Health Informatics Journal,
Год журнала:
2024,
Номер
30(4)
Опубликована: Окт. 1, 2024
Background:
Patients
with
sarcopenia
often
go
undetected
in
busy
clinical
practices
since
the
muscle
measurements
are
not
easily
incorporated
into
routine
practice.
The
current
research
fills
gap
by
utilizing
unstructured
notes
combined
structured
data
from
electronic
health
records
(EHR),
to
increase
detection.
Methods:
We
developed
and
evaluated
four
approaches
first
extract
note
features,
then
integrate
for
detection
models.
Case
studies
were
used
demonstrate
interpretation
of
results
show
important
association
between
predictors
outcomes.
Results:
Out
1304
participants,
1055
controls,
249
met
at
least
one
criterion
Sarcopenia.
best
performing
model
which
both
data-driven
knowledge-driven
features
demonstrated
a
higher
mean
area
under
curve
(AUC
=
73.93%,
(95%
CI,
73.83-74.02))
compared
baseline
71.59%,
(95%CI,
71.56-71.61)).
case
study
shows
that
may
contribute
such
as
“cane”,
“walker”,
“unsteady”,
etc.
Conclusions:
Incorporating
models
can
identify
greater
number
patients
risk
sarcopenia,
potentially
leading
targeted
testing
assessments
corresponding
treatments
address
sarcopenia.
Geriatrics and gerontology international/Geriatrics & gerontology international,
Год журнала:
2023,
Номер
23(9), С. 651 - 659
Опубликована: Июль 17, 2023
To
enable
easy
assessment
of
oral
frailty;
that
is,
an
overlapping
slight
decline
in
multifaceted
function,
any
setting,
we
developed
the
frailty
five-item
checklist
(OF-5),
and
examined
its
predictive
validity
for
increased
risks
physical
frailty,
disability
mortality
among
community-dwelling
older
adults.
Circulation Cardiovascular Quality and Outcomes,
Год журнала:
2024,
Номер
17(5)
Опубликована: Май 1, 2024
Although
frailty
is
strongly
associated
with
mortality
in
patients
heart
failure
(HF),
the
risk
of
which
specific
cause
death
being
complicated
unclear.
We
aimed
to
clarify
association
between
multidomain
and
causes
elderly
hospitalized
HF.
analyzed
data
from
FRAGILE-HF
cohort,
where
aged
65
years
older,
HF,
were
prospectively
registered
2016
2018
15
Japanese
hospitals
before
discharge
followed
up
for
2
years.
All
assessed
physical,
social,
cognitive
dysfunction,
categorized
into
3
groups
based
on
their
number
domains
(FDs,
0-1,
2,
3).
Kaplan-Meier
survival
analysis
was
used
evaluate
FDs
all-cause
mortality,
whereas
Fine-Gray
competing
regression
assessing
impact
cause-specific
mortality.
1181
HF
(81
old
median,
57.4%
male),
530
(44.9%),
437
(37.0%),
214
(18.1%)
whom
FD
0
1,
groups,
respectively.
During
2-year
follow-up,
240
deaths
observed
(99
deaths,
34
cardiovascular
107
noncardiovascular
deaths),
an
increase
significantly
(Log-rank:
P<0.001).
The
adjusted
age
sex
showed
that
(subdistribution
hazard
ratio,
1.77
[95%
CI,
1.11-2.81])
(2.78,
1.69-4.59])
higher
incidence
but
not
other
deaths.
older
it
mostly
attributable
death,
including
death.
URL:
https://www.clinicaltrials.gov;
Unique
identifier:
UMIN000023929.
Geriatrics and gerontology international/Geriatrics & gerontology international,
Год журнала:
2023,
Номер
23(2), С. 124 - 130
Опубликована: Янв. 13, 2023
To
enhance
health
services
that
can
address
multifaceted
issues,
the
Questionnaire
for
Medical
Checkup
of
Old-Old
(QMCOO)
was
strategically
developed
to
ascertain
frailty
status.
Using
National
Health
Insurance
database
system,
we
aimed
clarify
whether
QMCOO
predict
new
certifications
long-term
care
disabilities.Of
20
151
adults
aged
≥75
years
who
underwent
checkups
in
Kashiwa
City,
Japan,
fiscal
year
2020
(examination
rate
36.8%),
18
130
persons
were
included
(mean
age
80.1
±
4.1
years,
55.1%
women).
