Osteoporosis, Sarcopenia
Conditions
Keywords
osteosarcopenia, sarcopenia, osteoporosis, geriatric medicine
Brief summary
This was a cross-sectional study. Patients who attended the osteoporosis clinic of Kowloon Hospital from June to December 2022 were recruited. Grip strength and appendicular skeletal muscle mass index were measured with a Jamar dynamometer and a bioimpedance analyser. Since most patients in our clinic are of Chinese ethnicity, the diagnostic criteria in the Consensus Update on Sarcopenia Diagnosis and Treatment by the Asian Working Group for Sarcopenia in 2019 was utilised. The diagnosis of sarcopenia was established by the presence of both low grip strength (Male: \< 28 kg, Female \< 18 kg) and low appendicular skeletal mass (Male: \< 7.0 kg/m2, Female: \< 5.7 kg/m2)
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 60 years old or above * Diagnosed with osteoporosis by: Fragility fracture or T-score ≤-2.5 SDs at any site on DXA scan and; * Able to read and write Chinese
Exclusion criteria
* Unable to maintain standing posture for bioimpedance analysis * Modified Functional Ambulation Classification (MFAC) ≤ IV * Incompetent in giving consent * Unable to follow instructions * Implanted with metal in any of four limbs * Implanted with pacemaker, implantable cardioverter defibrillator or any other types of electrical device
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Sarcopenia | June - December 2022 | The diagnosis of sarcopenia would be established by the co-existence of low grip strength and low appendicular skeletal muscle mass. |
| Grip strength | June - December 2022 | Grip strength would be measured with Jamar digital dynamometer. |
| Appendicular Skeletal Muscle Mass Index | June - December 2022 | Appendicular Skeletal Muscle Mass Index would be measured with bioimpedance analyzer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association between BMI and Sarcopenia. | June - December 2022 | BMI would be measured on clinic attendance. |
| Association between Bone Mineral Densities and Sarcopenia | June - December 2022 | Bone mineral densities of spine and neck of femur would be extracted from the report of dual-energy X-ray absorptiometry. |
| Association between Frailty and Sarcopenia. | June - December 2022 | Clinical Frailty Scale would be documented in clinical consultation. |
| Association between Charlson Comorbidities Index and Sarcopenia | June - December 2022 | Components of Charlson Comorbidities Index would be extracted from medical record. |
Countries
Hong Kong