SARCOPENIA IN OLDER PATIENTS WITH PRIMARY KNEE OSTEOARTHRITIS

Thị Huyền Vũ 1,, Viết Lực Trần 1,2, Ngọc Tâm Nguyễn1,2, Trung Anh Nguyễn1,2
1 Hanoi medical university
2 National Geriatric Hospital

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Abstract

Sarcopenia and knee osteoarthritis are two common diseases related to the aging process, causing decline in function and independence in the elderly. Objectives: To determine the prevalence of sarcopenia and related factors in older patients with primary knee osteoarthritis (OA). Methods: A cross-sectional descriptive study was performed on 112 primary knee OA patients aged 60 years or older, who were treated at the National Geriatric Hospital from January to September 2022. Stage of  knee osteoarthritis was evaluated by using knee X-ray (classified according to Kellgren/Lawrence grade) and the diagnosis of primary knee OA was established in accordance with the American College of Rheumatology Clinical Classification Criteria for OA of the knee in 1987 (ACR 1987). Appendicular skeletal muscle was assessed by Bioelectrical impedance analysis (BIA, Inbody 770) and sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia Criteria. Results:The ratio of male/female was 1/4; the mean age of subjects was 74,71 ± 9,48 (years); the prevalence of sarcopenia was 51,79% (with the prevalance of severe sarcopenia of 35,71%). Sarcopenia was associated with body mass index (BMI) lower than 18,50 kg/m2 with p <0,01. Conclusions: More than half of the older patients with primary knee osteoarthritis had sarcopenia. Early detection of sarcopenia should be a priority in the older patients with primary knee osteoarthritis with BMI < 18,50 kg/m2.

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References

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