Your browser doesn't support javascript.
loading
Association between sarcopenia and urinary dysfunction in patients with dysphagia.
Kakehi, Shingo; Wakabayashi, Hidetaka; Isono, Eri; Takemura, Ryohei; Sato, Yuka; Otsuka, Yukiko; Nagai, Takako; Nishioka, Shinta; Momosaki, Ryo.
Afiliación
  • Kakehi S; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Wakabayashi H; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan. Electronic address: noventurenoglory@gmail.com.
  • Isono E; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Takemura R; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Sato Y; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Otsuka Y; Department of Nursing, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Nagai T; Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
  • Nishioka S; Department of Clinical Nutrition and Food Services, Nagasaki Rehabilitation Hospital, Nagasaki, Japan.
  • Momosaki R; Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Arch Gerontol Geriatr ; 127: 105577, 2024 Dec.
Article en En | MEDLINE | ID: mdl-39032316
ABSTRACT

INTRODUCTION:

The objective was to determine the relationship between sarcopenia and urinary dysfunction in patients with dysphagia. MATERIAL AND

METHODS:

A cross-sectional study was conducted on 460 Japanese Sarcopenic Dysphagia Database participants. Urinary dysfunction was defined as either urinary incontinence or urethral catheter use. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019 criteria. Univariate and multivariate analyses assessed the association between urinary dysfunction and sarcopenia, calf circumference (CC), handgrip strength (HGS), and Barthel Index (BI). Logistic regression analysis was performed for urinary dysfunction adjusted for age, sex, setting, and CCI in addition to BI and HGS or CC or sarcopenia (model 1) or FILS and BI (model 2).

RESULTS:

The mean age was 80.8 ± 10.5 years and urinary dysfunction in 137 participants. Urinary dysfunction was not associated with sarcopenia (123 versus 281, p = 0.440) but was associated with CC (27.4 ± 4.2 versus 28.5 ± 3.9, p = 0.009), HGS (9.7 ± 7.9 versus 14.4 ± 9.3, p < 0.001), and BI (19.9 ± 0.3 versus 20.3 ± 0.2, p < 0.001). Logistic regression analysis showed urinary dysfunction was associated with HGS (OR 0.968, CI 0.938, 0.998) and BI (OR 0.955, CI 0.943, 0.966). The cutoff was 19 kg for men (sensitivity 0.786, specificity 0.56, Area Under Curve (AUC) 0.689) and 6.1 kg for women (sensitivity 0.493, specificity 0.774, AUC 0.639) in HGS and 27.5 points in BI (sensitivity 0.781, specificity 0.604, AUC 0.740).

CONCLUSION:

Sarcopenia was not associated with urinary dysfunction. However, HGS and BI were related to urinary dysfunction.
Asunto(s)
Palabras clave
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: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
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: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos