The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis

Aim. To determine the frequency of sarcopenia (SP) and to identify factors associated with the muscle mass in women with systemic sclerosis (SSc).Materials and methods. The study included 64 women with SSc aged 40–70 years. Questionnaires, clinical, instrumental, laboratory examinations and absorpti...

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Main Authors: A.  O. Sorokina, N. V. Demin, O. V. Dobrovolskaya, N. V. Toroptsova
Format: Article
Language:Russian
Published: ABV-press 2022-07-01
Series:Klinicist
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Online Access:https://klinitsist.abvpress.ru/Klin/article/view/482
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author A.  O. Sorokina
N. V. Demin
O. V. Dobrovolskaya
N. V. Toroptsova
author_facet A.  O. Sorokina
N. V. Demin
O. V. Dobrovolskaya
N. V. Toroptsova
author_sort A.  O. Sorokina
collection DOAJ
description Aim. To determine the frequency of sarcopenia (SP) and to identify factors associated with the muscle mass in women with systemic sclerosis (SSc).Materials and methods. The study included 64 women with SSc aged 40–70 years. Questionnaires, clinical, instrumental, laboratory examinations and absorptiometry. Linear regression analysis was performed to identify factors associat ed with appendicular muscle mass (AMM).Results. Probable SP was detected in 35 (54.7 %), and confirmed SP – 17 (26.5 %) women with SSc. The frequency of SP did not differ depending on the form of the disease. Univariate linear analysis revealed the relationship between the AMM and BMI, nutritional status; mid-upper arm, waist, hip and calf circumferences, skin Rodnan score, cumulative dose of glucocorticoids (GC) and BMD of the proximal hip. Multivariate linear analysis confirmed the presence of associations between the AMM index and BMI (b = 0.65; p <0.001), the Rodnan skin score (b = –0.19; p = 0.047), the cumulative dose of GC (b = –0.22; p = 0.021).Conclusion. The study demonstrated that more than a quarter of patients with SSc had a confirmed SP. Although age is the main risk factor for SP in the general population, in our study it did not differ between patients with low and normal AMM. The cumulative dose of GC and the Rodnan skin score were negatively, and BMI was positively associated with the value of AMМ.
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spelling doaj-art-685395efb93b4f16a89669c424cc25232025-08-20T03:02:18ZrusABV-pressKlinicist1818-83382022-07-01161212810.17650/1818-8338-2022-16-1-K660369The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosisA.  O. Sorokina0N. V. Demin1O. V. Dobrovolskaya2N. V. Toroptsova3V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyAim. To determine the frequency of sarcopenia (SP) and to identify factors associated with the muscle mass in women with systemic sclerosis (SSc).Materials and methods. The study included 64 women with SSc aged 40–70 years. Questionnaires, clinical, instrumental, laboratory examinations and absorptiometry. Linear regression analysis was performed to identify factors associat ed with appendicular muscle mass (AMM).Results. Probable SP was detected in 35 (54.7 %), and confirmed SP – 17 (26.5 %) women with SSc. The frequency of SP did not differ depending on the form of the disease. Univariate linear analysis revealed the relationship between the AMM and BMI, nutritional status; mid-upper arm, waist, hip and calf circumferences, skin Rodnan score, cumulative dose of glucocorticoids (GC) and BMD of the proximal hip. Multivariate linear analysis confirmed the presence of associations between the AMM index and BMI (b = 0.65; p <0.001), the Rodnan skin score (b = –0.19; p = 0.047), the cumulative dose of GC (b = –0.22; p = 0.021).Conclusion. The study demonstrated that more than a quarter of patients with SSc had a confirmed SP. Although age is the main risk factor for SP in the general population, in our study it did not differ between patients with low and normal AMM. The cumulative dose of GC and the Rodnan skin score were negatively, and BMI was positively associated with the value of AMМ.https://klinitsist.abvpress.ru/Klin/article/view/482sarcopeniasystemic sclerosisbody compositionmuscle massrisk factors
spellingShingle A.  O. Sorokina
N. V. Demin
O. V. Dobrovolskaya
N. V. Toroptsova
The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
Klinicist
sarcopenia
systemic sclerosis
body composition
muscle mass
risk factors
title The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
title_full The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
title_fullStr The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
title_full_unstemmed The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
title_short The frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
title_sort frequency of sarcopenia and factors affecting appendicular muscle mass in patients with systemic sclerosis
topic sarcopenia
systemic sclerosis
body composition
muscle mass
risk factors
url https://klinitsist.abvpress.ru/Klin/article/view/482
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