Polypharmacy and sarcopenia in hospitalized older patients: results of the GLISTEN study.


Journal

Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 06 07 2018
accepted: 18 01 2019
pubmed: 20 2 2019
medline: 9 5 2019
entrez: 20 2 2019
Statut: ppublish

Résumé

Recently the Berlin Aging Study II (BASE-II) showed that polypharmacy is associated with clinically relevant sarcopenia among community-dwelling older persons. Here we report findings from the GLISTEN study about the association of polypharmacy with sarcopenia among older medical in-patients. The GLISTEN study investigated prevalence and clinical correlates of sarcopenia in older patients admitted to geriatric and internal medicine acute care wards of 12 Italian hospitals. In this sample of older medical in-patients with high prevalence of sarcopenia (34.7%) and polypharmacy (70.2%) we did not observe a significant association of polypharmacy with sarcopenia. Present findings demonstrate that the association of polypharmacy with sarcopenia, observed in the BASE-II study, is not evident in the GLISTEN sample, being our patients significantly older, more multi-morbid, with high prevalence of sarcopenia and polypharmacy, suggesting that this association might vary according to the heterogeneous health, functional, and nutritional characteristics of older people.

Sections du résumé

BACKGROUND BACKGROUND
Recently the Berlin Aging Study II (BASE-II) showed that polypharmacy is associated with clinically relevant sarcopenia among community-dwelling older persons. Here we report findings from the GLISTEN study about the association of polypharmacy with sarcopenia among older medical in-patients.
METHODS METHODS
The GLISTEN study investigated prevalence and clinical correlates of sarcopenia in older patients admitted to geriatric and internal medicine acute care wards of 12 Italian hospitals.
RESULTS RESULTS
In this sample of older medical in-patients with high prevalence of sarcopenia (34.7%) and polypharmacy (70.2%) we did not observe a significant association of polypharmacy with sarcopenia.
CONCLUSIONS CONCLUSIONS
Present findings demonstrate that the association of polypharmacy with sarcopenia, observed in the BASE-II study, is not evident in the GLISTEN sample, being our patients significantly older, more multi-morbid, with high prevalence of sarcopenia and polypharmacy, suggesting that this association might vary according to the heterogeneous health, functional, and nutritional characteristics of older people.

Identifiants

pubmed: 30778874
doi: 10.1007/s40520-019-01136-3
pii: 10.1007/s40520-019-01136-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

557-559

Investigateurs

Gloria Brombo (G)
Beatrice Ortolani (B)
Elisabetta Savino (E)
Elisa Maietti (E)
Alberto Fisichella (A)
Valeria Buttò (V)
Mauro Zamboni (M)
Cesare Caliari (C)
Elena Ferrari (E)
Francesco Orso (F)
Flavia Sacco (F)
Laura Di Meo (L)
Anna Paola Cerri (AP)
Marco Motta (M)
Francesca Pittella (F)
Alessandra Bonfanti (A)
Sergio Fusco (S)
Valeria Prestipino Giarritta (V)
Luca Soraci (L)
Fausto Giordano Pili (FG)
Claudia Basile (C)
Carla Coppola (C)
Anna Maria Dalise (AM)
Ilaria Fava (I)
Olga Catte (O)
Maura Orrù (M)
Paolo Salaris (P)
Anna Maria Martone (AM)
Elena Ortolani (E)
Sara Salini (S)
Giuseppina dell'Aquila (G)
Barbara Carrier (B)

Auteurs

Luca Agosta (L)

Geriatria e Malattie Metaboliche dell'Osso, Dipartimento di Scienze Mediche, University of Torino, Turin, Italy. lucagosta@yahoo.it.

Mario Bo (M)

Geriatria e Malattie Metaboliche dell'Osso, Dipartimento di Scienze Mediche, University of Torino, Turin, Italy.

Lara Bianchi (L)

Department of Medical Science, University of Ferrara, Ferrara, Italy.

Pasquale Abete (P)

Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.

Giuseppe Belelli (G)

Geriatric Unit, S. Gerardo Hospital, Monza, Italy.

Antonio Cherubini (A)

Geriatrics and Geriatrics Emergency Care, Italian National Research Center on Aging (IRCCS-INRCA), Ancona, Italy.

Francesco Corica (F)

Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

Mauro Di Bari (M)

Geriatric Intensive Care Unit, Department of Geriatrics and Medicine, Azienda Ospedaliero- Univesitaria Careggi, Florence, Italy.

Marcello Maggio (M)

Department of Clinical and Experimental Medicine, Geriatric Rehabilitation Department, University of Parma, Parma, Italy.

Giovanna Maria Manca (GM)

UOC di Geriatria, Ospedale SS.Trinità, ASL 8, Cagliari, Italy.

Maria Rosaria Rizzo (MR)

Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Naples, Italy.

Andrea Rossi (A)

Department of Medicine, Geriatrics Division, University of Verona, Verona, Italy.

Francesco Landi (F)

Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of the Sacred Heart, Rome, Italy.

Stefano Volpato (S)

Department of Medical Science, University of Ferrara, Ferrara, Italy.

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