Sarcopenia
Conditions
Brief summary
1. Assess sarcopenia prevalence in elderly diabetic patients. 2. Evaluate impact of diabetes and its medications on muscle health. 3. detect effect of sacropenia on quality of life on elderly
Interventions
Bedside muscle ultrasound to measure muscle thickness, cross-sectional area and echogenicity
Sponsors
Study design
Eligibility
Inclusion criteria
1. Inclusion criteria: The study will included all patient ,age ≥ 60 years,diagnosed with type 2 diabetes mellitus at least 5 years duraation according to ADA guideline referance(8) (diabetes can be made if a patient's A1C is 6.5% or higher, their FPG is 126 mg/dL or higher, or their 2-hour plasma glucose during an OGTT is 200 mg/dL or higher. A random plasma glucose of 200 mg/dL or higher, in conjunction with classic symptoms of hyperglycemia, also indicates diabetes) ●Able to give informed consent 2.
Exclusion criteria
* chronic renal disease * chronic liver disese * Severe cognitive impairment * Known neuromuscular diseases affecting mobility * malignancy Data of the study will collected over one year duration from 1/2026 \_1/2027
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of sarcopenia assessed by muscle ultrasound in elderly diabetic | Within 6 months from the start of recruitment. | Sarcopenia will be evaluated using muscle ultrasound to measure muscle thickness and echo intensity of the quadriceps muscle. The results will be interpreted according to EWGSOP2 diagnostic criteria, which combine muscle mass and muscle strength parameters |
| Assessment of muscle strength using handgrip dynamometry | Within 6 months | Handgrip strength will be measured using a handheld dynamometer, and the average of three attempts for the dominant hand will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life score using the SarQoL questionnaire. | Within 6 months. | Quality of life related to sarcopenia will be evaluated using the validated SarQoL questionnaire. |