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Demirel KD, Özkurt ZN, Doğrul RT, Kaynar LA, Yeğin ZA, Göker B, Yağci M. Is comprehensive geriatric testing guiding in the identification of multiple myeloma patients who are candidates for autologous stem cell transplantation? A prospective analysis. Ann Hematol 2022; 101:2691-2697. [PMID: 36195680 DOI: 10.1007/s00277-022-04992-8] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 09/26/2022] [Indexed: 11/26/2022]
Abstract
Multiple myeloma (MM) is a hematological malignancy of older adults. This study aimed to investigate the differences in performance, comorbidity scores, and comprehensive geriatric assessment (CGA) before and after induction therapy in newly diagnosed MM patients, as well as the factors that may be associated with improved performance status after induction therapy. Thirty-seven consecutive patients aged 50 years and older, who were newly diagnosed with MM, were included in the study. The patients underwent performance status evaluation and CGA when first diagnosed and after 4 cycles of induction chemotherapy. The performance status of 11 patients (40.7%) changed after induction therapy. Improvement in performance status was significantly lower in patients who were frail according to the Fried frailty criteria and IMWG scores (60% vs. 25%, p = 0.04), (30.0% vs. 6.2%, p = 0.02), taking more than 2 medications due to comorbidities (p = 0.01, confidence interval 0.06-0.09) and those with renal involvement (80.0% vs. 18.7%, p = 0.002). Those with bone involvement were more prevalent among the patients whose performance status improved (87.5% and 50.0%, p = 0.03). This study demonstrated that performance status might improve after induction therapy. Results suggest that CGA before induction therapy can predict performance status change. These results might have implications for predicting at the time of diagnosis, whether an MM patient can be a transplant candidate after induction therapy.
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Affiliation(s)
- Kübra Durmuş Demirel
- Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Turkey.
| | - Zübeyde Nur Özkurt
- Department of Hematology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Rana Tuna Doğrul
- Department of Geriatrics, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Lale Aydin Kaynar
- Department of Hematology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Zeynep Arzu Yeğin
- Department of Hematology, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Berna Göker
- Department of Geriatrics, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Münci Yağci
- Department of Hematology, Gazi University Faculty of Medicine, Ankara, Turkey
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Doğan Varan H, Deniz O, Çöteli S, Tuna Doğrul R, Kizilarslanoğlu MC, Göker B. VALIDITY AND RELIABILITY OF FRIED FRAILTY PHENOTYPE IN TURKISH POPULATION. Turk J Med Sci 2021. [PMID: 34688243 DOI: 10.3906/sag-2105-165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
AIM Frailty is an important, multidimensional geriatric syndrome defined as increased vulnerability to stressors. Fried Frailty Phenotype (FFP) is one of the most widely used model to define physical frailty. The aim of this study is to investigate the cross-cultural validity and reliability of Fried Frailty Phenotype (FFP) in older Turkish population. METHODS A total of 450 patients, aged 59 years and over, were included. FFP translated into Turkish was used. Handgrip strength cut-off values that best predict low skeletal muscle mass index (SMI) for Turkish men and women were calculated. A modified version of FFP was created by re-scoring FFP according to these cut-off values applicable to Turkish population. Correlation analysis between the frailty assessment by comprehensive geriatric evaluation of clinician experienced in geriatric medicine, and FFP and modified version of FFP were performed for validation. 35 patients underwent frailty assessment with FFP twice for reliability assessment. İnter-rater and intra-rater agreement were investigated. RESULTS Clinician?s decision of frailty status demonstrated significant agreement with the results of FFP, as well as modified FFP. Interrater and intra-rater compliance were good. Best hand grip strength cut-off values for predicting low SMI in older Turkish population were determined as ?13,6 kg (AUC: 0.841, p <0.001) for women and ?27.7 kg for men (AUC: 0.779; p <0.001). Modified FFP had good agreement with the FFP. CONCLUSION FFP is a valid and reliable tool for Turkish population.