The
outcome
certification
until
January
2022.
From
medical
receipt
data,
QMCOO,
age,
sex,
living
arrangement,
body
mass
index,
comorbidity,
and
musculoskeletal
connective
tissue
diseases
evaluated.During
follow-up
period,
727
(4.0%)
participants
had
an
incident
disability
(median
follow
up
457
days
[quartile
range
408-519
days]).
QMCOO's
predictive
accuracy
needs
optimal
when
total
score
3/4
used
as
threshold.
Older
with
scores
≥4
a
higher
adjusted
hazard
ratio
(adjusted
2.5,
95%
confidence
interval
2.1-2.9).
Furthermore,
greatly
enhanced
comorbidity
(6.6,
4.8-8.9).The
which
reflects
frailty,
might
be
disability,
its
could
improved
by
considering
comorbidities.
comprehensive
contribute
extending
healthy
life
expectancy
through
efficiently
assessing
preventing
care,
even
among
old-old
latter
stage
tended
suffer
from
multimorbidity.
Geriatr
Gerontol
Int
2023;
23:
124-130.
Nutrients,
Год журнала:
2023,
Номер
15(20), С. 4335 - 4335
Опубликована: Окт. 11, 2023
To
investigate
the
factors
associated
with
sarcopenia
in
elderly
individuals
residing
nursing
homes
and
community
settings,
we
conducted
a
systematic
search
of
databases,
including
MEDLINE,
EMBASE,
PubMed,
Web
Science
Cochrane,
up
to
May
2023.
We
incorporated
total
70
studies
into
our
analysis.
Our
findings
revealed
that
prevalence
ranged
from
25%
73.7%,
while
it
varied
5.2%
62.7%.
The
both
settings
included
male
gender,
BMI,
malnutrition,
osteoarthritis.
In
these
comprised
age,
poor
nutrition
status,
small
calf
circumference,
smoking,
physical
inactivity,
cognitive
impairment,
diabetes,
depression
heart
disease.
Currently,
European
Working
Group
on
Sarcopenia
Older
People
(EWGSOP)
Asian
for
(AWGS)
standards
are
widely
utilized
EWGSOP
standard
being
more
applicable
homes.
Identifying
is
paramount
significance,
particularly
considering
some
them
can
be
modified
managed.
Further
research
warranted
impact
preventive
measures
management
among
settings.
Scientific Reports,
Год журнала:
2025,
Номер
15(1)
Опубликована: Фев. 1, 2025
This
cross-sectional
study
investigated
the
association
between
sarcopenia
components
and
depressed
mood
in
community-dwelling
adults
aged
70–84
years
from
Korean
Frailty
Aging
Cohort
Study.
Depressed
was
assessed
using
Geriatric
Depression
Scale
short
form.
Logistic
regression
used
to
examine
sex-specific
associations
mood.
Among
1,913
participants
(mean
age:
75.9
years,
49.0%
women),
12.2%
23.6%
had
sarcopenia,
respectively.
Sarcopenia
prevalence
increased
among
individuals
with
both
sexes
(men:
P
<
0.001;
women:
=
0.016).
Severe
OR,
3.620;
95%
CI,
1.634−8.022;
women
3.332;
1.689−6.574)
concurrent
low
muscle
strength
physical
performance
3.660;
1.541−8.691;
2.333;
1.294−4.206)
correlated
across
sexes.
The
co-occurrence
of
mass
(OR,
2.451;
1.007−5.964)
associated
men,
whereas
2.007;
1.275−3.160)
coexistence
1.804;
1.003–3.248)
women.
were
significantly
older
adults,
underscoring
need
account
for
differences
when
evaluating
mental
health
outcomes
tailor
interventions
targeting
improve
well-being
aging
populations.
The journal of nutrition health & aging,
Год журнала:
2023,
Номер
27(9), С. 726 - 733
Опубликована: Сен. 1, 2023
Cognitive
impairment
and
sarcopenia
have
become
important
challenges
for
the
growing
aging
population.
Social
support
has
been
shown
to
protect
against
cognitive
impairment,
but
its
impact
on
remains
unknown.
The
purpose
of
this
study
was
explore
correlation
between
social
support,
sarcopenia,
in
Chinese
older
adults.
