PMID- 27725407
OWN - NLM
STAT- MEDLINE
DCOM- 20170512
LR  - 20170512
IS  - 1881-7742 (Electronic)
IS  - 0301-4800 (Linking)
VI  - 62
IP  - 4
DP  - 2016
TI  - Severely Decreased Muscle Mass among Older Patients Hospitalized in a Long-Term 
      Care Ward in Japan.
PG  - 229-234
AB  - Sarcopenia is known to increase the risk of adverse outcomes, including 
      disability, loss of independence, hospitalization, longer length of hospital 
      stay, and mortality, but there is little data about the prevalence of sarcopenia 
      and the factors associated with increased physical dependency and cognitive 
      decline among older patients hospitalized in a long-term care (LTC) ward in 
      Japan. A cross-sectional study was conducted in 79 consecutive patients (34 men, 
      45 women) with a median age of 81 y hospitalized in an LTC hospital. Sarcopenia 
      was defined according to the recommended algorithm of the Asian Working Group for 
      Sarcopenia. Skeletal muscle mass index (SMI) was assessed by using bioelectrical 
      impedance analysis. Physical dependency and cognitive decline were evaluated by 
      the Functional Independence Measure (FIM). Nutritional status was evaluated by 
      using the Mini Nutritional Assessment-Short Form and daily intake of energy and 
      protein. Multivariate analyses were applied to examine factors associated with 
      increased physical dependency and cognitive decline. Median SMI was 4.9 kg/m(2) 
      (interquartile range [IQR], 4.0-5.3 kg/m(2)) in men and 3.3 kg/m(2) (IQR, 2.9-3.8 
      kg/m(2)) in women, showing that all participants had an SMI below the cut-off 
      value. Seventy participants (88.6%) were unable to perform the hand grip strength 
      test, and all participants were unable to perform the gait speed test. 
      Multivariate analysis showed that oral nutritional access and daily energy intake 
      were associated both with physical and cognitive level (p<0.05).
FAU - Yamanouchi, Anna
AU  - Yamanouchi A
AD  - Department of Nutritional Management, Saku Hospital.
FAU - Yoshimura, Yoshihiro
AU  - Yoshimura Y
FAU - Matsumoto, Yumi
AU  - Matsumoto Y
FAU - Jeong, Seungwon
AU  - Jeong S
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - J Nutr Sci Vitaminol (Tokyo)
JT  - Journal of nutritional science and vitaminology
JID - 0402640
RN  - 0 (Dietary Proteins)
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - *Aging
MH  - Body Composition
MH  - Body Mass Index
MH  - Cross-Sectional Studies
MH  - Dietary Proteins/administration & dosage
MH  - Electric Impedance
MH  - Energy Intake
MH  - Female
MH  - Geriatric Assessment
MH  - Hand Strength
MH  - *Hospitalization
MH  - Humans
MH  - Japan/epidemiology
MH  - Long-Term Care
MH  - Male
MH  - *Muscle Strength
MH  - Muscle, Skeletal/chemistry
MH  - Nutrition Assessment
MH  - Nutritional Status
MH  - Prevalence
MH  - Sarcopenia/*epidemiology
EDAT- 2016/10/12 06:00
MHDA- 2017/05/13 06:00
CRDT- 2016/10/12 06:00
PHST- 2016/10/12 06:00 [entrez]
PHST- 2016/10/12 06:00 [pubmed]
PHST- 2017/05/13 06:00 [medline]
AID - 10.3177/jnsv.62.229 [doi]
PST - ppublish
SO  - J Nutr Sci Vitaminol (Tokyo). 2016;62(4):229-234. doi: 10.3177/jnsv.62.229.