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Özsürekci C, Şengül Ayçiçek G, Çalışkan H, Tuna Doğrul R, Neşelioğlu S, Özcan M, Doğu BB, Cankurtaran M, Erel Ö, Halil MG. Thiol-disulfide homeostasis and ischemia-modified albumin as a marker of oxidative stress in patients with sarcopenia. Geriatr Gerontol Int 2021; 21:584-589. [PMID: 34080286 DOI: 10.1111/ggi.14199] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 05/02/2021] [Accepted: 05/08/2021] [Indexed: 11/26/2022]
Abstract
AIM Sarcopenia is characterized by progressive and generalized loss of skeletal muscle mass and strength. Chronic inflammatory conditions and increased oxidative stress are in the pathogenesis of sarcopenia. Our aim was to evaluate the relationship between sarcopenia and thiol-disulfide homeostasis and ischemia-modified albumin levels as an oxidative stress marker. METHODS Patients aged ≥65 years were recruited in this study. Sarcopenia was diagnosed according to the European Working Group on Sarcopenia in Older People criterion. Total thiol, native thiol, disulfide and ischemia-modified albumin levels were measures according to clinical and laboratory features. Patients were divided into two groups according to their sarcopenia presence; thiol-disulfide homeostasis and ischemia-modified albumin levels were evaluated between these groups. RESULTS Overall, 94 patients were analyzed. The mean age was 75.0 ± 6.71 years. A total of 39% of the patients were diagnosed as probable sarcopenia, 3.2% had sarcopenia, 6.4% had severe sarcopenia and 51.1% were diagnosed as normal. The levels of native thiol, total thiol, disulfide level and disulfide-native thiol, native thiol-total thiol and disulfide-total thiol ratios were similar in patients with sarcopenia when compared with the control group. In addition, there were no differences between albumin and ischemia-modified albumin levels. In univariate regression analysis, handgrip strength was found to be an independent predictor of native thiol and total thiol, and disulfide levels. CONCLUSION This is the first study in the literature that evaluates the thiol-disulfide homeostasis and ischemia-modified albumin levels in sarcopenic older patients. Long-term studies are warranted to confirm the relationship between oxidative stress markers and sarcopenia. Geriatr Gerontol Int 2021; 21: 584-589.
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Affiliation(s)
- Cemile Özsürekci
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Gözde Şengül Ayçiçek
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Hatice Çalışkan
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Rana Tuna Doğrul
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Salim Neşelioğlu
- Department of Clinical Biochemistry, Yıldırım Beyazit University Faculty of Medicine, Ankara, Turkey
| | - Münevver Özcan
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Burcu B Doğu
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Mustafa Cankurtaran
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Özcan Erel
- Department of Clinical Biochemistry, Yıldırım Beyazit University Faculty of Medicine, Ankara, Turkey
| | - Meltem G Halil
- Division of Geriatric Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Tuna Doğrul R, Doğan Varan H, Cemal Kızılarslanoğlu M, Kılıç MK, Kara Ö, Arık G, Halil MG, Cankurtaran M, Doğu BB. Association of Physical Frailty with Cognitive Function and Mood in Older Adults without Dementia and Depression. Turk J Med Sci 2021; 51:2334-2340. [PMID: 33932967 DOI: 10.3906/sag-2011-277] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 05/01/2021] [Indexed: 11/03/2022] Open
Abstract
Aim & Background: Physical frailty is thought to be related with a decline in cognitive function, mood, and social activities, especially in patients with depression and dementia. It is not clear whether or not physical frailty is associated with an impairment in cognitive function and mood in patients without dementia and depression. In this study, we evaluated the association of physical frailty with cognitive function and mood in geriatric patients without dementia and depression. MATERIAL AND METHODS In this study, 612 patients aged 65 years and over were evaluated. Physical frailty was assessed by using Fried criteria. Furthermore, comprehensive geriatric assessment was performed to each patient. RESULTS Median age of the patients was 72 years (min-max: 65-93), 58% were female, and 6.5% were frail. Clock drawing (p<0.001), MMSE (p<0.001), and Yesevage Geriatric Depression Scale (p=0.010) test results were worse in frail patients compared to pre-frail and robust ones. Age (p=0.009), being university graduate (p=0.031), three words recall test (p=0.014), Activities of Daily Living (ADL) (p=0.006), Instrumental Activities of Daily Living (IADL) (p<0.001), and MNA-SF(p=0.001) scores were determined to be independent related factors of frailty. CONCLUSION We have demonstrated that cognitive function and mood might be associated with physical frailty in patients without dementia and depression.
