Evidence map›Paper›PMID 36394098›Full record

ArticleJournal of cachexia, sarcopenia and muscle2023

Impact of sarcopenia and phase angle on mortality of the very elderly.

Young Eun Kwon, Jung Sun Lee, Jee-Young Kim, Song In Baeg, Hye Min Choi, Hong-Bae Kim, Joon Young Yang, Dong-Jin Oh

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Young Eun KwonDepartment of Internal Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.ORCID 0000-0002-0843-9857
Jung Sun LeeDepartment of Internal Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Jee-Young KimGerontology and Geriatric Medical Center, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Song In BaegDepartment of Internal Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Hye Min ChoiDepartment of Internal Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Hong-Bae KimGerontology and Geriatric Medical Center, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Joon Young YangGerontology and Geriatric Medical Center, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.
Dong-Jin OhDepartment of Internal Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang-si, South Korea.ORCID 0000-0003-1810-7167

Funding

Myongji Hospital 1701-03-21
6 · The paper itself

Abstract

backgroundSarcopenia is a major component of geriatric syndrome and associated with poor clinical outcomes and mortality. However, diagnosing sarcopenia in the very elderly is difficult, and data on its epidemiology and devastating effects in this group are scarce. Phase angle (PA) is measured using bioimpedance spectroscopy and known to reflect cellular integrity and health. This study aimed to clarify the impact of sarcopenia and PA on mortality risk in very elderly people living in long-term care facilities.

methodsThis prospective cohort study enrolled elderly residents living in nine long-term care facilities. We collected the participants' data, such as body mass index (BMI), comorbidities and laboratory data, from September to October 2017 and mortality data until October 2019. Nutritional status was evaluated using the Mini Nutritional Assessment (MNA) score, and multifrequency bioimpedance spectroscopy was used to assess body composition including PA. Appendicular skeletal muscle mass was calculated using the body composition monitor-derived equation of Taiwan's researchers. Sarcopenia was diagnosed using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) definition (sarcopenia vs. normal group). We divided the participants into two groups according to the median PA value of 3.65° (high vs. low group) and performed multivariate regression analyses to verify the association with mortality risk according to sarcopenia diagnosis or PA group.

resultsA total of 279 elderly participants were enrolled; of them, 238 (85.3%) were diagnosed with sarcopenia according to EWGSOP2 guidelines. The median patient age was 83 years, 211 (75.6%) were female and the median BMI was 20.4 kg/m

conclusionsSarcopenia is prevalent among the very elderly patients in long-term care facilities. Sarcopenia and low PA are significantly associated with higher mortality risk.

Indexed as

SarcopeniaAgedAged, 80 and overBody Mass IndexComorbidityFemaleHumansMaleNutritional StatusProspective Studiesbioimpedancegeriatricmortalityphase anglesarcopenia

Identifiers

PMID36394098
PMCPMC9891944

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.