Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

Abstract A new term, malnutrition-sarcopenia syndrome (MSS), was recently coined to describe the clinical presentation of both malnutrition and sarcopenia. The aim of this study was to investigate the association between MSS and long-term mortality in older inpatients. We conducted a prospective stu...

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Autores principales:	Xiaoyi Hu, Lei Zhang, Haozhong Wang, Qiukui Hao, Birong Dong, Ming Yang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6bcddfe558e249569f17c22cf2aa3c96
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spelling	oai:doaj.org-article:6bcddfe558e249569f17c22cf2aa3c962021-12-02T15:04:52ZMalnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients10.1038/s41598-017-03388-32045-2322https://doaj.org/article/6bcddfe558e249569f17c22cf2aa3c962017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03388-3https://doaj.org/toc/2045-2322Abstract A new term, malnutrition-sarcopenia syndrome (MSS), was recently coined to describe the clinical presentation of both malnutrition and sarcopenia. The aim of this study was to investigate the association between MSS and long-term mortality in older inpatients. We conducted a prospective study in acute geriatric wards of two local hospitals in China. Muscle mass and malnutrition were estimated by anthropometric measures and the Mini Nutritional Assessment (MNA). Of the 453 participants, 14 (3.1%) had sarcopenia with normal nutrition, 139 (30.7%) had malnutrition risk without sarcopenia, 48 (10.6%) had malnutrition risk with sarcopenia, 25 (5.5%) had malnutrition without sarcopenia, and 22 (4.9%) had MSS at baseline. Compared with non-sarcopenic subjects with normal nutrition, subjects with MSS and subjects with malnutrition risk and sarcopenia were more than four times more likely to die (hazard ratio [HR], 4.78; 95% confidence interval [CI], 2.09–10.97; and HR, 4.25; 95% CI, 2.22–8.12, respectively); non-sarcopenic subjects with malnutrition risk were more than two times more likely to die (HR, 2.41; 95% CI, 1.32–4.39). In conclusion, MSS may serve as a prognostic factor in the management of hospitalized older patients.Xiaoyi HuLei ZhangHaozhong WangQiukui HaoBirong DongMing YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xiaoyi Hu Lei Zhang Haozhong Wang Qiukui Hao Birong Dong Ming Yang Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
description	Abstract A new term, malnutrition-sarcopenia syndrome (MSS), was recently coined to describe the clinical presentation of both malnutrition and sarcopenia. The aim of this study was to investigate the association between MSS and long-term mortality in older inpatients. We conducted a prospective study in acute geriatric wards of two local hospitals in China. Muscle mass and malnutrition were estimated by anthropometric measures and the Mini Nutritional Assessment (MNA). Of the 453 participants, 14 (3.1%) had sarcopenia with normal nutrition, 139 (30.7%) had malnutrition risk without sarcopenia, 48 (10.6%) had malnutrition risk with sarcopenia, 25 (5.5%) had malnutrition without sarcopenia, and 22 (4.9%) had MSS at baseline. Compared with non-sarcopenic subjects with normal nutrition, subjects with MSS and subjects with malnutrition risk and sarcopenia were more than four times more likely to die (hazard ratio [HR], 4.78; 95% confidence interval [CI], 2.09–10.97; and HR, 4.25; 95% CI, 2.22–8.12, respectively); non-sarcopenic subjects with malnutrition risk were more than two times more likely to die (HR, 2.41; 95% CI, 1.32–4.39). In conclusion, MSS may serve as a prognostic factor in the management of hospitalized older patients.
format	article
author	Xiaoyi Hu Lei Zhang Haozhong Wang Qiukui Hao Birong Dong Ming Yang
author_facet	Xiaoyi Hu Lei Zhang Haozhong Wang Qiukui Hao Birong Dong Ming Yang
author_sort	Xiaoyi Hu
title	Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
title_short	Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
title_full	Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
title_fullStr	Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
title_full_unstemmed	Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
title_sort	malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/6bcddfe558e249569f17c22cf2aa3c96
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Malnutrition-sarcopenia syndrome predicts mortality in hospitalized older patients

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