Clinical Definitions of Sarcopenia and Risk of Hospitalization in Community-Dwelling Older Men: The Osteoporotic Fractures in Men Study

Peggy M. Cawthon, Li Yung Lui, Brent C. Taylor, Charles E. McCulloch, Jane A. Cauley, Jodi Lapidus, Eric Orwoll, Kristine E. Ensrud

Research output: Research - peer-reviewArticle

Abstract

Background The association between various definitions of sarcopenia and hospitalization has not been evaluated in community-dwelling older men. Methods We used data from 1,516 participants at Visit 3 of the Osteoporotic Fractures in Men (MrOS) study who also had linked Medicare Fee-For-Service Claims data available. We examined the association between several sarcopenia definitions (International Working Group, European Working Group for Sarcopenia in Older Persons, Foundation for the NIH Sarcopenia Project, Baumgartner, and Newman) and hospitalization, using two-part ("hurdle") models, adjusted for age, clinical center, functional limitations, self-reported health, comorbidity, and cognitive function. Predictors included sarcopenia status (the summary definitions and the components of slowness, weakness, and/or lean mass); outcomes included hospitalization and cumulative inpatient days/year in the 3 years following the Visit 3 exam. Results After accounting for confounding factors, none of the summary definitions or the definition components (slowness, weakness, or low lean mass) were associated with likelihood of hospitalization, the rate ratio of inpatient days among those hospitalized, or the mean rate of inpatient days amongst all participants. Conclusions Sarcopenia was not associated hospitalization in community-dwelling older men. These results provide further evidence that current sarcopenia definitions are unlikely to identify those who are most likely to have greater hospitalization.

LanguageEnglish (US)
Pages1383-1389
Number of pages7
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume72
Issue number10
DOIs
StatePublished - Oct 1 2017

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Sarcopenia
Independent Living
Osteoporotic Fractures
Hospitalization
Inpatients
Fee-for-Service Plans
Medicare
Cognition
Comorbidity
Health

Keywords

  • Epidemiology
  • Gait
  • Hospital related
  • Sarcopenia

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Clinical Definitions of Sarcopenia and Risk of Hospitalization in Community-Dwelling Older Men : The Osteoporotic Fractures in Men Study. / Cawthon, Peggy M.; Lui, Li Yung; Taylor, Brent C.; McCulloch, Charles E.; Cauley, Jane A.; Lapidus, Jodi; Orwoll, Eric; Ensrud, Kristine E.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 72, No. 10, 01.10.2017, p. 1383-1389.

Research output: Research - peer-reviewArticle

Cawthon, Peggy M. ; Lui, Li Yung ; Taylor, Brent C. ; McCulloch, Charles E. ; Cauley, Jane A. ; Lapidus, Jodi ; Orwoll, Eric ; Ensrud, Kristine E./ Clinical Definitions of Sarcopenia and Risk of Hospitalization in Community-Dwelling Older Men : The Osteoporotic Fractures in Men Study. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2017 ; Vol. 72, No. 10. pp. 1383-1389
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