Show simple item record

dc.contributor.authorDe Spiegeleer, A.
dc.contributor.authorKahya, H.
dc.contributor.authorSanchez-Rodriguez, D.
dc.contributor.authorPiotrowicz, K.
dc.contributor.authorSurquin, M.
dc.contributor.authorMarco, E.
dc.contributor.authorDetremerie, C.
dc.contributor.authorHussein, D.
dc.contributor.authorHope, S.
dc.contributor.authorDallmeier, D.
dc.contributor.authorDecker, G.
dc.contributor.authorHrnciarikova, D.
dc.contributor.authorCzesak, J.
dc.contributor.authorToscano-Rico, M.
dc.contributor.authorMeza-Valderrama, D.
dc.contributor.authorBahat, G.
dc.contributor.authorDescamps, A.
dc.contributor.authorWynendaele, E.
dc.contributor.authorElewaut, D.
dc.contributor.authorVankova, H.
dc.contributor.authorLandi, F.
dc.contributor.authorBenoit, F.
dc.contributor.authorGasowski, J.
dc.contributor.authorVan Den Noortgate, N.
dc.date.accessioned2021-10-20T11:10:10Z
dc.date.available2021-10-20T11:10:10Z
dc.date.issued2021-08-09
dc.identifier.citationAge Ageing. 2021 Aug 9:afab163. doi: 10.1093/ageing/afab163.
dc.identifier.pmid34379741
dc.identifier.doi10.1093/ageing/afab163
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/622125
dc.description.abstractINTRODUCTION: Hospitalization is associated with acute changes in sarcopenia status in older people, but the influencing factors are not fully understood. Pre-admission care dependency level as a risk factor has not yet been investigated. OBJECTIVE: Evaluate if pre-admission care dependency level is an independent predictor of sarcopenia changes following hospitalization. SETTING AND SUBJECTS: Data came from the Sarcopenia 9+ EAMA Project, a European prospective multi-centre study. For this study, 227 hospitalised older people were included from four different hospitals in Belgium, Spain and Poland, between 18 February 2019 and 5 September 2020. METHODS: Sarcopenia status at admission and discharge were calculated using a combined score (desirability value) based on muscle mass (calf circumference), strength (grip) and function (walking speed). Ratio of admission to discharge status was the outcome (desirability ratio; 1.00 meaning no difference). Predictor variable was the pre-admission care dependency level, classified into three groups: independent older people living at home, dependent older people living at home and older people living in a care home. Linear regression models were applied, considering potential confounders. RESULTS: Mean desirability ratio for dependent older people living at home ('middle dependent group') was lower (0.89) compared to independent older people (0.98; regression coefficient -0.09 [95% CI -0.16, -0.02]) and care home patients (1.05; -0.16 [95% CI -0.01, -0.31]). Adjusting for potential confounders or using another statistical approach did not affect the main results. CONCLUSION: Dependent older people living at home were at higher risk of deterioration in sarcopenia status following hospitalization. In-depth studies investigating causes and potential interventions of these findings are needed.
dc.language.isoeng
dc.publisherOxford University Press
dc.relation.urlhttps://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afab163
dc.rights© The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/
dc.subjectacute sarcopenia
dc.subjectcare dependency
dc.subjectcare home
dc.subjecthospitalization
dc.subjectolder people
dc.titleAcute sarcopenia changes following hospitalization: influence of pre-admission care dependency level
dc.typeJournal Article
dc.identifier.journalAge and ageing
cr.approval.ethical
cr.approval.ethical
dc.description.noteThe article is available via Open Access. Click on the 'Additional link' above to access the full-text.
dc.type.versionaheadofprint
dc.description.admin-notePublished version, accepted version (12 month embargo), submitted version
dc.date.epub2021-08-12


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

© The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
Except where otherwise noted, this item's license is described as © The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.