Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease
Introduction: Low body weight in Parkinson's disease (PD) is poorly understood despite the associated risks of malnutrition, fractures, and death. Sarcopenia (loss of muscle bulk and strength) and frailty are geriatric syndromes that are likewise associated with adverse health outcomes, yet hav...
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my.um.eprints.205502021-02-10T01:17:01Z http://eprints.um.edu.my/20550/ Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease Tan, Ai Huey Hew, Yin Cheng Lim, Shen Yang Mohd Ramli, Norlisah Kamaruzzaman, Shahrul Bahyah Tan, Maw Pin Grossmann, Mathis Ang, Ban Hong Tan, Jiun Yan Manap, Mohamad Addin Azhan A. Tay, Tun Khong Tan, Siang Lyn New, Ru Peng Fadzli, Farhana Yee, Eng Jui Moy, Foong Ming Mahadeva, Sanjiv Lang, Anthony E. R Medicine Introduction: Low body weight in Parkinson's disease (PD) is poorly understood despite the associated risks of malnutrition, fractures, and death. Sarcopenia (loss of muscle bulk and strength) and frailty are geriatric syndromes that are likewise associated with adverse health outcomes, yet have received scant attention in PD. We studied body composition, sarcopenia, frailty, and their clinico-biological correlates in PD. Methods: 93 patients and 78 spousal/sibling controls underwent comprehensive assessment of diet, clinical status, muscle strength/performance, frailty, body composition (using dual-energy X-ray absorptiometry), and serum levels of neurogastrointestinal hormones and inflammatory markers. Results: PD patients were older than controls (66.0 ± 8.5 vs. 62.4 ± 8.4years, P = 0.003). Mean body mass index (24.0 ± 0.4 vs. 25.6 ± 0.5kg/m2, Padjusted = 0.016), fat mass index (7.4 ± 0.3 vs. 9.0 ± 0.3kg/m2, Padjusted<0.001), and whole-body fat percentage (30.7 ± 0.8 vs. 35.7 ± 0.9%, Padjusted<0.001) were lower in patients, even after controlling for age and gender. There were no between-group differences in skeletal muscle mass index and whole-body bone mineral density. Body composition parameters did not correlate with disease duration or motor severity. Reduced whole-body fat percentage was associated with higher risk of motor response complications as well as higher levels of insulin-growth factor-1 and inflammatory markers. PD patients had a higher prevalence of sarcopenia (17.2% vs. 10.3%, Padjusted = 0.340) and frailty (69.4% vs. 24.2%, Padjusted = 0.010). Older age and worse PD motor severity were predictors of frailty in PD. Conclusions: We found reduced body fat with relatively preserved skeletal muscle mass, and a high prevalence of frailty, in PD. Further studies are needed to understand the patho-mechanisms underlying these alterations. Elsevier 2018 Article PeerReviewed Tan, Ai Huey and Hew, Yin Cheng and Lim, Shen Yang and Mohd Ramli, Norlisah and Kamaruzzaman, Shahrul Bahyah and Tan, Maw Pin and Grossmann, Mathis and Ang, Ban Hong and Tan, Jiun Yan and Manap, Mohamad Addin Azhan A. and Tay, Tun Khong and Tan, Siang Lyn and New, Ru Peng and Fadzli, Farhana and Yee, Eng Jui and Moy, Foong Ming and Mahadeva, Sanjiv and Lang, Anthony E. (2018) Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease. Parkinsonism & Related Disorders, 56. pp. 58-64. ISSN 1353-8020 https://doi.org/10.1016/j.parkreldis.2018.06.020 doi:10.1016/j.parkreldis.2018.06.020 |
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R Medicine Tan, Ai Huey Hew, Yin Cheng Lim, Shen Yang Mohd Ramli, Norlisah Kamaruzzaman, Shahrul Bahyah Tan, Maw Pin Grossmann, Mathis Ang, Ban Hong Tan, Jiun Yan Manap, Mohamad Addin Azhan A. Tay, Tun Khong Tan, Siang Lyn New, Ru Peng Fadzli, Farhana Yee, Eng Jui Moy, Foong Ming Mahadeva, Sanjiv Lang, Anthony E. Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
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Introduction: Low body weight in Parkinson's disease (PD) is poorly understood despite the associated risks of malnutrition, fractures, and death. Sarcopenia (loss of muscle bulk and strength) and frailty are geriatric syndromes that are likewise associated with adverse health outcomes, yet have received scant attention in PD. We studied body composition, sarcopenia, frailty, and their clinico-biological correlates in PD. Methods: 93 patients and 78 spousal/sibling controls underwent comprehensive assessment of diet, clinical status, muscle strength/performance, frailty, body composition (using dual-energy X-ray absorptiometry), and serum levels of neurogastrointestinal hormones and inflammatory markers. Results: PD patients were older than controls (66.0 ± 8.5 vs. 62.4 ± 8.4years, P = 0.003). Mean body mass index (24.0 ± 0.4 vs. 25.6 ± 0.5kg/m2, Padjusted = 0.016), fat mass index (7.4 ± 0.3 vs. 9.0 ± 0.3kg/m2, Padjusted<0.001), and whole-body fat percentage (30.7 ± 0.8 vs. 35.7 ± 0.9%, Padjusted<0.001) were lower in patients, even after controlling for age and gender. There were no between-group differences in skeletal muscle mass index and whole-body bone mineral density. Body composition parameters did not correlate with disease duration or motor severity. Reduced whole-body fat percentage was associated with higher risk of motor response complications as well as higher levels of insulin-growth factor-1 and inflammatory markers. PD patients had a higher prevalence of sarcopenia (17.2% vs. 10.3%, Padjusted = 0.340) and frailty (69.4% vs. 24.2%, Padjusted = 0.010). Older age and worse PD motor severity were predictors of frailty in PD. Conclusions: We found reduced body fat with relatively preserved skeletal muscle mass, and a high prevalence of frailty, in PD. Further studies are needed to understand the patho-mechanisms underlying these alterations. |
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Article |
author |
Tan, Ai Huey Hew, Yin Cheng Lim, Shen Yang Mohd Ramli, Norlisah Kamaruzzaman, Shahrul Bahyah Tan, Maw Pin Grossmann, Mathis Ang, Ban Hong Tan, Jiun Yan Manap, Mohamad Addin Azhan A. Tay, Tun Khong Tan, Siang Lyn New, Ru Peng Fadzli, Farhana Yee, Eng Jui Moy, Foong Ming Mahadeva, Sanjiv Lang, Anthony E. |
author_facet |
Tan, Ai Huey Hew, Yin Cheng Lim, Shen Yang Mohd Ramli, Norlisah Kamaruzzaman, Shahrul Bahyah Tan, Maw Pin Grossmann, Mathis Ang, Ban Hong Tan, Jiun Yan Manap, Mohamad Addin Azhan A. Tay, Tun Khong Tan, Siang Lyn New, Ru Peng Fadzli, Farhana Yee, Eng Jui Moy, Foong Ming Mahadeva, Sanjiv Lang, Anthony E. |
author_sort |
Tan, Ai Huey |
title |
Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
title_short |
Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
title_full |
Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
title_fullStr |
Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
title_full_unstemmed |
Altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in Parkinson's disease |
title_sort |
altered body composition, sarcopenia, frailty, and their clinico-biological correlates, in parkinson's disease |
publisher |
Elsevier |
publishDate |
2018 |
url |
http://eprints.um.edu.my/20550/ https://doi.org/10.1016/j.parkreldis.2018.06.020 |
_version_ |
1691733428434632704 |