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Journals / Hitit Medical Journal / 2025 / Cilt: 7 Sayı: 3

Prevalence of Sarcopenia and Its Association with Malnutrition in Hospitalized Elderly Patients

Hastanede Yatan Yaşlı Hastalarda Sarkopenı̇ Prevalansı Ve Malnütrı̇syon ı̇le İlı̇şkı̇sı̇

Mevlüt Kaçar(CELÂL BAYAR ÜNİVERSİTESİ, TIP FAKÜLTESİ)0009-0003-2709-414X
Mehmet Uzunlulu(İstanbul Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanes)0000-0001-8754-1069
Erhan Eken(İstanbul Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi)0000-0002-8602-5940
Semih Başcı(DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4304-9245
Pages
306–313
Publication Date
2025-10-13
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Sarcopenia and malnutrition should be evaluated together in geriatric inpatients and sarcopenic obesity should not be ignored.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To investigate the prevalence of sarcopenia and evaluate the nutritional status in geriatric patients hospitalized at the Internal Medicine Clinic.
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Key Findings & Data:Material and Method: A total of 105 patients (54 female and 51 male) aged ≥ 65 years (mean age: 74 ± 6 years) hospitalized between November 2015 and January 2016 were consecutively enrolled in this prospective and observational clinical study.
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Conclusion & Impact:Sarcopenia and malnutrition should be evaluated together in geriatric inpatients and sarcopenic obesity should not be ignored.
🔬Design:Araştırma Makalesi
📍Scope:2015 Verileri
⚙️Variables:Biyoelektrik Empedans Analizi · Malnütrisyon · Obezite

Abstract

Objective: To investigate the prevalence of sarcopenia and evaluate the nutritional status in geriatric patients hospitalized at the Internal Medicine Clinic. Material and Method: A total of 105 patients (54 female and 51 male) aged ≥ 65 years (mean age: 74 ± 6 years) hospitalized between November 2015 and January 2016 were consecutively enrolled in this prospective and observational clinical study. Muscle mass was evaluated by bioelectrical impedance device, muscle function by walking test, and strength by hand grip test. Patients were diagnosed with sarcopenia, pre-sarcopenia, and nonsarcopenic. Mini nutritional assessment (MNA) test was used to define malnutrition. Results: The number of patients diagnosed with sarcopenia and pre-sarcopenia was 49 (46.7%) and 5 (4.8%), respectively. The prevalence of sarcopenia was higher in female patients than male patients (61.1% vs. 31.4%; p=0.006). The prevalence of malnutrition in patients with sarcopenia and without sarcopenia were 51%, 10%, and the rate of patients at risk of malnutrition with sarcopenia and without sarcopenia was 37%, 49%, respectively. The prevalence of malnutrition was significantly higher in patients with sarcopenia (p<0.001). 40.8% of sarcopenic patients were overweight or obese. In the logistic regression analysis, female gender (OR=3.3, CI=1.35-8.04) and malnutrition (OR=9.41, CI=3.06-28.95) were significant risk factors for the development of sarcopenia. Conclusion: Approximately half of the hospitalized geriatric patients were sarcopenic or pre-sarcopenic, and 88% of patients with sarcopenia had malnutrition or at risk of malnutrition. Sarcopenia and malnutrition should be evaluated together in geriatric inpatients and sarcopenic obesity should not be ignored.

Özet

Amaç: İç Hastalıkları Kliniğinde yatan geriatrik hastalarda sarkopeni prevalansını araştırmak ve beslenme durumunu değerlendirmek. Gereç ve Yöntem: Hastanede yatan 65 yaş üstü toplam 105 hasta (54 kadın ve 51 erkek) (ortalama yaş: 74 ± 6 yıl) ardışık olarak çalışmaya dahil edildi. Kas kütlesi biyoelektrik empedans cihazı ile, kas fonksiyonu yürüme testi ile ve kas gücü el kavrama testi ile değerlendirildi. Hastalar sarkopeni, pre-sarkopeni ve sarkopenik olmayan olarak teşhis edildi. Malnütrisyonu tanımlamak için mini nütrisyonel değerlendirme (MNA) testi kullanılmıştır. Bulgular: Sarkopeni ve pre-sarkopeni tanısı konan hasta sayısı sırasıyla 49 (%46,7) ve 5 (%4,8) idi. Sarkopeni prevalansı kadın hastalarda erkek hastalara göre daha yüksekti (%61,1’ e karşı %31,4; p=0,006). Sarkopenisi olan hastalarda malnütrisyon prevalansı %51 ve malnütrisyon riski taşıyan hastaların oranı %37; sarkopenisi olmayan hastalarda malnütrisyon prevalansı %10 ve malnütrisyon riski taşıyan hastaların oranı %49 idi. Malnütrisyon prevalansı, sarkopenik olmayan katılımcılara kıyasla sarkopenili hastalarda anlamlı derecede yüksekti (p<0,001). Sarkopenik hastaların %40,8’ i obez veya kiloluydu. Lojistik regresyon analizinde kadın cinsiyet (OR=3.3, CI=1.35- 8.04) ve malnütrisyon (OR=9.41, CI=3.06-28.95) sarkopeni gelişimi için önemli risk faktörleriydi. Sonuç: Hastanede yatan geriatrik hastaların yaklaşık yarısı sarkopenik veya pre-sarkopenikti ve sarkopenisi olan hastaların %88’ inde malnütrisyon vardı veya malnütrisyon riski altındaydı. Yatan geriatrik hastalarda sarkopeni ve malnütrisyon birlikte değerlendirilmeli ve sarkopenik obezite göz ardı edilmemelidir.

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Cite This Article

Kaçar, M., Uzunlulu, M., Eken, E., Başcı, S. (2025). Prevalence of Sarcopenia and Its Association with Malnutrition in Hospitalized Elderly Patients. Hitit Medical Journal, Cilt: 7 Sayı: 3, 306–313. https://doi.org/10.52827/hititmedj.1604216

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