SARCOPENIA AND SOME RELATED FACTORS IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Thị Giang Dương , Hoài Thu Phạm

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Abstract

Patients with systemic lupus erythematosus (SLE) who have Sarcopenia, a disorder which is defined by a progressive loss of muscle mass and strength, are at risk of a wide range of detrimental health issues, including a diminished ability to do daily tasks and an elevated risk of mortality. Objectives: To describe the characteristics of Sarcopenia and discuss some related factors in SLE patients at E Hospital and Hanoi Medical University Hospital. Subjects and methods: 36 SLE patients with Sarcopenia treated at E Hospital and Hanoi Medical University Hospital from January 2023 to August 2023 underwent a descriptive cross-sectional study. The Asian Working Group on Sarcopenia's 2019 criteria are used to make the diagnosis of sarcopenia. Results: Sarcopenia affected 19.44% of SLE patients, of which 5.55% had severe cases. The subgroup with high disease activity had the largest percentage of sarcopenia (42.9%) (p = 0.026). The study's findings also revealed a statistically significant association between the prevalence of sarcopenia and some variables like body mass index, nutritional status, and level of physical activity (p< 0.05). Conclusion: SLE patients at E Hospital and Hanoi Medical University Hospital had a considerable prevalence of sarcopenia, especially those with high disease activity, thin bodies, malnutrition, and inactive lifestyles. As a result, in order to achieve comprehensive therapeutic benefits, early and regular screening for sarcopenia in SLE patients is crucial.​

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References

1. Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle. 2016;7(5):512-514. doi:10.1002/jcsm.12147
2. Landi F, Liperoti R, Russo A, et al. Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr. 2012; 31(5): 652-658. doi: 10.1016/ j.clnu. 2012.02.007
3. Santos MJ, Vinagre F, Canas da Silva J, Gil V, Fonseca JE. Body composition phenotypes in systemic lupus erythematosus and rheumatoid arthritis: a comparative study of Caucasian female patients. Clin Exp Rheumatol. 2011;29(3):470-476.
4. Joseph Abiodun Balogun. Intratester reliability and validity on the Takei Kigi Kogyo Hand Grip Dynamometer. Published 1991. Accessed September 6, 2023. https://scholar.google.com/ scholar_lookup?journal=J+Phys+Ther+Sci&title=Intratester+reliability+and+validity+of+the+Takei+Kiki+Kogyo+hand+grip+dynamometer&author=J+Balogun&author=A+Onigbinde&volume=3&publication_year=1991&pages=55-60&
5. Vitale G, Cesari M, Mari D. Aging of the endocrine system and its potential impact on sarcopenia. Eur J Intern Med. 2016;35:10-15. doi:10.1016/j.ejim.2016.07.017
6. Andrews JS, Trupin L, Schmajuk G, et al. Muscle Strength Predicts Changes in Physical Function in Women with Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken). 2015;67(8):1070-1077. doi:10.1002/acr.22560
7. Shokri-Mashhadi N, Moradi S, Heidari Z, Saadat S. Association of circulating C-reactive protein and high-sensitivity C-reactive protein with components of sarcopenia: A systematic review and meta-analysis of observational studies. Exp Gerontol. 2021;150:111330. doi:10.1016/j.exger. 2021.111330
8. Isho Gorial F, Mahmood Z, Obaidi S. Body Composition in Iraqi Women With Systemic Lupus Erythematosus. Global Journal of Health Science. 2018;11:63. doi:10.5539/gjhs.v11n1p63
9. Cederholm T, Bosaeus I, Barazzoni R, et al. Diagnostic criteria for malnutrition – An ESPEN Consensus Statement. Clinical Nutrition. 2015; 34(3): 335-340. doi: 10.1016/ j.clnu.2015. 03.001
10. Nguyễn Ngọc Tâm. Nghiên cứu áp dụng một số phương pháp sàng lọc Sarcopenia ở người bệnh cao tuổi. Luận án tiến sỹ Y học. Published online 2020.