For Healthcare Providers

Sarcopenia is an independent risk factor of dysphagia in hospitalized older people

Maeda and J. Akagi

Geriatr Gerontol Int. 2016 ;16(4):515-21

The present study investigated the prevalence of dysphagia among patients with sarcopenia, and the association between the two conditions. On 224 older adults, the prevalences of sarcopenia and dysphagia were 76.8% and 30.0%, respectively and it was shown that sarcopenia is an independent risk factor for dysphagia among older individuals.

Consumption of fruit and vegetables and risk of frailty: a dose-response analysis of 3 prospective cohorts of community-dwelling older adults

E. García-Esquinas, B. Rahi, K. Peres, et al.

Am J Clin Nutr. 2016;104(1):132-42

We sought to examine the dose-response association between fruit and vegetables consumption and the risk of frailty in older adults.

Among community-dwelling older adults, fruit and vegetables consumption was associated with a lower short-term risk of frailty in a dose-response manner, and the strongest association was obtained with 3 portions of fruit/d and 2 portions of vegetables/d

Physical Frailty Assessment in Older Women: Can Simplification Be Achieved Without Loss of Syndrome Measurement Validity?

Q.L. Xue , J. Tian , L.P. Fried, et al.

Am J Epidemiol. 2016;183(11):1037-44

Different phenotypes have increasingly been used as tools for clinical characterization of frailty among older adults. Although there have been studies about the comparability and effectiveness of various simplifications and approximations of existing frailty phenotypes for risk prediction, there have been no studies in which investigators evaluated the stability of the clinical characterization achieved. Findings obtained shown that it was no merely the number of criteria used to characterize the PFPs but rather the specific criteria combinations that predicted the risk of adverse outcomes. There are clinically important contexts in which simplified PFPs cannot be used interchangeably.

Motor Performance and Physical Activity as Predictors of Prospective Falls in Community-Dwelling Older Adults by Frailty Level: Application of Wearable Technology

M.J. Mohler, C.S. Wendel , R.E. Taylor-Piliae, et al.

Gerontology. 2016;62(6):654-664

This study aimed to evaluate wearable sensor-based measures of gait, balance, and physical activity that are predictive of future falls in community-dwelling older adults. Results obtained suggests that independent predictors of falls are dependent on frailty status. Among sensor-derived parameters, balance deficit, longer typical walking episodes, and shorter typical standing episodes were the most sensitive predictors of prospective falls in the combined pre-frail and frail sample. Gait deficit was not a sensitive fall predictor in the context of frailty status.

Neuromuscular function in different stages of sarcopenia

T. Morat, K.J. Gilmore and C.L. Rice

Exp Gerontol. 2016;81:28-36

This study applied the screening tool developed by the European Working Group on Sarcopenia in Older People (EWGSOP) on seniors aged over 65years and concurrently tested various laboratory-based indices of neuromuscular function. Based on gait speed, handgrip strength and muscle mass all subjects were categorized into one of the three conceptual sarcopenia stages (pre-sarcopenia, sarcopenia, severe sarcopenia). The laboratory tests found neuromuscular differences among the 3 groups which generally supported the classification scheme and helped to illustrate some key factors that could explain differences in functional capacities.

Macronutrients Intake and Incident Frailty in Older Adults: A Prospective Cohort Study

H. Sandoval-Insausti, R.F. Pérez-Tasigchana, E. López-García, et al.

J Gerontol A Biol Sci Med Sci.2016;71(10):1329-34

This study examined the association of protein and other macronutrient intake with the risk of frailty in older adults. Authors concluded that the intake of total protein, animal protein, and MUFAs was inversely associated with incident frailty. Promoting the intake of these nutrients might reduce frailty.

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