2024-03-28T08:21:14Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:02003934
2023-07-07T00:25:17Z
499:500:501
Muscle Evaluation and Hospital-Associated Disability in Acute Hospitalized Older Adults
Nagae, M.
Umegaki, Hiroyuki
Yoshiko, A.
Fujita, K.
Komiya, H.
Watanabe, K.
Yamada, Y.
Sakai, T.
open access
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s12603-022-1814-8
Hospital-associated disability
mobility
self-care
muscle thickness
sarcopenia
Objectives: We aimed to examine the association of muscle evaluation, including muscle ultrasound, with hospital-associated disability (HAD), focusing on ADL categories. Design: A prospective observational cohort study. Setting and Participants: We recruited patients aged 65 years or older who were admitted to the geriatric ward of an acute hospital between October 2019 and September 2021. Measurements: Handgrip strength, bioimpedance analyzer-determined skeletal muscle mass, bilateral thigh muscle thickness (BATT), and the echo intensity of the rectus femoris on muscle ultrasound were performed as muscle assessments. HAD was evaluated separately for mobility impairments and self-care impairments. Results: In total, 256 individuals (mean age, 85.2 years; male sex, 41.8%) were analyzed. HAD in mobility was more common than HAD in self-care (37.5% vs. 30.0%). Only BATT was independently associated with HAD in mobility in multiple logistic regression analysis. There was no significant association between muscle indicators and HAD in self-care. Conclusion: A lower BATT was associated with a higher prevalence of HAD in mobility, suggesting the need to reconsider muscle assessment methods in hospitalized older adults. In addition, approaches other than physical may be required, such as psychosocial and environmental interventions to improve HAD in self-care.
Springer
2023-07-01
2022-07
eng
journal article
AM
http://hdl.handle.net/2237/0002003934
https://nagoya.repo.nii.ac.jp/records/2003934
https://doi.org/10.1007/s12603-022-1814-8
1760-4788
The journal of nutrition, health & aging
26
7
681
687
https://nagoya.repo.nii.ac.jp/record/2003934/files/Muscle_and_HAD_Revise1_JNHA.pdf
application/pdf
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2023-07-01