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Affiliation(s)
- Rana Tuna Doğrul
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Hacer Doğan Varan
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Muhammet Cemal Kızılarslanoğlu
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Mustafa Kemal Kılıç
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Özgür Kara
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Güneş Arık
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Meltem Gülhan Halil
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Mustafa Cankurtaran
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Burcu Balam Doğu
- Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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Çavuşoğlu Ç, Deniz O, Tuna Doğrul R, Çöteli S, Öncül A, Kızılarslanoğlu MC, Gçker B. Frailty is associated with poor sleep quality in the oldest old. Turk J Med Sci 2021; 51:540-546. [PMID: 32950043 PMCID: PMC8203150 DOI: 10.3906/sag-2001-168] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 09/16/2020] [Indexed: 11/24/2022] Open
Abstract
Background/aim Sleep disorders and frailty increase with advancing age, along with physical disabilities, cognitive dysfunction, mood disorders, and social vulnerability. Thus, the study objective was to evaluate the relationship between frailty and sleep quality in the oldest old patients. Materials and methods In this study, 100 patients aged ≥80 years were assessed using comprehensive geriatric assessment (CGA) including basic activities of daily living (ADL), instrumental ADL, handgrip strength, the Geriatric Depression Scale-15, the Mini-Mental State Examination, and the Mini-Nutritional Assessment-Short Form. The sleep quality and frailty status of the patients were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the Fried Frailty Index, respectively. Results The median age of the participants was 84 years (80–92), 55% of them were women, and 41% of them were frail. There was no statistically significant difference between the frail and nonfrail groups in terms of age, sex, and comorbidities (P > 0.050). The frail patients scored poorly according to the CGA tests when compared to the nonfrail ones (P < 0.050). The median score for the PSQI was significantly higher in the frail group, 12 points (3–19) versus 6 points (1–19) in the nonfrail patients (P < 0.001). The PSQI score (odds ratio [OR] of 1.308, 95% confidence interval [CI]: 1.092–1.566, P = 0.004), female sex (OR of 5.489, 95% CI: 1.063–28.337; P = 0.042), and the basic ADL score (OR of 0.383; 95% CI: 0.207–0.706; P = 0.002) were found to be independently associated with frailty using multivariate analysis. Conclusion Sleep quality was significantly decreased in the oldest old frail patients compared to the nonfrail ones, and poor sleep quality was independently associated with frailty. Evaluating the sleep patterns of the oldest old patients with CGA in daily geriatric practice might help to improve the quality of life of frail patients.
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Affiliation(s)
- Çağatay Çavuşoğlu
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Olgun Deniz
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Rana Tuna Doğrul
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Süheyla Çöteli
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ali Öncül
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Muhammet Cemal Kızılarslanoğlu
- Division of Geriatrics and Palliative Care, Department of Internal Medical Sciences, University of Health Sciences, Konya Education and Research Hospital, Konya, Turkey
| | - Berna Gçker
- Division of Geriatric Medicine, Department of Internal Medical Sciences, Faculty of Medicine, Gazi University, Ankara, Turkey
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Özsürekci C, Balcı C, Kızılarslanoğlu MC, Çalışkan H, Tuna Doğrul R, Ayçiçek GŞ, Sümer F, Karabulut E, Yavuz BB, Cankurtaran M, Halil MG. An important problem in an aging country: identifying the frailty via 9 Point Clinical Frailty Scale. Acta Clin Belg 2020; 75:200-204. [PMID: 30919742 DOI: 10.1080/17843286.2019.1597457] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Frailty is a geriatric syndrome which develops as a result of cumulative decline in many physiological systems and results in an increased vulnerability and risk of adverse outcomes. The Clinical Frailty Scale (CFS) was validated as a predictor of adverse outcomes in community-dwelling older people and evaluates items such as comorbidity, cognitive impairment and disability. We aimed to study the concurrent and construct validity and reliability of the 9 point CFS in Turkish Population.Methods: This study was designed as a cross-sectional study. Participants, who were admitted to a geriatric medicine outpatient clinic, were included. Validity of 9 point CFS was tested by its correlation with the assessment and opinion of an experienced geriatric medicine specialist and Fried frailty phenotype. Test-retest and inter-rater reliability analyses were also performed.Results: Median age of the 118 patients was 74.5 years (min: 65 max: 88) and 64.4 % were female. The concordance of CFS and experienced geriatric medicine specialist's opinion was excellent (Cohen's K: 0.80, p < 0.001).The concordance of CFS and Fried Frailty phenotype was moderate (Cohen's K: 0.514, p < 0.001).CFS inter-rater reliability and test-retest reliability was very strong (Cohen's K: 0.811, p < 0.001 and Cohen's K: 1.0, p < 0.001, respectively).Conclusions: CFS appears to be a quick, reliable and valid frailty screening tool for community-dwelling older adults in the Turkish population.
