Dynapenia and Sarcopenia as a Risk Factor for Disability in a Falls and Fractures Clinic in Older Persons

  • Angela-María Benjumea Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, International Association of Gerontology and Geriatrics Collaborative Centre, University of Caldas, Manizales
  • Carmen-Lucía Curcio Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, International Association of Gerontology and Geriatrics Collaborative Centre, University of Caldas, Manizales
  • Gustavo Duque Australian Institute for Musculoskeletal Science (AIMSS), Melbourne Medical School - Western Precinct, The University Of Melbourne & Western Health, Melbourne, Australia; Ageing Bone Research Program, Sydney Medical School Nepean, The University of Sydney, Penrith
  • Fernando Gomez Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, International Association of Gerontology and Geriatrics Collaborative Centre, University of Caldas, Manizales, Colombia; Ageing Bone Research Program, Sydney Medical School Nepean, The University of Sydney, Penrith http://orcid.org/0000-0003-4360-8174
Keywords: Sarcopenia, Dynapenia, Disability, Geriatric health services, fall and fracture services

Abstract

BACKGROUND: The role of sarcopenia and dynapenia in disability in older persons from falls and bone health clinics remain unknown.

AIM: This study aims to compare the association of sarcopenia and dynapenia with physical and instrumental disability in a population of older persons attending a falls and fractures clinic.

METHODS: This is a cross-sectional study in Manizales, Andes Mountains, Colombia.  534 subjects (mean age = 74, 75% female) Sarcopenia was measured according to the European Working Group on Sarcopenia in Older People (EWGSOP) including an index of skeletal mass, muscle strength, and gait speed. Dynapenia was defined as a handgrip force ≤ 30 kg for men and ≤ 20 kg for women.

RESULTS: Dynapenia and sarcopenia were present in 84.6% and 71.2% respectively. Both were more prevalent in older subjects and women than men.  While sarcopenia was associated with body mass index and hypertension, dynapenia was associated with hypothyroidism and visual impairment.  After controlling for all covariates, sarcopenia was associated with low IADL and mobility disability.

CONCLUSIONS: Sarcopenia was associated with mobility, ADL and IADL disability. Dynapenia was not associated with disability in this high - risk population. Systematic assessment of sarcopenia should be implemented in falls and fractures clinics to identify sarcopenia and develop interventions to prevent functional decline among elderly individuals.

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Author Biography

Fernando Gomez, Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, International Association of Gerontology and Geriatrics Collaborative Centre, University of Caldas, Manizales, Colombia; Ageing Bone Research Program, Sydney Medical School Nepean, The University of Sydney, Penrith
Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, International Association of Gerontology and Geriatrics Collaborative Centre

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Published
2018-02-14
How to Cite
1.
Benjumea A-M, Curcio C-L, Duque G, Gomez F. Dynapenia and Sarcopenia as a Risk Factor for Disability in a Falls and Fractures Clinic in Older Persons. Open Access Maced J Med Sci [Internet]. 2018Feb.14 [cited 2020Nov.29];6(2):344-9. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2018.087
Section
B - Clinical Sciences