Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation
Objectives: The utility of the updated Asian Working Group for Sarcopenia (AWGS) criteria in diagnosing sarcopenia in older patients with heart failure (HF) remains unclear. Objective: To analyze the prevalence and prognostic impact of sarcopenia diagnosed by the updated AWGS criteria in older patie...
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Elsevier
2025-01-01
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| Series: | The Journal of Nutrition, Health and Aging |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1279770724005220 |
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| author | Satoshi Katano Kotaro Yamano Toshiyuki Yano Ryo Numazawa Ryohei Nagaoka Suguru Honma Yusuke Fujisawa Yasuhiro Miki Yuhei Takamura Hayato Kunihara Hiroya Fujisaki Hidemichi Kouzu Katsuhiko Ohori Masaki Katayose Akiyoshi Hashimoto Masato Furuhashi |
| author_facet | Satoshi Katano Kotaro Yamano Toshiyuki Yano Ryo Numazawa Ryohei Nagaoka Suguru Honma Yusuke Fujisawa Yasuhiro Miki Yuhei Takamura Hayato Kunihara Hiroya Fujisaki Hidemichi Kouzu Katsuhiko Ohori Masaki Katayose Akiyoshi Hashimoto Masato Furuhashi |
| author_sort | Satoshi Katano |
| collection | DOAJ |
| description | Objectives: The utility of the updated Asian Working Group for Sarcopenia (AWGS) criteria in diagnosing sarcopenia in older patients with heart failure (HF) remains unclear. Objective: To analyze the prevalence and prognostic impact of sarcopenia diagnosed by the updated AWGS criteria in older patients with HF. Design: Ambispective cohort study. Setting & subjects: 534 older patients with HF from a university hospital in Japan. Measurements: Sarcopenia was assessed using different versions of the AWGS criteria: AWGS 2014, AWGS 2019H (muscle mass relative to height squared), and AWGS 2019B (muscle mass relative to BMI). The primary endpoint was all-cause mortality at three years post-discharge. Results: Of 534 patients, 42%, 57%, and 44% were diagnosed with sarcopenia according to AWGS 2014, AWGS 2019H, AWGS 2019B, respectively. Among patients without AWGS 2014-defined sarcopenia, 23% were reclassified as having sarcopenia by AWGS 2019H criteria. Forty-four percent of sarcopenic patients diagnosed by AWGS 2019H were re-classified as non-sarcopenic by AWGS 2019B, with lower fat mass and poorer nutritional status. After the multivariate Cox proportional hazard analyses, an association between all-cause death and sarcopenia remained significant for AWGS 2014 (hazard ratio [HR], 1.55; 95% confidence interval [CI], 1.01–2.37) and AWGS 2019H (HR, 1.65; 95% CI, 1.05–2.59), but not for AWGS 2019B (HR, 0.99; 95% CI, 0.64–1.51). Conclusion: The updated AWGS 2019H criteria detected more sarcopenic patients with HF while maintaining favorable predictive ability. The use of BMI-adjusted muscle mass reclassified underweight and malnourished patients as non-sarcopenic, limiting its impact on the mortality prediction in older patients with HF. |
| format | Article |
| id | doaj-art-d8746efcbd7b486dace54bac57facc06 |
| institution | OA Journals |
| issn | 1760-4788 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
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| series | The Journal of Nutrition, Health and Aging |
| spelling | doaj-art-d8746efcbd7b486dace54bac57facc062025-08-20T02:20:58ZengElsevierThe Journal of Nutrition, Health and Aging1760-47882025-01-0129110043410.1016/j.jnha.2024.100434Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitationSatoshi Katano0Kotaro Yamano1Toshiyuki Yano2Ryo Numazawa3Ryohei Nagaoka4Suguru Honma5Yusuke Fujisawa6Yasuhiro Miki7Yuhei Takamura8Hayato Kunihara9Hiroya Fujisaki10Hidemichi Kouzu11Katsuhiko Ohori12Masaki Katayose13Akiyoshi Hashimoto14Masato Furuhashi15Division of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan; Second Division of Physical Therapy, Sapporo Medical University School of Health Science, Sapporo, Japan; Corresponding author at: Division of Rehabilitation, Sapporo Medical University Hospital, South-1 West-16, Chuo-ku, Sapporo 060-8543, Japan.Division of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan; Second Division of Physical Therapy, Sapporo Medical University School of Health Science, Sapporo, JapanDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo Japan; Corresponding author at: Department of Cardiovascular, Renal, and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan.Graduate School of Medicine, Sapporo Medical