TÌNH TRẠNG SARCOPENIA VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH ĐIỀU TRỊ NỘI KHOA TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI NĂM 2025

Abstract

A cross-sectional study was conducted on 210 patients receiving internal medicine treatment at Hanoi Medical University Hospital in 2025 to determine the prevalence of sarcopenia and analyze associated factors. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia (AWGS) 2019 criteria, which include assessments of muscle strength, muscle mass, and physical performance. Investigated factors comprised age, sex, number of comorbidities, and nutritional status, evaluated using the GLIM, MNA, and SGA tools. The findings revealed that 22.4% of patients were at risk of sarcopenia according to the SARC-Cal screening tool. The prevalence of sarcopenia diagnosed by AWGS 2019 criteria was 54.8%. Age ≥60 years was identified as an independent risk factor (OR = 4.0; p < 0.001). Malnutrition, as assessed by GLIM and SGA, was strongly associated with sarcopenia, with odds ratios of 6.0 and 4.4, respectively. Diagnostic components such as handgrip strength, appendicular skeletal muscle mass index (ASMI), and physical performance were significantly impaired. These results indicate that sarcopenia is prevalent among internal medicine patients and is associated with multiple factors, particularly advanced age and malnutrition. Early screening and intervention are essential to improve functional outcomes and quality of life in affected individuals