior, health examination survey and a whole body dual energy X-ray absortiometry(DXA) scan. Sarcopenia was defined as an appedicular skeletal muscle mass (ASM) divided by weight(%) of 2 SD below the sex-specific mean for young adults. Obesity was defined as percent body fat above 60th percentile of the study sample. Body composition was categorized into four categories: Normal, sarcopenic nonobese, normal obese, Sarcopenic obese(SO). Data for functional dimensions were extracted from the EQ-5D in KNHANES data (mobility, self-care, usual activities) and pain/discomfort. Results.– The prevalence of SO was 4.1% in men and 7.3% in women, respectively. Hypertension (men: odds ratio[OR], 3.14, 95% CI, 1.51–6.53, women: OR: 2.80, 95% CI, 1.65–4.73) and arthritis (women: OR: 2.39, 95% CI., 1.43–3.99) were associated with a significantly increased likelihood for SO. Older persons with SO are likely to report problems in mobility (OR: 3.34, 95% CI., 1.97–5.65), self-care (men: OR: 2.92, 95% CI., 1.05–8.07, women: OR: 2.33, 95% CI., 1.29–4.21), usual activity (men: OR: 2.28, 95% CI.,1.02–5.08, women: OR: 2.13, 95% CI., 1.29–3.52). Conclusion.– In conclusion, our results showed that sarcopenic obese group was more closely associated mobility, self-care, and usual activity problems. Considering that Korean population is becoming older and more obese, more attention should be given for the prevention and management of sarcopenic obese seniors. http://dx.doi.org/10.1016/j.eurger.2013.07.250 P189
Using the European Working Group on Sarcopenia in Older People (EWGSOP) definition to estimate the prevalence of sarcopenia in community dwelling older people in the uK: Findings from the Hertfordshire Cohort Study (HCS) H.P. Patel a,b , H.E. Syddall a , K.A. Jameson a , S.M. Robinson a , H.J. Denison a , H.C. Roberts a,b , M.H. Edwards a , E.M. Dennison a , C. Cooper a , A.A. Sayer a,b a MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK b Academic Geriatric Medicine, University of Southampton, Southampton, UK
People (EWGSOP) consensus definition to describe the prevalence of sarcopenia in community dwelling older people in the UK. Methods.– The EWGSOP definition was applied to 103 community dwelling older men (mean age 73 years), participating in the Hertfordshire Sarcopenia Study (HSS) using both the lowest third of DXA lean mass (LM), and the lowest third of skinfold based fat free mass (FFM) as markers of low muscle mass. We also used the FFM approach among 765 male and 1022 female participants (mean age 67 years) in the Hertfordshire Cohort Study (HCS). Self-reported health, body size and physical performance measures were compared in participants with and without sarcopenia. Results.– Sarcopenia prevalence in HSS men was 6.8% and 7.8% when using the lowest third of DXA LM and FFM respectively. DXA LM and FFM correlated highly (0.91, P < 0.001). Sarcopenia prevalence amongst the HCS men and women was 4.6% and 7.9% respectively. Participants with sarcopenia were shorter, weighed less and had worse physical performance. HCS men and women with sarcopenia had poorer self-reported general health and physical functioning scores. Conclusions.– This is one of the first studies describing the prevalence of sarcopenia in community dwelling older people within the UK. The EWGSOP definition was of practical use for sarcopenia case finding. This consensus definition now needs to be applied in other ageing cohorts and among older people in a range of healthcare settings. http://dx.doi.org/10.1016/j.eurger.2013.07.251 P190
Testing the reliability and validity of the “Edmonton Frail Scale” in turkish population H. Eskiizmirli Aygör a , C¸. Fadılo˘glu b , F. S¸enuzun Aykar b , F. Akc¸ic¸ek a a Ege University Medical Faculty, Internal Medicine Department Geriatrics Section, Izmir, Turkey b Ege University Nursing Faculty, Bornova, Izmir, Turkey Introduction.– This research was carried out methodologically to test the reliability and validity of the “Edmonton Frail Scale (EFS)” to determine the frail elderly individuals, in Turkish population. Methods.– The sample of the research consisted of 130 elderly individuals who live in Nursing home. Results.– The Turkish translation, back translation and preapplication were performed in order to provide the language adaptation for the scale. EFS was primarily applied to 30 individuals 2–3 week after the first application in order to determine the time-dependent invariance of the scale. The concordance between first and second applications was analyzed with kappa concordance analysis and the invariance of the scale was rather high. When the scale’s item total score correlations are analyzed, the correlation values of 6th questions were below 0.20. However, 6th questions regarding the amount of drug didn’t remove the scale since the number of medication was important to determine the frail elders. Cronbach Alpha coefficient was used to test the internal consistency of the scale where the overall values of the scale were 0.75. There were six experts who contributed with their opinions while testing of the content validity of the scale. The result of Kendall Coefficient of Concordance (W) correlation test, which was performed with the given scores of six experts, indicated that there were no major statistical difference among the expert’s scores, on the contrary,they were quite similar. (Kendall W = 0.147, P = 0.549). Consequently, the results indicate that the“Edmonton Frail Scale” had very sufficient reliability and validity indicators for the Turkish population. http://dx.doi.org/10.1016/j.eurger.2013.07.252
Introduction.– Sarcopenia is associated with morbidity and mortality. We used the European Working Group on Sarcopenia in Older