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Erdogan T, Eris S, Avci S, Oren MM, Kucukdagli P, Kilic C, Beaudart C, Bruyere O, Karan MA, Bahat G. Sarcopenia quality-of-life questionnaire (SarQoL)®: translation, cross-cultural adaptation and validation in Turkish. Aging Clin Exp Res 2021; 33:2979-2988. [PMID: 33538991 DOI: 10.1007/s40520-020-01780-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 12/11/2020] [Indexed: 12/25/2022]
Abstract
BACKGROUND The sarcopenia quality-of-life (SarQoL)® questionnaire is a multidimensional sarcopenia specific tool designed for community dwelling older adults. AIMS The aim of this study was to translate, to cross-culturally adapt and validate the SarQoL® questionnaire to assess sarcopenia-related quality of life in Turkish older adults. METHODS The validation process was performed in two sections: the first section constituted the translation with cross-cultural adaptation of SarQoL® into Turkish. Second section constituted the clinical validation study. To validate the Turkish version of the SarQoL®, we assessed its validity (discriminative power, construct validity), reliability (internal consistency, test-retest reliability) and floor/ceiling effects. RESULTS One hundred community-dwelling subjects (mean age: 74.7 ± 6.1 years) were evaluated. The EWGSOP2 consensus diagnostic criteria were used to diagnose probable sarcopenia. A database including 1437 older adults, with complete evaluation of sarcopenia parameters, served to define low global muscle function. Results revealed a good discriminative power: subjects with probable sarcopenia had higher total scores compared to non-sarcopenic subjects (50 ± 16 vs. 68.9 ± 16.9, p < 0.001) a high internal consistency (Cronbach's alpha: 0.88), consistent construct validity and excellent test-retest reliability (intraclass correlation coefficient: 0.97, 95% confidence interval: 0.94-0.98). There was no floor/ceiling effect. CONCLUSION The Turkish version of the SaQoL® questionnaire was found to be reliable and valid for the measurement of quality of life of sarcopenic patients and is, therefore, available for use in clinical research and practice. This validation could enable use of the SarQoL® tool in the eastern populations more confidently.
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Affiliation(s)
- Tugba Erdogan
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Serdar Eris
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Suna Avci
- Division of Geriatrics, Department of Internal Medicine, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Meryem Merve Oren
- Department of Public Health Istanbul, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Pinar Kucukdagli
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Cihan Kilic
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Charlotte Beaudart
- Public Health, Epidemiology and Health Economics, University of Liège, 4000, Liège, Belgium
| | - Olivier Bruyere
- Public Health, Epidemiology and Health Economics, University of Liège, 4000, Liège, Belgium
| | - Mehmet Akif Karan
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Gulistan Bahat
- Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Istanbul, Turkey.
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Akpinar TS, Kucukdagli P, Ozer PK, Karaayvaz EB, Ince B, Bakkaloglu OK, Sarihan I, Medetalibeyoglu A, Altinkaynak M, Uzun DD, Bozbora E, Kose M, Ecder T, Yazici H. Subclinic arterial and left ventricular systolic impairment in autosomal dominant polycystic kidney disease with preserved renal functions. Int J Cardiovasc Imaging 2021; 38:271-278. [PMID: 34436702 DOI: 10.1007/s10554-021-02389-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Indexed: 11/24/2022]
Abstract
Subclinical atherosclerosis and cardiovascular events are common even in young normotensive patients with autosomal dominant polycystic kidney disease (ADPKD). Our aim was to examine the relationship between serum fibroblast growth factor-23 (FGF-23) levels, left ventricular global longitudinal strain (LV-GLS), arterial stiffness (AS), and carotid intima-media thickness (CIMT) in patients with ADPKD with preserved kidney function. The relationship between albuminuria, AS, LV-GLS, CIMT, 24-hour ambulatory blood pressure measurement, and FGF-23 was examined in 52 normotensive and hypertensive patients with ADPKD and a matched control group of 35 subjects. AS was assesed with brachial-ankle pulse wave velocity, LV-GLS was measured with speckle-tracking echocardiography. FGF-23 was measured with enzyme-linked immunosorbent assay. The microalbumin/creatinine ratio was significantly higher in the ADPKD group than in the control group (p?<?0.001). Serum FGF-23 levels were similar between the study and control group. LV-GLS value tended to be impaired and CIMT to be higher in the ADPKD group compared to controls (?18.1?±?2.6 vs. -19.4?±?3.1?%, p?=?0.08; 0.75?±?0.1 vs. 0.68?±?0.1 mm, p?=?0.09, respectively). The augmentation index was significantly higher in the ADPKD group than in the control group (26.2?±?12.5 vs. 16.4?±?11.2 mmHg/mmHg, p?=?0.01). Our study supports subclinical impairment in arterial and cardiac functions in the early period of ADPKD. However, none of these factors was found to be associated with serum FGF-23 levels.