A
multi-stage
whole
group
sampling
method
used
conduct
a
cross-sectional
survey
720
community-dwelling
people
Shanghai.
definition
accordance
with
criteria
Asian
Working
Group
Sarcopenia
(AWGS)
2019.
evaluated
using
computerized
neuropsychological
assessment
device
that
had
previously
validated.
assessed
Support
Rate
Scale.
Logistic
regression
analyses
were
conducted
relationship
fully
adjusting
all
potential
confounding
factors.
Our
found
230
(31.94%)
participants
97
(13.47%)
sarcopenia.
mean
score
35.10
±
7.54.
Besides,
results
showed
associated
(OR:1.650,
95%
CI:
1.048,
2.596,
P=0.030)
after
Older
adults
high
level
lowest
risk
(OR:
0.297,
0.115,
0.680,
P=0.021)
0.113,
0.031,
0.407,
P=0.001),
respectively.
analysis
revealed
negatively
impairment.
These
findings
provide
strong
health
promotion
effect
networks
adults,
implications
healthcare
policy
makers.
Frontiers in Cardiovascular Medicine,
Год журнала:
2022,
Номер
9
Опубликована: Дек. 20, 2022
Although
the
impact
of
physical
frailty
on
prognosis
and
effect
cardiac
rehabilitation
in
HF
patients
has
been
well
established,
data
for
prognostic
social
(SF)
are
limited.
In
addition,
relative
importance
each
SF
domain
clinical
outcomes
remains
unclear.
We
aimed
to
get
a
new
insight
into
associations
with
elderly
hospitalized
patients.A
single-center,
retrospective
cohort
study
was
conducted
using
from
310
in-hospital
aged
≥
65
years
(mean
age
78
±
8
years;
49%
women).
Makizako's
five
questions,
self-reported
questionnaire,
were
used
define
SF.
The
primary
outcome
composite
events
defined
by
all-cause
death
cardiovascular
events.Of
patients,
188
(61%)
had
Seventy-five
(24%)
during
mean
follow-up
period
1.93
0.91
years.
Kaplan-Meier
curves
showed
that
significantly
higher
event
rate
than
without
multivariate
Cox
regression
analyses,
independently
associated
after
adjusting
markers
[adjusted
hazard
ratio
(HR),
2.01;
95%
confidence
interval
(CI),
1.07-3.78;
p
=
0.04].
Of
5
questions
defining
SF,
an
answer
yes
question
about
not
feeling
helpful
toward
friends
or
family,
which
indicates
loss
perceived
role,
independent
predictor
(adjusted
HR,
2.28;
CI,
1.36-3.82;
<
0.01).
Inclusion
role
baseline
model
improved
both
continuous
net
reclassification
improvement
(0.562;
0.298-0.827;
0.01)
integrated
discrimination
(0.031;
0.006-0.056;
0.02).Loss
is
increased
adverse
risk
provides
additive
information
patients.
Frontiers in Aging Neuroscience,
Год журнала:
2023,
Номер
15
Опубликована: Апрель 17, 2023
Background
In
light
of
the
potentially
detrimental
effects
central
fat
and
decreased
muscle
mass
on
cognitive
function,
it
would
be
beneficial
to
learn
more
about
mediating
mechanisms
underpinning
association
between
two.
The
purpose
this
study
is
determine
waist-to-calf
circumstance
ratio
(WCR)
as
well
investigate
whether
physical
performance
social
activity
mediate
relationship
WCR
function
among
older
Chinese
adults.
Methods
An
analysis
9,652
adults
was
conducted
during
2018
wave
Longitudinal
Health
Longevity
Survey
(CLHLS).
Mini-Mental
State
Examination
(MMSE)
a
self-reported
scale
were
used
measure
performance,
activity,
respectively.
Multiple
linear
regression
mediation
analyses
conducted.
Results
findings
suggest
that
high
had
significant
negative
with
(
B
=
−0.535,
95%
CI:
−0.754,
−0.317).
Mediation
revealed
influenced
old
adults'
in
three
ways:
first,
through
partial
effect
−0.270;
−0.340,
−0.203);
second,
−0.035;
−0.055,
−0.017);
third,
serial
−0.021,
−0.029,
−0.015).
Conclusion
results
adverse
impact
possible
by
which
takes
place.
Multidimensional
health
interventions
aimed
at
improving
physical,
social,
functioning
sarcopenic
obesity
are
recommended.