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العنوان
Sarcopenia and Risk of Falls in Community Dwelling Elderly Females/
المؤلف
Mostafa,Aya Mostafa Sayed
هيئة الاعداد
باحث / آية مصطفى سيد مصطفى
مشرف / أحمد كامل مرتجى
مشرف / وسام حلمى محمود الكوّلي
تاريخ النشر
2016.
عدد الصفحات
162.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/9/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Geriatric Medicine and Gerontology
الفهرس
Only 14 pages are availabe for public view

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from 164

Abstract

O
lder people make up a large and increasing percentage of the population. As people grow older they are increasingly at risk of sarcopenia and increase risk of falling and consequent injuries.
Sarcopenia, the age-related loss of skeletal muscle mass and function, recognized as a major clinical problem for older people. This is due to the fact that sarcopenia is both common and associated with serious health consequences in terms of frailty, disability, morbidity and mortality.
A fall may be the first indication of an undetected illness. The prevention of falls is of major importance because they cause considerable mortality, morbidity and suffering for older people and their families, and incurs social costs due to hospital and nursing home admissions.
This thesis was conducted to determine prevalence of sarcopenia and its common risk factors among elderly Egyptian males and the relation between sarcopenia and increase risk of fall in elderly.
The study enrolled 350 community dwelling elderly females recruited from attendants of outpatient clinics in Ain Shams University Hospitals.
All participants were subjected to: detailed personal history, complete physical examination, assessment of muscle mass by bio electrical impedance analysis, assessment of muscle performance by hand grip dynamometer and, weight and height were measured, BMI (kg/m2) was calculated and assessment of risk of fall by FRAT.
The current study demonstrated that the prevalence of presarcopenia in community dwelling elderly Egyptian females is 42.3%, while sarcopenia is 9.4 % and severe sarcopenia is 3.7%.
Also, (36.6%) of the precipitants had history of falls, and about (22.3%) had high risk of falls by FRAT, but (58.3%) had low risk of fall, and (19.4%) had intermediate risk of fall.
History of falls and high risk of falls were significantly more prevalent among pre -sarcopenic, sarcopenic and severe sarcopenic cases than non-sarcopenic cases.
In addition, High-fall risk cases had significantly older age, lower BMI, lower muscle mass & handgrip strength and prolonged TGUT time than low/intermediate fall risk cases.
Moreover, Thyroid diseases were significantly more prevalent among sarcopenic cases than non-sarcopenic. However, other comorbidities as DM, HTN, CVS, IHD, AF, CRF, COPD and rheumatoid are more common among sarcopenic cases, but with no statistical significance
Finally, DM and CVS diseases were significantly more prevalent among high fall risk cases than low/intermediate fall risk cases, and other comorbidities (Hypertension, ischemic heart disease, AF, heart failure, renal failure, thyroid disease, COPD and rheumatic bone disease) were more common among cases with high risk of falls but showed no statistical significance.