Sarcopenia and overweight in women with systemic lupus erythematosus
DOI:
https://doi.org/10.33233/rbfex.v20i2.4410Keywords:
autoimmune disease; overweight; obesity; skeletal muscle; adipose tissueAbstract
Objective: To investigate the prevalence of sarcopenia according to the categories of body mass index (BMI) in women with systemic lupus erythematosus (SLE) assisted by a teaching hospital in Maceió, Alagoas, Brazil. Methods: Cross-sectional analysis with patients selected by convenience, which included socioeconomic, demographic, clinical, anthropometric and sarcopenia data. The anthropometric evaluation included BMI, body circumferences, skin folds, bioimpedance analysis and fat percentage. Sarcopenia was assessed according to the diagnostic criteria proposed by the European Working Group on Sarcopenia in the Elderly-EWGSOP (2019), which includes a SARC-F screening protocol, muscle strength, muscle mass and physical performance. Pearson's chi-square test was distributed, adopting a significance level of p < 0.05 and a 95% confidence interval. Results: 62.8% of the women presented overweight, followed by 32.5% with normal weight and 4.6% with malnutrition. Sarcopenia was not detected in our sample. However, the SARC-F screening identified 17.5% possible cases of sarcopenia, while 21.4% of the patients had probable sarcopenia according to the criteria of low handgrip strength (HGS). Still, a portion of the sample showed reduction in physical performance, with no statistical differences according to the BMI categories. Also, 66.6% of women with probable sarcopenia and all those screened by SARC-F for sarcopenia, presented overweight. Conclusion: The reduced muscle strength, performance and the high weight are an alert do decrease in muscle functionality, making clear the need for early care of this population as well as adaptations of the sarcopenia assessment instrument for SLE.
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Copyright (c) 2021 João Ronaldo Silva Monteiro, Maria Cecília Costa Moreira Cardoso, Alane Cabral Menezes de Oliveira, Juliana Célia de Farias Santos
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