Mild hyponatremia is associated with low skeletal muscle mass, physical function impairment, and depressive mood in the elderly.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
06 01 2021
Historique:
received: 01 08 2020
accepted: 10 12 2020
entrez: 7 1 2021
pubmed: 8 1 2021
medline: 24 4 2021
Statut: epublish

Résumé

Mild hyponatremia (serum sodium 130-135 mEq/L) is a common electrolyte disorder in the elderly. However, its association with both sarcopenia and cognitive function remains to be clarified. Therefore, here we investigated the association of mild hyponatremia with skeletal muscle mass, physical function, and cognitive function in the elderly. We enrolled 75 participants with mild hyponatremia and 2907 with normonatremia (serum sodium, 136-145 mEq/L) aged ≥70 years who visited the Memory Disorder Outpatient Center of Japan's National Center for Geriatrics and Gerontology. Skeletal muscle mass index (SMI), grip strength (GS), walking speed (WS), one-leg standing (OLS) test times, and neuropsychological test scores were determined. One-way analysis of covariance showed that elderly participants with mild hyponatremia had lower SMI (7.1 ± 0.2, 7.2 ± 0.2 kg/m Our results suggest that elderly people with even mild hyponatremia had physical function impairment and depressive mood.

Sections du résumé

BACKGROUND
Mild hyponatremia (serum sodium 130-135 mEq/L) is a common electrolyte disorder in the elderly. However, its association with both sarcopenia and cognitive function remains to be clarified. Therefore, here we investigated the association of mild hyponatremia with skeletal muscle mass, physical function, and cognitive function in the elderly.
METHODS
We enrolled 75 participants with mild hyponatremia and 2907 with normonatremia (serum sodium, 136-145 mEq/L) aged ≥70 years who visited the Memory Disorder Outpatient Center of Japan's National Center for Geriatrics and Gerontology. Skeletal muscle mass index (SMI), grip strength (GS), walking speed (WS), one-leg standing (OLS) test times, and neuropsychological test scores were determined.
RESULTS
One-way analysis of covariance showed that elderly participants with mild hyponatremia had lower SMI (7.1 ± 0.2, 7.2 ± 0.2 kg/m
CONCLUSIONS
Our results suggest that elderly people with even mild hyponatremia had physical function impairment and depressive mood.

Identifiants

pubmed: 33407209
doi: 10.1186/s12877-020-01955-4
pii: 10.1186/s12877-020-01955-4
pmc: PMC7788730
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

15

Subventions

Organisme : National Center for Geriatrics and Gerontology
ID : 30-1

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Auteurs

Chisato Fujisawa (C)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan. peachisato@med.nagoya-u.ac.jp.
Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan. peachisato@med.nagoya-u.ac.jp.
Department of Palliative Medicine, Seirei Hospital, Nagoya, Japan. peachisato@med.nagoya-u.ac.jp.

Hiroyuki Umegaki (H)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan.

Taiki Sugimoto (T)

Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.

Satoshi Samizo (S)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan.

Chi Hsien Huang (CH)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan.

Haruki Fujisawa (H)

Department of Endocrinology and Metabolism, Fujita Health University, Toyoake, Japan.

Yoshihisa Sugimura (Y)

Department of Endocrinology and Metabolism, Fujita Health University, Toyoake, Japan.

Masafumi Kuzuya (M)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan.

Kenji Toba (K)

Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.

Takashi Sakurai (T)

Departments of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya City, Aichi, 466-8550, Japan.
Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Japan.

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