Table of Contents Table of Contents
Previous Page  133 / 290 Next Page
Show Menu
Previous Page 133 / 290 Next Page
Page Background

two SD below the mean of the young adult Ukrainian females (20

39 yrs). We also assessed handgrip strength and measured gait speed.

The sarcopenia was determined using EWGSOP-suggested algorithm.


The ASMI values corresponding to a cutoff of low muscle

mass by the definitions used were as follows: <5.5 kg/m



guidelines), <5.7 kg/m


(<20th percentile of sex specific population),

<4.8 kg/m


(two SD below the mean of young Ukrainian females aged


39 yrs). The frequency of low muscle mass in women aged 65 yrs

and older based on the above three criteria was 12%, 16% and 1.7%,

respectively. The frequency of sarcopenia increased with age: in

women 50

59 yrs

5.1%, 60

69 yrs

3.7%, 70

79 yrs

18.4%, 80

80 yrs

30.8%. The mean frequency of sarcopenia in women aged

65 yrs and older was 21.3%.


The cutoff value of ASMI (<4.8 kg/m


) defined as two SD

below the mean of reference young populationwas lower in this study

compared with the Rosetta Study (<5.5 kg/m


). As for the sex specific

cutoff (ASMI <5.7 kg/m


), this index was similar to the data of the

Health ABC study (<5.67 kg/m


) (EWGSOP, 2010). The mean frequency

of sarcopenia in Ukrainian older women was 21.3%.


Effects of resistance muscle training in prevention of sarcopenia in

ageing adults

systematic review

M.L. Rosado


, M.T. Tomás


, S. Collaço


, C. Gonçalves


, M. Abreu



S. Cardoso




PT, PhD; Department of Physiotherapy, Alcoitão School of

Health, Alcabideche,


PT, PhD; CIPER, Faculty of Human Kinetics,

University of Lisbon, Lisbon,


PT; Alcoitão School of Health, Alcabideche,



Sarcopenia describes a progressive and generalized loss of

skeletal muscle mass and strength. It

s a complex medical condition

that leads to loss of independence, high risk of falls, decreased quality

of life, increased expenses in health and increasedmorbility. We aimed

verify the resistance muscle training effect in Lean Body Mass (LBM) or

Tight Lean Mass (TLM) in ageing adults.


PEDro, PubMed and CochRane Library were searched

(January 2005

May 2015), using predefined research terms,

Randomized Controlled Trials (RCTs), with a study population aged

65 and up, that went through a resistance muscle training (RMT) based

intervention, with assessment of body composition by Dual Energy

X-ray Absorptiometry or Computed Tomography Scan technology,

were analyzed. The internal validity of each article was assessed using

the PEDro scale.


From a total of 125 studies, five RCTs met the inclusion

criteria. All the studies had a score of 5/10 on the PEDro scale. Main

results show that both, high intensity or low intensity resistance

training, increased Muscle Quality Index, Cross Sectional Area,

strength of the quadriceps, TLM/LBM and functionality (gait speed,

time sit-to-stand and Timed up & Go). Even on the detraining period,

there were no significant losses of the above mentioned.


RMT has shown increase LBM or TLM and that could

contribute to sarcopenia prevention leading to a better functional

capacity and reduced risk of falls, which could increase quality of life in

older adults.


Improving the diagnosis and recording of clinical frailty in the

acute hospital setting. The introduction of

frailty tab

on the

electronic discharge letter (EDL) template at MEHT

S. Saber, A. Ramnarine, A. Kayani, H. Iftikhar, A. Qureshi, M. Sweeting.

Broomfield Hospital, Chelmsford, UK


The aging population in the UK is dramatically increasing

and thus so is the prevalence of frailty. Our ability to recognize frailty as

a syndrome and record it as a diagnosis can facilitate risk stratification

and promote advanced care planning.


