Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation

Background The effect of sarcopenia on depressive mood during geriatric rehabilitation remains unclear. This study investigated the potential influence of sarcopenia on depressive mood among geriatric patients in a rehabilitation setting. Methods This observational cohort study enrolled 204 patients...

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Main Authors: Akio Shimizu, Keisuke Maeda, Junko Ueshima, Yuria Ishida, Tatsuro Inoue, Kenta Murotani, Ayano Nagano, Naoharu Mori, Tomohisa Ohno, Ichiro Fujisima
Format: Article
Language:English
Published: Korea Geriatrics Society 2024-12-01
Series:Annals of Geriatric Medicine and Research
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Online Access:http://www.e-agmr.org/upload/pdf/agmr-24-0088.pdf
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author Akio Shimizu
Keisuke Maeda
Junko Ueshima
Yuria Ishida
Tatsuro Inoue
Kenta Murotani
Ayano Nagano
Naoharu Mori
Tomohisa Ohno
Ichiro Fujisima
author_facet Akio Shimizu
Keisuke Maeda
Junko Ueshima
Yuria Ishida
Tatsuro Inoue
Kenta Murotani
Ayano Nagano
Naoharu Mori
Tomohisa Ohno
Ichiro Fujisima
author_sort Akio Shimizu
collection DOAJ
description Background The effect of sarcopenia on depressive mood during geriatric rehabilitation remains unclear. This study investigated the potential influence of sarcopenia on depressive mood among geriatric patients in a rehabilitation setting. Methods This observational cohort study enrolled 204 patients aged ≥65 years (mean age, 78.8±7.6 years; women, 45.1%) admitted to a rehabilitation unit between April 2020 and July 2021. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment criteria, which include low handgrip strength and muscle mass. Depressive mood was defined as a 15-item Geriatric Depression Scale score of ≥6 points. We applied logistic regression models to examine the influence of sarcopenia on depressive mood at discharge. Results We observed sarcopenia in 58.3% of patients. The logistic regression model showed that sarcopenia negatively influenced depressive mood at discharge (odds ratio=5.460; 95% confidence interval, 2.344–13.415). Of the 68 patients without depressive mood at admission, those with sarcopenia (n=31) had a significantly higher incidence of depressive mood at discharge compared with patients without sarcopenia (n=37) (41.9% vs. 16.2%, p=0.037). Conclusion Sarcopenia at admission negatively affected depressive mood at discharge from geriatric rehabilitation. Thus, early and routine assessment of sarcopenia is vital for patients undergoing geriatric rehabilitation.
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spelling doaj-art-ce27bf4d3e1342499c71f1c5f507611c2025-01-06T08:12:12ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092024-12-0128446947510.4235/agmr.24.00881156Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric RehabilitationAkio Shimizu0Keisuke Maeda1Junko Ueshima2Yuria Ishida3Tatsuro Inoue4Kenta Murotani5Ayano Nagano6Naoharu Mori7Tomohisa Ohno8Ichiro Fujisima9 Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Mie, Japan Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan School of Medical Technology, Kurume University, Kurume, Fukuoka, Japan Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan Department of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Shizuoka, Japan Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Shizuoka, JapanBackground The effect of sarcopenia on depressive mood during geriatric rehabilitation remains unclear. This study investigated the potential influence of sarcopenia on depressive mood among geriatric patients in a rehabilitation setting. Methods This observational cohort study enrolled 204 patients aged ≥65 years (mean age, 78.8±7.6 years; women, 45.1%) admitted to a rehabilitation unit between April 2020 and July 2021. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment criteria, which include low handgrip strength and muscle mass. Depressive mood was defined as a 15-item Geriatric Depression Scale score of ≥6 points. We applied logistic regression models to examine the influence of sarcopenia on depressive mood at discharge. Results We observed sarcopenia in 58.3% of patients. The logistic regression model showed that sarcopenia negatively influenced depressive mood at discharge (odds ratio=5.460; 95% confidence interval, 2.344–13.415). Of the 68 patients without depressive mood at admission, those with sarcopenia (n=31) had a significantly higher incidence of depressive mood at discharge compared with patients without sarcopenia (n=37) (41.9% vs. 16.2%, p=0.037). Conclusion Sarcopenia at admission negatively affected depressive mood at discharge from geriatric rehabilitation. Thus, early and routine assessment of sarcopenia is vital for patients undergoing geriatric rehabilitation.http://www.e-agmr.org/upload/pdf/agmr-24-0088.pdfsarcopeniafunctional statusagingrehabilitationfrail elderly
spellingShingle Akio Shimizu
Keisuke Maeda
Junko Ueshima
Yuria Ishida
Tatsuro Inoue
Kenta Murotani
Ayano Nagano
Naoharu Mori
Tomohisa Ohno
Ichiro Fujisima
Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
Annals of Geriatric Medicine and Research
sarcopenia
functional status
aging
rehabilitation
frail elderly
title Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
title_full Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
title_fullStr Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
title_full_unstemmed Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
title_short Effects of Sarcopenia on Changes in the Prevalence of Patients with Depressive Mood during Inpatient Geriatric Rehabilitation
title_sort effects of sarcopenia on changes in the prevalence of patients with depressive mood during inpatient geriatric rehabilitation
topic sarcopenia
functional status
aging
rehabilitation
frail elderly
url http://www.e-agmr.org/upload/pdf/agmr-24-0088.pdf
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