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Affiliation(s)
- Timur Selcuk Akpinar
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Pinar Kucukdagli
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Pelin Karaca Ozer
- Istanbul Medical Faculty, Department of Cardiology, Istanbul University, Istanbul, Turkey. .,Faculty of Medicine, Department of Cardiology, Istanbul University, Topkapi Mahallesi, Turgut Ozal Millet Caddesi, Fatih/Istanbul, 34093, Turkey.
| | - Ekrem Bilal Karaayvaz
- Istanbul Medical Faculty, Department of Cardiology, Istanbul University, Istanbul, Turkey
| | - Burak Ince
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Oguz Kagan Bakkaloglu
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Irem Sarihan
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Alpay Medetalibeyoglu
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Mustafa Altinkaynak
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Duygu Derya Uzun
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Erol Bozbora
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Murat Kose
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Tevfik Ecder
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Halil Yazici
- Istanbul Medical Faculty, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
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Abstract
Aim: The rates and reasons why clinicians decide not to follow recommendations from explicit-criteria have been studied scarce. We aimed to compare STOPP version 2 representing one of the most commonly used excplicit tool with the implicit comprehensive geriatric assessment mediated clinical evaluation considered as gold standard.Methods: Two hundred and six (n = 206) outpatients ≥65 years old were included. The study was designed as retrospective, cross-sectional, and randomised. STOPP version 2 criteria were systematically used to assess pre-admission treatments followed by implicit clinical evaluation regarding two questions: Were the STOPP criteria recommendations valid for the individual patient and were there any potentially inappropriate-prescription other than depicted by STOPP version 2 criteria? The underlying reason(s) and associated clinical-features were noted.Results: About 62.6% potentially inappropriate-prescriptions were identified (0.6 per-subject) according to systematic application of STOPP v2 while it was 53.4% (0.5 potentially inappropriate-prescriptions per subject) by clinician's application of STOPP v2. Prevalence of non-compliance was 14.7% in 18 (21.7%) of 83 patients identified by systematic application. Suggestion to stop a drug was not accepted because of need of treatment despite likelihood of anticipated side-effects in about 2/3 and with no-anticipated side-effects in about 1/3 of non-compliances. Not following STOPP v2 was significantly associated with lower functional level. According to clinician's implicit-evaluation, there were an extra 59.2% potentially inappropriate-prescriptions (0.6 per subject) in 80 (38.8%) patients yielding a total of 112.6% potentially inappropriate-prescription.Conclusions: Most of the STOPP v2 directed drug cessations are decided valid by the clinicians. In patients with higher functional dependency, it is likely that they are not followed due to palliation focussed care/patient-family preferences. There may be as much as STOPP v2 identified potentially inappropriate-prescriptions by implicit evaluation in a significant percent of geriatric patients signifying need for comprehensive geriatric evaluation in practice.
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Affiliation(s)
- Gulistan Bahat
- Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University, Istanbul, Turkey
| | - Birkan Ilhan
- Department of Internal Medicine, Division of Geriatrics, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
| | - Ilker Bay
- Istanbul Medical School, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
| | - Cihan Kilic
- Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University, Istanbul, Turkey
| | - Pinar Kucukdagli
- Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University, Istanbul, Turkey
| | - Meryem Merve Oren
- Erzurum Provincial Health Directorate, Public Health Services Presidency, Erzurum, Turkey
| | - Mehmet Akif Karan
- Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Istanbul University, Istanbul, Turkey
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Kucukdagli P, Bahat G. Handgrip strength cut-off thresholds to define sarcopenia. Geriatr Gerontol Int 2019; 19:271. [PMID: 30821066 DOI: 10.1111/ggi.13608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Pinar Kucukdagli
- Department of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Gulistan Bahat
- Department of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Istanbul, Turkey
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Yilmaz O, Aykent B, Kucukdagli P, Tascioglu C, Bahat G. Frailty is associated with multimorbidities due to decreased physical reserve independent of age. Eur J Intern Med 2019; 61:e12-e13. [PMID: 30722944 DOI: 10.1016/j.ejim.2019.01.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Accepted: 01/29/2019] [Indexed: 11/19/2022]
Affiliation(s)
- Ozlem Yilmaz
- Istanbul University Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Turkey.
| | - Basar Aykent
- Department of Internal Medicine, Division of Nephrology, University of Medical Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Turkey
| | - Pinar Kucukdagli
- Istanbul University Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Turkey
| | - Cemil Tascioglu
- Department of Internal Medicine, Istanbul University School of Medicine, Turkey
| | - Gulistan Bahat
- Istanbul University Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics, Turkey
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Eris S, Kucukdagli P, Turkmen B, Bahat G, Yilmaz O, Karan M. Obesity and sarcopenic obesity in community-dwelling older adults. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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