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01.02.2016 | Originalien | Ausgabe 2/2016

Zeitschrift für Gerontologie und Geriatrie 2/2016

Prevalence and definition of sarcopenia in community dwelling older people

Data from the Berlin aging study II (BASE-II)

Zeitschrift:
Zeitschrift für Gerontologie und Geriatrie > Ausgabe 2/2016
Autoren:
Dr. D. Spira, Priv.-Doz. Dr. K. Norman, MSc. J. Nikolov, Priv.-Doz. Dr. I. Demuth, Univ.-Prof. Dr. E. Steinhagen-Thiessen, Dr. R. Eckardt
Wichtige Hinweise
Dr. Dominik Spira and Priv.-Doz. Dr. Kristina Norman contributed equally to this work.

Abstract

Background

Sarcopenia describes the age-associated loss of muscle mass, strength and function. The aim of this study was to compare the prevalence of sarcopenia in a cohort of community dwelling elderly people living in Berlin, Germany, according to the criteria proposed by current consensus statements and to study the respective impact on self-reported physical performance.

Material and methods

This study included 1405 participants from the Berlin aging study II (BASE-II). The appendicular skeletal muscle mass index (SMI) was assessed with dual energy X-ray absorptiometry (DXA), muscle strength was measured by hand grip strength and the timed up and go” test (TUG) was performed as a functional parameter to reflect mobility.

Results

The prevalence of sarcopenia was 24.3 % in terms of reduced SMI only and considerably lower for sarcopenia with reduced grip strength (4.1 %) and sarcopenia with limited mobility (2.4 %). Only 0.6 % of the participants fulfilled all three criteria. Of the subjects with a normal SMI, 8.6 % had reduced grip strength and 5.1 % had limited mobility, whereas 1.3 % subjects fulfilled both criteria. Participants with reduced strength or function reported severe difficulties in performing physical tasks significantly more often than participants with normal or reduced SMI alone (p <0.029–p <0.0001).

Conclusion

In BASE-II low skeletal muscle mass was much more frequent than reduced grip strength or poor function. Reduced strength and function were found to be associated with a greater impact on physical performance than reduced muscle mass. Low SMI does not seem to be a prerequisite for low strength or limitations in mobility.

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