ArticleIntestinal Failure (New York, N.Y.)
Prevalence of sarcopenia in patients with chronic intestinal failure due to short bowel syndrome.
Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sarcopenia is a progressive and generalized loss of muscle mass and function. Patients with chronic intestinal failure due to short bowel syndrome (CIF-SBS) could develop sarcopenia due to malabsorption, inflammatory states and/or physical inactivity. The aims of this study were to determine the prevalence of sarcopenia in a cohort of adult patients with CIF-SBS and its association with demographic and nutritional parameters. Material and Methods: Adult CIF-SBS patients were included. SARC-F questionnaire was performed. Age, sex, anatomy type, time on parenteral nutrition (PN), current weight, height, Body Mass Index (BMI) and hand grip strength were assessed. In all patients a CT scan was done. Bivariate analysis was carried out to study variable associations. Chi-squared was used for categorical variables. Statistical analyses were performed in R; significance was considered when p < 0.05. Results: From June 2019 to March 2024, 63 adult CIF-SBS patients were included. Mean age was 51.6 ± 16.4 years and 52.4 % were female. Anatomy type was 1 in 95.2 % of the patients. Mean BMI was 23.2 ± 5.5 kg/m2 and 53.9 % had less than 6 months on PN. SARC-F was ≥ 4 in all patients. Hand grip strength was low in 55.5 % and CT muscle mass was low in 77.8 %. There was no association with less than 6 months of time on PN or low BMI. The prevalence of sarcopenia was 44.4 . Conclusion: Sarcopenia was diagnosed in less than half patients with CIF-SBS The majority of the patients had low muscle mass. However low handgrip was not as high.
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