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Affiliation(s)
- Cemile Özsürekci
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Cafer Balcı
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - M. Cemal Kızılarslanoğlu
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Gazi University, Ankara, Turkey
| | - Hatice Çalışkan
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Rana Tuna Doğrul
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Gözde Şengül Ayçiçek
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Fatih Sümer
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Erdem Karabulut
- Faculty of Medicine, Department of Biostatistics, Hacettepe University, Ankara, Turkey
| | - Burcu Balam Yavuz
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Mustafa Cankurtaran
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
| | - Meltem Gülhan Halil
- Faculty of Medicine, Department of Internal Medicine Division of Geriatrics, Hacettepe University, Ankara, Turkey
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Esme M, Asil S, Yavuz B, Balci C, Kılıç MK, Kızılarslanoğlu MC, Doğan Varan H, Tuna Doğrul R, Halil M, Cankurtaran M, Yavuz BB. Masked hypertension is associated with end organ damage in geriatric age: Geriatric MASked Hypertension and End organ damage (G-MASH-End organ Study). Blood Press 2019; 29:80-86. [DOI: 10.1080/08037051.2019.1675475] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Mert Esme
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Serkan Asil
- Department of Cardiology, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Bunyamin Yavuz
- Department of Cardiology, Medical Park Hospital, Ankara, Turkey
| | - Cafer Balci
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Mustafa Kemal Kılıç
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Muhammed Cemal Kızılarslanoğlu
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Hacer Doğan Varan
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Rana Tuna Doğrul
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Meltem Halil
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Mustafa Cankurtaran
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
| | - Burcu Balam Yavuz
- Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey
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Özsürekci C, Arslan SS, Demir N, Çalışkan H, Şengül Ayçiçek G, Kılınç HE, Yaşaroğlu ÖF, Kızılarslanoğlu C, Tuna Doğrul R, Balcı C, Sümer F, Karaduman A, Yavuz BB, Cankurtaran M, Halil MG. Timing of Dysphagia Screening in Alzheimer's Dementia. JPEN J Parenter Enteral Nutr 2019; 44:516-524. [PMID: 31172554 DOI: 10.1002/jpen.1664] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 04/18/2019] [Indexed: 11/06/2022]
Abstract
BACKGROUND Dysphagia is an important and frequent symptom in Alzheimer's dementia (AD). We hypothesized that dysphagia could be seen in the early stages of AD and sarcopenia presence rather than the severity of the AD affecting dysphagia. The main aim of this study was to investigate swallowing functions in AD patients according to stages. The second aim was to investigate the correlation between sarcopenia and dysphagia in AD. METHODS This study involved 76 probable AD patients. For all participants, diagnosis of sarcopenia was based on definitions from the revised version of European Working Group on Sarcopenia in Older People at 2018. Dysphagia symptom severity was evaluated by the Turkish version of the Eating Assessment Tool, a videofluoroscopic swallowing study (VFSS) was performed for instrumental evaluation of swallowing. The patients were divided into 3 groups according to the clinical dementia rating (CDR) scale as CDR 1 (mild dementia), CDR 2 (moderate dementia), and CDR 3 (severe dementia). Swallowing evaluation parameters were analyzed between these groups. RESULTS Mean age was 78.9 ± 6.4 years, and 56.4% were female. Twenty-six patients had mild dementia, 31 patients had moderate dementia, 19 patients had severe dementia (CDR 3). We found that sarcopenia rates were similar between AD stages according to CDR in our study population and dysphagia could be seen in every stage of AD. In a multivariate analysis, polypharmacy and sarcopenia were found to be independently associated factors for dysphagia, irrespective of stage of AD (OR: 6.1, CI: 1.57-23.9, P = 0.009; OR: 4.9, CI: 1.24-19.6, P = 0.023, respectively). CONCLUSION Aspirations may be subtle so that AD patients and caregivers may not be aware of swallowing difficulties. Therefore, all AD patients, especially those who have polypharmacy and/or sarcopenia (probable-sarcopenia-severe sarcopenia), should be screened for dysphagia in every stage.
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Affiliation(s)
- Cemile Özsürekci
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Selen Serel Arslan
- Department of Physiotherapy and Rehabilitation, Division of Swallowing Disorders, Hacettepe University Medical Science Faculty, Ankara, Turkey
| | - Numan Demir
- Department of Physiotherapy and Rehabilitation, Division of Swallowing Disorders, Hacettepe University Medical Science Faculty, Ankara, Turkey
| | - Hatice Çalışkan
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Gözde Şengül Ayçiçek
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Hasan Erkan Kılınç
- Department of Physiotherapy and Rehabilitation, Division of Swallowing Disorders, Hacettepe University Medical Science Faculty, Ankara, Turkey
| | - Ömer Faruk Yaşaroğlu
- Department of Physiotherapy and Rehabilitation, Division of Swallowing Disorders, Hacettepe University Medical Science Faculty, Ankara, Turkey
| | - Cemal Kızılarslanoğlu
- Internal Medicine Department, Division of Geriatrics, Gazi University Medical Faculty, Ankara, Turkey
| | - Rana Tuna Doğrul
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Cafer Balcı
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Fatih Sümer
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Ayşe Karaduman
- Department of Physiotherapy and Rehabilitation, Division of Swallowing Disorders, Hacettepe University Medical Science Faculty, Ankara, Turkey
| | - Burcu Balam Yavuz
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Mustafa Cankurtaran
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
| | - Meltem Gülhan Halil
- Internal Medicine Department, Division of Geriatrics, Hacettepe University Medical Faculty, Ankara, Turkey
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