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Prevalence and prognosis of cachexia according to the Asian Working Group for Cachexia criteria in sarcopenic dysphagia: A retrospective cohort study.
Wakabayashi, Hidetaka; Kakehi, Shingo; Mizuno, Satoko; Kinoshita, Tomoko; Toga, Sayaka; Ohtsu, Masahiro; Nishioka, Shinta; Momosaki, Ryo.
Afiliación
  • Wakabayashi H; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan. Electronic address: noventurenoglory@gmail.com.
  • Kakehi S; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Mizuno S; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Kinoshita T; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Toga S; Department of Rehabilitation Medicine, Makita Rehabilitation Hospital, Tokyo, Japan.
  • Ohtsu M; Department of Orthopedic Surgery, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Nishioka S; Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan.
  • Momosaki R; Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Nutrition ; 122: 112385, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38428221
ABSTRACT

OBJECTIVE:

The aim to examine the prevalence and prognosis of cachexia according to the Asian Working Group for Cachexia (AWGC) criteria in patients with sarcopenic dysphagia.

METHODS:

A retrospective cohort study was conducted with 271 patients diagnosed with sarcopenic dysphagia out of 467 patients enrolled in the Japanese sarcopenic dysphagia database. Cachexia was diagnosed by the AWGC criteria. The AWGC criteria includes chronic diseases, either or both weight loss (2% or more over 3-6 mo) or low BMI (<21 kg/m2), and at least one of the following anorexia, decreased grip strength (<28 kg in men and <18 kg in women), or elevated C-reactive protein levels (>0.5 mg/dL). Outcomes were death, swallowing function as assessed by the Food Intake LEVEL Scale (FILS), and activities of daily living as assessed by the Barthel Index (BI) at follow-up.

RESULTS:

The mean age was 84 (±8) y; 152 (56%) were female, and 97 (36%) had cachexia. In univariate analysis, death was significantly more common in the cachexia group (15% versus 2%, P ≤ 0.001). Logistic regression analysis showed that cachexia was independently associated with death (odds ratio 3.557, 95% confidence interval 1.010, 12.529). No significant differences were found in the presence or absence of cachexia in the FILS (7 versus 8, P = 0.849) and BI (55 versus 52.5, P = 0.892).

CONCLUSIONS:

Cachexia was found in 36% of patients with sarcopenic dysphagia, and death was significantly higher in cachexia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Sarcopenia Límite: Aged80 / Female / Humans / Male Idioma: En Revista: Nutrition Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Sarcopenia Límite: Aged80 / Female / Humans / Male Idioma: En Revista: Nutrition Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos