Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study
Sarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as wel...
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doaj-5eabe5e3afb14efa922dd6fb4f3cdf082021-06-01T01:17:10ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-01102344234410.3390/jcm10112344Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional StudyFranca Genest0Dominik Rak1Elisa Bätz2Kerstin Ott3Lothar Seefried4Clinical Trial Unit, Orthopedic Department, University of Würzburg, Brettreichstrasse 11, 97074 Wuerzburg, GermanyClinical Trial Unit, Orthopedic Department, University of Würzburg, Brettreichstrasse 11, 97074 Wuerzburg, GermanyInstitut für Medizinmanagement und Gesundheitswissenschaften, Universität Bayreuth, 95444 Bayreuth, GermanyClinical Trial Unit, Orthopedic Department, University of Würzburg, Brettreichstrasse 11, 97074 Wuerzburg, GermanyClinical Trial Unit, Orthopedic Department, University of Würzburg, Brettreichstrasse 11, 97074 Wuerzburg, GermanySarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as well as the actual prevalence of these conditions in osteoporosis patients. We conducted a cross-sectional, single-center study in female osteoporosis patients ≥ 65 years (SaNSiBaR-study). Results of the sarcopenia (SARC-F) and malnutrition (MNA-SF) screening questionnaires were matched with a functional assessment for sarcopenia and data from patients’ medical records. Out of 107 patients included in the analysis, a risk for sarcopenia (SARC-F ≥ 4 points) and a risk for malnutrition (MNA-SF ≤ 11 points) was found in 33 (30.8%) and 38 (35.5%) patients, respectively. Diagnostic overlap with coincident indicative findings in both questionnaires was observed in 17 patients (16%). As compared to the respective not-at-risk groups, the mean short physical performance battery (SPPB) score was significantly reduced in both patients at risk for sarcopenia (7.0 vs. 10.9 points, <i>p</i> < 0.001) and patients at risk for malnutrition (8.7 vs. 10.5 points, <i>p</i> = 0.005). Still, confirmed sarcopenia according to EWGSOP2 criteria was present in only 6 (6%) of all 107 patients, with only 3 of them having an indicative SARC-F score. Bone mineral density was not significantly different in any of the at-risk groups at any site. In summary, applying SARC-F and MNA-SF in osteoporosis patients appears to be a complementary approach to identify individuals with functional deficits.https://www.mdpi.com/2077-0383/10/11/2344osteoporosismalnourishmentsarcopenianutritional statusphysical performance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Franca Genest Dominik Rak Elisa Bätz Kerstin Ott Lothar Seefried |
spellingShingle |
Franca Genest Dominik Rak Elisa Bätz Kerstin Ott Lothar Seefried Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study Journal of Clinical Medicine osteoporosis malnourishment sarcopenia nutritional status physical performance |
author_facet |
Franca Genest Dominik Rak Elisa Bätz Kerstin Ott Lothar Seefried |
author_sort |
Franca Genest |
title |
Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study |
title_short |
Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study |
title_full |
Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study |
title_fullStr |
Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study |
title_full_unstemmed |
Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study |
title_sort |
sarcopenia and malnutrition screening in female osteoporosis patients—a cross-sectional study |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-05-01 |
description |
Sarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as well as the actual prevalence of these conditions in osteoporosis patients. We conducted a cross-sectional, single-center study in female osteoporosis patients ≥ 65 years (SaNSiBaR-study). Results of the sarcopenia (SARC-F) and malnutrition (MNA-SF) screening questionnaires were matched with a functional assessment for sarcopenia and data from patients’ medical records. Out of 107 patients included in the analysis, a risk for sarcopenia (SARC-F ≥ 4 points) and a risk for malnutrition (MNA-SF ≤ 11 points) was found in 33 (30.8%) and 38 (35.5%) patients, respectively. Diagnostic overlap with coincident indicative findings in both questionnaires was observed in 17 patients (16%). As compared to the respective not-at-risk groups, the mean short physical performance battery (SPPB) score was significantly reduced in both patients at risk for sarcopenia (7.0 vs. 10.9 points, <i>p</i> < 0.001) and patients at risk for malnutrition (8.7 vs. 10.5 points, <i>p</i> = 0.005). Still, confirmed sarcopenia according to EWGSOP2 criteria was present in only 6 (6%) of all 107 patients, with only 3 of them having an indicative SARC-F score. Bone mineral density was not significantly different in any of the at-risk groups at any site. In summary, applying SARC-F and MNA-SF in osteoporosis patients appears to be a complementary approach to identify individuals with functional deficits. |
topic |
osteoporosis malnourishment sarcopenia nutritional status physical performance |
url |
https://www.mdpi.com/2077-0383/10/11/2344 |
work_keys_str_mv |
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