MULTI-DIMENSIONAL EVALUATION OF THE PRESENCE OF SARCOPENIA IN PATIENTS
WITH KNEE OSTEOARTHRITIS
Abstract
Aim: In this study, we evaluated the presence of sarcopenia
multidimensionally in patients with knee osteoarthritis (OA) using
clinical, ultrasonographic and biochemical parameters, and in this
respect, it was aimed to investigate the relation between OA and
sarcopenia and to identify the most practical, easily accessible and
inexpensive method for investigating sarcopenia.Materials and methods:
102 patients with clinical and radiological diagnosis of knee
osteoarthritis and 33 healthy control subjects were included in the
study. The detailed musculoskeletal system examination of the patients
included in the study was carried out by a single physician, and blood
sample tests were recorded .Dual-X-ray absorptiometry (DEXA) is used to
measure Body composition parameters and muscle mass measurements,
isometric muscle strength evaluations, handgrip strength and gait speeds
for diagnosis of sarcopenia. Short-form -36 (SF-36) The Nutritional
Assessment-short form (MNA), the Western Ontario and McMaster
Universities Osteoarthritis Index (WOMAC), the International Physical
Assessment Questionnaire Short Form (IPAQ-SF) and the Center for
Epidemiologic Studies Depression Scale (CES-D scale) were administered
to every patient as outcome measures.Results: Body composition parameter
results showed that sarcopenic patients had statistically lower values
as fat mass, lean body mass and skeletal muscle index (p
<0.001, p= 0.001, p <0.001, respectively) than those
of non-sarcopenic and control group. It was determined that body
composition values measured with DEXA, ultrasonographic measures,
isokinetic muscle strength assessment, handgrip strength and gait speed
had predictive values for sarcopenia. Conclusion: We found that patients
with sarcopenic OA were older, weaker, undernourished, and restricted in
their level of physical activity in the study in which we identified
sarcopenia as approximately 12% in patients with osteoarthritis. Among
the methods of determining sarcopenia, ultrasound becomes prominent with
its practical, cheap and easily accessible features. We think that our
results will increase the awareness of the presence of sarcopenia in OA
patients.