Datawas collected retrospectively before introduction of the

frailty score tab on the EDL, 60 patients (>75 years) admitted to acute

geriatric wards were randomly selected.


s were analyzed for a

A diagnosis of Clinical Frailty

A Clinical Frailty Score(CSF)

For patients with a CFS of >5, whether or not the GP was notified about

adding them to the frailty register. Data was then collected for 60

patients discharged after the introduction of the frailty tab of the

Rockwood CFS on the EDL prospectively.


Cycle 1: 0% patients had a CFS but 14% did have the term

clinical frailty

written on the EDL whilst the remaining 86% had

neither. 8.6% of those without a CFS had detailed information on

mobility allowing calculation of the CFS.

Cycle 2:

74% of patients had a CFS and all patients with a CFS in the tab

also had a diagnosis of clinical frailty in the diagnosis box of the EDL.


Introduction of a simple frailty tab on the EDL has

dramatically improved the coding of clinical frailty in EDL.

The frailty tab can be used by GPs to recognize frailty and ensure

patients are registered on local

frailty networks

. This allows access to

appropriate community support.


Prevalence of sarcopenia in very old hip fracture patients

M.N. Vaquero-Pinto


, C. Sánchez-Castellano


, A. Merello-de-Miguel



A.C. Ramírez-Archundia


, A.J. Cruz-Jentoft




Hospital Universitario

Ramón y Cajal, Madrid, Spain


Instituto Tecnológico de Estudios

superiores de Monterrey- Campus Monterrey, México


This is a substudy of an ongoing study that aims to identify

biological markers (inflammatory and neuromuscular markers) for

the early diagnosis of sarcopenia in patients older than 80 years

hospitalized for the surgical treatment of a hip fracture. The aimwas to

assess the prevalence of sarcopenia (defined as low muscle mass and



Patients admitted to an orthogeriatric unit who gave

the informed consent for the biomarker

s study. Muscle mass was

assessed preoperatively using bioimpedance analysis, Janssen

s (J) and

Masanés (M) Spanish reference cutoff-points were used to define low

muscle mass. Strength was assessed with handgrip strength (Jamar


dynamometer). Assessment included socio-demographic data, cogni-

tive status(Pfeiffer, GDS-Reisberg), functional status(Barthel, Lawton,

FAC), nutrition(MNA, BMI), number of falls, medications.


N = 87. Mean age:88.0 ± 4.7. Women:82.8%. Sarcopenia preva-

lence varied from 8.8% (FJ) to 33.7% (FM). 74.5% had independent

ambulation before the fracture, 69% reported two or more previous

falls. 30% had dementia,18.8% moderate to severe dementia. 75.3% had

mild to moderate dependence before admission, only 12.9% were

independent for BADL. MNA:10.4 ± 2.7. BMI = 25.6 ± 14

7. 83.7% were

on 4 or more drugs before admission. In multivariate analysis, only

the type of fracture was associated to the presence of sarcopenia

(subcapital fractures more frequent, p = 0.018).


The prevalence of sarcopenia in our patients with hip

fracture varies according the muscle mass reference cutoff-points

used, been more frequent with national references. Most hip fracture

patients do not have pre-fracture sarcopenia. Subcapital hip fractures

were more frequent in sarcopenic patients. Funded with a grant from



Sarcopenia does not predict one-year-mortality after a hip fracture

C. Sánchez-Castellano


, A. Merello-de-Miguel


, M.N. Vaquero-Pinto



A.C. Ramírez-Archundia


, A.J. Cruz-Jentoft




Hospital Universitario

Ramón y Cajal, Madrid, Spain;


Instituto Tecnológico de Estudios

superiores de Monterrey- Campus Monterrey, México


This is a substudy of an ongoing study that aims to identify

biological markers (inflammatory/neuromuscular) for the diagnosis of

sarcopenia in patients older than 80, hospitalized for the treatment

of a hip fracture. The aim was to explore if sarcopenia is linked with

outcomes in this patients.

Poster presentations / European Geriatric Medicine 7S1 (2016) S29