Abstract:
Introduction. The aging process involves a multitude of aging changes,
including sarcopenia, which is a muscle failure caused by muscle quantitative
and qualitative changes that accumulates throughout life, is frequently
underdiagnosed in the elderly.
Purpose. Assessment of the
particularities of sarcopenia in the
context of frailty in the elderly to
identify informative indices of value
and elucidate the character.
Material and methods.
The epidemiological study
included 152 patients
(74.46±0.57 years) with
sarcopenia determined by
SARC-F score, fragility
syndrome (FS) - Fried
criteria.Respondents were
examined according to
Complex Geriatric
Assessment (CGA) -
autonomy (Katz, Lawton),
gait and balance (Tinetti),
cognitive status (MMSE),
emotional status
(Hamilton), muscle
strength (dynamometry).
Results. The elderly included
in the study presented
sarcopenia, according to the
results of screening FS – robust
elderly – 13.15%, pre-fragile –
24.34%, fragile – 62.5%,
according to CGA – Katz –
9.48±0.20, Lawton –
10.73±0.33, Tinetti –
18.10±0.57, MMSE -
23.65±0.31, Hamilton -
7.20±0.42, dynamometry –
11.88±0.86 kg. Mean SARC-F
values were directly correlated
with decreased muscle strength
(Rr=0.3; p<0.05), low
autonomy - Katz (Rr=0.45;
p<0.05), Lawton (r=-0.54;
p<0.05), Groningen (r=0.36;
p<0.05), SPPB (r=-0.27;
p<0.05).Correlations were
established between mean
SARC-F values and Fried
criteria: general weakness
(Rr=0.31; p<0.05), reduced
walking speed (Rr=0.29;
p<0.05), weight loss (Rr=0.31;
p<0.05).
Conclusions. The results of the study
reveal the functional status as one of the
most affected aspects of sarcopenia on
the background of altered physical
condition, such as fragility syndrome.
