GERİATRİK HASTALARDA YENİ ESPEN/EASO SARKOPENİK OBEZİTE KRİTERLERİNİN DEĞERLENDİRİLMESİ

Year 2023, Volume: 4 Issue: Ek Sayı, 169 - 174, 16.10.2023

Yelda Öztürk , Serdar Ceylan , Merve Güner Oytun , Arzu Okyar Baş , Meltem Koca , Mert Eşme , Cafer Balcı , Burcu Balam Doğu , Mustafa Cankurtaran , Meltem Halil

Abstract

Giriş: Sarkopenik obezite (SO) prevalansı tüm dünyada artmaktadır. Tanısının konulması ve yönetimi önemlidir. Bu çalışma ayaktan geriatrik polikliniğine başvuran hastalarda sarkopenik obezite prevalansını yeni ESPEN/EASO kriterlerine göre belirlemeyi; ağırlık, boyun karesi ve vücut kütle indeksine (VKİ) göre düzeltilmiş iskelet kası kütlesinin etkisini ayrı ayrı incelemeyi hedefledi.
Yöntemler: Bu kesitsel çalışmaya geriatri polikliniğine başvuran 65 yaş ve üstü hastalar dahil edildi. Antropometrik ölçümler, kas kuvveti (Takei dijital kavrama gücü dinamometresi) ve vücut kompozisyonu (Body Stat Quadscan 4000 biyoempedans cihazı) değerlendirildi. İskelet kası kütlesi (İKK); ağırlık (A), VKİ ve boyun karesine göre düzeltildi. Azalmış kas kütlesi, İKK/A, İKK/VKİ ve İKK/boy2 dahil olmak üzere 3 farklı şekilde değerlendirildi. SO prevalansı SO1 (İKK/A), SO2 (İKK/VKİ) ve SO3 (İKK/boy2) olarak verildi.
Bulgular: Çalışmaya %62’ si kadın olan 214 yaşlı yetişkin dahil edildi. Artmış VKİ veya bel çevresi ile birlikte pozitif sarkopeni taraması olarak tanımlanan sarkopenik obezite taraması, hastaların %28,5'inde saptandı (n=61). Sarkopenik obezite prevalansı SO1 (İKK/A), SO2 (İKK/VKİ) ve SO3 (İKK/boy2) için sırasıyla %16,4, %15,0 ve %1,9 idi.
Sonuç: İskelet kası kütlesi, ağırlık veya VKİ’ye göre düzeltildiğinde sarkopenik obezite prevalansı daha yüksektir. Boyun karesine göre düzeltilen iskelet kası kütlesinin kullanılması, SO prevalansını olduğundan az çıkmasına yol açabilir.

Keywords

sarkopenik obezite, obezite, sarkopeni, kas kütlesinde azalma

THE ASSESSMENT OF NEW ESPEN/EASO CRITERIA FOR SARCOPENIC OBESITY IN GERIATRIC OUTPATIENTS

Abstract

Introduction: The prevalence of sarcopenic obesity (SO) is increasing worldwide. It is important to diagnose and manage it. This study aimed to determine the prevalence of sarcopenic obesity in geriatric outpatients according to the new ESPEN/EASO criteria by investigating the effect of skeletal muscle mass adjusted for weight, height square, and body mass index (BMI), separately.
Methods: This cross-sectional study included patients aged 65 years and older, who applied to the geriatric outpatient clinic. Anthropometric measurements, muscle strength (Takei digital grip strength dynamometer), and body composition (Body Stat Quadscan 4000 bioimpedance analyzer) were taken. Skeletal muscle mass (SMM) was adjusted for weight (W), BMI, and height2. Reduced muscle mass was assessed in 3 different ways including SMM/W, SMM/BMI, and SMM/height2. The prevalence of SO were given as SO1 (SMM/W), SO2 (SMM/BMI), and SO3 (SMM/ height2)
Results: There were 214 older adults included in the study with a 62% female rate. Sarcopenic obesity screening, defined by the concomitant existence of an elevated BMI or waist circumference, and positive sarcopenia risk was positive in 28.5% (n=61) of patients. The prevalences of sarcopenic obesity were 16.4%, 15.0%, and 1.9% for SO1 (SMM/W), SO2 (SMM/BMI), and SO3 (SMM/ height2) respectively.
Conclusion: The prevalence of sarcopenic obesity is higher when skeletal muscle mass is adjusted by weight or BMI. Using skeletal muscle mass adjusted by height2 causes underestimation of SO.

Keywords

sarcopenic obesity, obesity, sarcopenia, reduced muscle mass

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