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Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery

BACKGROUND: The purpose of this retrospective study was to determine the prevalence of sarcopenia and sarcopenic obesity among patients who underwent orthopedic surgery (OS). METHODS: A total of 222 patients were reviewed immediately after or prior to OS. In the control group, 364 patients from outp...

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Autores principales: Ji, Hyung-Min, Han, Jun, Jin, Dong San, Suh, Hyunseok, Chung, Yoon-Sok, Won, Ye-Yeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870324/
https://www.ncbi.nlm.nih.gov/pubmed/27247746
http://dx.doi.org/10.4055/cios.2016.8.2.194
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author Ji, Hyung-Min
Han, Jun
Jin, Dong San
Suh, Hyunseok
Chung, Yoon-Sok
Won, Ye-Yeon
author_facet Ji, Hyung-Min
Han, Jun
Jin, Dong San
Suh, Hyunseok
Chung, Yoon-Sok
Won, Ye-Yeon
author_sort Ji, Hyung-Min
collection PubMed
description BACKGROUND: The purpose of this retrospective study was to determine the prevalence of sarcopenia and sarcopenic obesity among patients who underwent orthopedic surgery (OS). METHODS: A total of 222 patients were reviewed immediately after or prior to OS. In the control group, 364 patients from outpatient departments (OPDs) who did not have any OS were enrolled. Whole-body dual-energy X-ray absorptiometry was used to analyze body composition. Skeletal muscle mass was adjusted for height squared, total body weight, and height and fat mass (residuals). Obesity was defined as body mass index (BMI) > 25.0 kg/m(2). RESULTS: The prevalence of sarcopenia in the OS group was 25.7%, 44.1%, and 26.6%, respectively, according to the 3 different criteria. The prevalence was significantly lower in the OPD group (6.0%, 33.1%, and 14.8%, respectively). The highest rates of sarcopenia with height-adjusted definition were seen in patients with a femoral neck fracture. In the multivariate analysis, factors associated with sarcopenia were male gender, older age, and lower BMI (odds ratio [OR]: 28.38, 1.03, and 1.83, respectively) when muscle mass was adjusted for height, whereas male gender, older age, and higher BMI were associated with sarcopenia (OR: 1.04, 2.57, and 1.83, respectively) when adjusted for weight. When residuals were used as a cutoff, decreased BMI and total hip bone mineral density (0.1 g/cm(2)) were independent risk factors associated with sarcopenia (OR: 1.09 and 1.05). The prevalence of sarcopenic obesity ranged from 1.8% to 21.2%. CONCLUSIONS: Our study demonstrated a high prevalence of sarcopenia among OS patients.
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spelling pubmed-48703242016-06-01 Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery Ji, Hyung-Min Han, Jun Jin, Dong San Suh, Hyunseok Chung, Yoon-Sok Won, Ye-Yeon Clin Orthop Surg Original Article BACKGROUND: The purpose of this retrospective study was to determine the prevalence of sarcopenia and sarcopenic obesity among patients who underwent orthopedic surgery (OS). METHODS: A total of 222 patients were reviewed immediately after or prior to OS. In the control group, 364 patients from outpatient departments (OPDs) who did not have any OS were enrolled. Whole-body dual-energy X-ray absorptiometry was used to analyze body composition. Skeletal muscle mass was adjusted for height squared, total body weight, and height and fat mass (residuals). Obesity was defined as body mass index (BMI) > 25.0 kg/m(2). RESULTS: The prevalence of sarcopenia in the OS group was 25.7%, 44.1%, and 26.6%, respectively, according to the 3 different criteria. The prevalence was significantly lower in the OPD group (6.0%, 33.1%, and 14.8%, respectively). The highest rates of sarcopenia with height-adjusted definition were seen in patients with a femoral neck fracture. In the multivariate analysis, factors associated with sarcopenia were male gender, older age, and lower BMI (odds ratio [OR]: 28.38, 1.03, and 1.83, respectively) when muscle mass was adjusted for height, whereas male gender, older age, and higher BMI were associated with sarcopenia (OR: 1.04, 2.57, and 1.83, respectively) when adjusted for weight. When residuals were used as a cutoff, decreased BMI and total hip bone mineral density (0.1 g/cm(2)) were independent risk factors associated with sarcopenia (OR: 1.09 and 1.05). The prevalence of sarcopenic obesity ranged from 1.8% to 21.2%. CONCLUSIONS: Our study demonstrated a high prevalence of sarcopenia among OS patients. The Korean Orthopaedic Association 2016-06 2016-05-10 /pmc/articles/PMC4870324/ /pubmed/27247746 http://dx.doi.org/10.4055/cios.2016.8.2.194 Text en Copyright © 2016 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ji, Hyung-Min
Han, Jun
Jin, Dong San
Suh, Hyunseok
Chung, Yoon-Sok
Won, Ye-Yeon
Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title_full Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title_fullStr Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title_full_unstemmed Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title_short Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery
title_sort sarcopenia and sarcopenic obesity in patients undergoing orthopedic surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870324/
https://www.ncbi.nlm.nih.gov/pubmed/27247746
http://dx.doi.org/10.4055/cios.2016.8.2.194
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