University, Sapporo, JapanDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan; Graduate School of Medicine, Sapporo Medical University, Sapporo, JapanGraduate School of Medicine, Sapporo Medical University, Sapporo, Japan; Department of Rehabilitation, Sapporo Cardiovascular Hospital, Sapporo, JapanSecond Division of Physical Therapy, Sapporo Medical University School of Health Science, Sapporo, Japan; Department of Rehabilitation, Japanese Red Cross Asahikawa Hospital, Asahikawa, JapanDepartment of Rehabilitation, Hakodate Goryokaku Hospital, Hakodate, JapanDepartment of Rehabilitation, Sapporo Kojinkai Memorial Hospital, Sapporo, JapanDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, JapanDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, JapanDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo JapanDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo Japan; Department of Cardiology, Hokkaido Cardiovascular Hospital, Sapporo, JapanDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan; Second Division of Physical Therapy, Sapporo Medical University School of Health Science, Sapporo, JapanDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo Japan; Division of Health Care Administration and Management, Sapporo Medical University School of Medicine, Sapporo, JapanDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo JapanObjectives: The utility of the updated Asian Working Group for Sarcopenia (AWGS) criteria in diagnosing sarcopenia in older patients with heart failure (HF) remains unclear. Objective: To analyze the prevalence and prognostic impact of sarcopenia diagnosed by the updated AWGS criteria in older patients with HF. Design: Ambispective cohort study. Setting & subjects: 534 older patients with HF from a university hospital in Japan. Measurements: Sarcopenia was assessed using different versions of the AWGS criteria: AWGS 2014, AWGS 2019H (muscle mass relative to height squared), and AWGS 2019B (muscle mass relative to BMI). The primary endpoint was all-cause mortality at three years post-discharge. Results: Of 534 patients, 42%, 57%, and 44% were diagnosed with sarcopenia according to AWGS 2014, AWGS 2019H, AWGS 2019B, respectively. Among patients without AWGS 2014-defined sarcopenia, 23% were reclassified as having sarcopenia by AWGS 2019H criteria. Forty-four percent of sarcopenic patients diagnosed by AWGS 2019H were re-classified as non-sarcopenic by AWGS 2019B, with lower fat mass and poorer nutritional status. After the multivariate Cox proportional hazard analyses, an association between all-cause death and sarcopenia remained significant for AWGS 2014 (hazard ratio [HR], 1.55; 95% confidence interval [CI], 1.01–2.37) and AWGS 2019H (HR, 1.65; 95% CI, 1.05–2.59), but not for AWGS 2019B (HR, 0.99; 95% CI, 0.64–1.51). Conclusion: The updated AWGS 2019H criteria detected more sarcopenic patients with HF while maintaining favorable predictive ability. The use of BMI-adjusted muscle mass reclassified underweight and malnourished patients as non-sarcopenic, limiting its impact on the mortality prediction in older patients with HF.http://www.sciencedirect.com/science/article/pii/S1279770724005220Heart failureSarcopeniaAWGSOlderMortalityPrevalence |
| spellingShingle | Satoshi Katano Kotaro Yamano Toshiyuki Yano Ryo Numazawa Ryohei Nagaoka Suguru Honma Yusuke Fujisawa Yasuhiro Miki Yuhei Takamura Hayato Kunihara Hiroya Fujisaki Hidemichi Kouzu Katsuhiko Ohori Masaki Katayose Akiyoshi Hashimoto Masato Furuhashi Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation The Journal of Nutrition, Health and Aging Heart failure Sarcopenia AWGS Older Mortality Prevalence |
| title | Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation |
| title_full | Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation |
| title_fullStr | Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation |
| title_full_unstemmed | Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation |
| title_short | Prognostic implication of sarcopenia diagnosed by updated Asian Working Group for Sarcopenia criteria in older patients with heart failure: Utility and limitation |
| title_sort | prognostic implication of sarcopenia diagnosed by updated asian working group for sarcopenia criteria in older patients with heart failure utility and limitation |
| topic | Heart failure Sarcopenia AWGS Older Mortality Prevalence |
| url | http://www.sciencedirect.com/science/article/pii/S1279770724005220 |
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