Effect of Sarcopenia on Changes in the Physical Function of Older Inpatients

[Purpose] This study examined the effect of sarcopenia on changes of the Short Physical Performance Battery (SPPB) in older inpatients. [Participants and Methods] This study recruited 17 older inpatients. Sarcopenia was assessed at the time of the first evaluation, and 11 patients were assessed to h...

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Published inRigaku ryoho kagaku Vol. 36; no. 6; pp. 919 - 924
Main Authors TAKESHITA, Yasufumi, YANAGITA, Hirokazu, MIYAZAKI, Takasuke, YONETOKU, Kazuhiro, YAMASHITA, Kana, SAKASHITA, Yuji, KUWAZURU, Sho, AKASAKI, Yoshihiko, KAJI, Tomokazu, TAKENAKA, Toshihiro
Format Journal Article
LanguageJapanese
Published Tokyo The Society of Physical Therapy Science 2021
Japan Science and Technology Agency
Subjects
Online AccessGet full text
ISSN1341-1667
2434-2807
2434-2807
DOI10.1589/rika.36.919

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Abstract [Purpose] This study examined the effect of sarcopenia on changes of the Short Physical Performance Battery (SPPB) in older inpatients. [Participants and Methods] This study recruited 17 older inpatients. Sarcopenia was assessed at the time of the first evaluation, and 11 patients were assessed to have sarcopenia. The improvements in SPPB at 3 weeks from the time of the first evaluation were compared between those with and without sarcopenia using repeated measures analysis of variance. [Results] Although there was no interaction effect in the total SPPB score, both groups showed similar improvements in the total SPPB score after 3 weeks. No interaction effect was also observed in sit-to-stand of SPPB, and a similar trend of improvement was observed, but the sarcopenia group showed lower values than the non-sarcopenia group both at the time of first evaluation and after 3 weeks. [Conclusion] Older inpatients with sarcopenia also showed improvement in SPPB, but may still show a decline in sit-to-stand ability.
AbstractList [Purpose] This study examined the effect of sarcopenia on changes of the Short Physical Performance Battery (SPPB) in older inpatients. [Participants and Methods] This study recruited 17 older inpatients. Sarcopenia was assessed at the time of the first evaluation, and 11 patients were assessed to have sarcopenia. The improvements in SPPB at 3 weeks from the time of the first evaluation were compared between those with and without sarcopenia using repeated measures analysis of variance. [Results] Although there was no interaction effect in the total SPPB score, both groups showed similar improvements in the total SPPB score after 3 weeks. No interaction effect was also observed in sit-to-stand of SPPB, and a similar trend of improvement was observed, but the sarcopenia group showed lower values than the non-sarcopenia group both at the time of first evaluation and after 3 weeks. [Conclusion] Older inpatients with sarcopenia also showed improvement in SPPB, but may still show a decline in sit-to-stand ability.
Author MIYAZAKI, Takasuke
AKASAKI, Yoshihiko
SAKASHITA, Yuji
KUWAZURU, Sho
YAMASHITA, Kana
TAKENAKA, Toshihiro
KAJI, Tomokazu
TAKESHITA, Yasufumi
YONETOKU, Kazuhiro
YANAGITA, Hirokazu
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10.1093/ageing/afv173
10.1093/geronj/49.2.M85
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10.1152/jappl.2000.89.1.81
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References_xml – reference: 16) Foldvari M, Clark M, Laviolette LC, et al.: Association of muscle power with functional status in community-dwelling elderly women. J Gerontol A Biol Sci Med Sci, 2000, 55: M192-M199.
– reference: 7) Sun DQ, Huang J, Varadhan R, et al.: Race and fall risk: data from the National Health and Aging Trends Study (NHATS). Age Ageing, 2016, 45: 120-127.
– reference: 14) Perera S, Mody SH, Woodman RC, et al.: Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc, 2006, 54: 743-749.
– reference: 9) Chen LK, Woo J, Assantachai P, et al.: Asian Working Group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc, 2020, 21: 300-307.e2.
– reference: 11) Martínez-Velilla N, Casas-Herrero A, Zambom-Ferraresi F, et al.: Effect of exercise intervention on functional decline in very elderly patients during acute hospitalization: a randomized clinical trial. JAMA Intern Med, 2019, 179: 28-36.
– reference: 15) Janssen I, Heymsfield SB, Wang ZM, et al.: Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol 1985, 2000, 89: 81-88.
– reference: 3) Chen LK, Liu LK, Woo J, et al.: Sarcopenia in Asia: Consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc, 2014, 15: 95-101.
– reference: 4) Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. European Working Group on Sarcopenia in Older People: Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing, 2010, 39: 412-423.
– reference: 2) 鹿児島県:市町村別,年齢3区分別人口の割合(令和元年10月1日現在).https://www.pref.kagoshima.jp/ac09/tokei/bunya/jinko/jinkouidoutyousa/nennpou/r1.html(閲覧日2021年6月25日).
– reference: 1) 垂水市:垂水市人口(令和3年6月1日現在).https://www.city.tarumizu.lg.jp/hisho/shise/gaiyo/profile/jinnkou.html(閲覧日2021年6月25日).
– reference: 6) Guralnik JM, Simonsick EM, Ferrucci L, et al.: A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol, 1994, 49: M85-M94.
– reference: 13) 杉本 諭,古山つや子,関根直哉:Short Physical Performance Batteryは要介護高齢者に対するパフォーマンステストとして利用できるか.理学療法科学,2020, 35: 237-243.
– reference: 12) Guralnik JM, Ferrucci L, Simonsick EM, et al.: Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med, 1995, 332: 556-561.
– reference: 10) Sáez de Asteasu ML, Martínez-Velilla N, Zambom-Ferraresi F, et al.: Physical exercise improves function in acutely hospitalized older patients: secondary analysis of a randomized clinical trial. J Am Med Dir Assoc, 2019, 20: 866-873.
– reference: 8) Volpato S, Cavalieri M, Sioulis F, et al.: Predictive value of the Short Physical Performance Battery following hospitalization in older patients. J Gerontol A Biol Sci Med Sci, 2011, 66: 89-96.
– reference: 5) Gariballa S, Alessa A: Sarcopenia: prevalence and prognostic significance in hospitalized patients. Clin Nutr, 2013, 32: 772-776.
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  doi: 10.1001/jamainternmed.2018.4869
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  doi: 10.1093/gerona/glq167
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  doi: 10.1111/j.1532-5415.2006.00701.x
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  doi: 10.1016/j.jamda.2019.04.001
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  doi: 10.1016/j.clnu.2013.01.010
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  doi: 10.1056/NEJM199503023320902
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  doi: 10.1093/ageing/afv173
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  doi: 10.1093/geronj/49.2.M85
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  doi: 10.1093/gerona/55.4.M192
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  doi: 10.1152/jappl.2000.89.1.81
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Short Physical Performance Battery
sit-to-stand
Title Effect of Sarcopenia on Changes in the Physical Function of Older Inpatients
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