Biomarkers of Sarcopenia and Frailty in Geriatric Patients (BioFrail)

Herlev and Gentofte Hospital

Status: Completed

Conditions: Muscle Loss; Sarcopenia; Fall Patients

Treatments: Other: Assessing sarcopenia and potential biomarkers of sarcopenia in fall patients

Study type: Observational

Funder types: Other

Identifiers

NCT05795556

H-20057620

Details and patient eligibility

About

During the last decades there has been an increase in the relative proportion and life expectancy of elderly people. Hence, the number of elderly with diseases and disabilities related to aging will increase and consequently, age-related losses in skeletal muscle mass and physical function represents an important current and future public health issue. Sarcopenia is a progressive and generalized skeletal muscle disorder that is considered central to the development of physical deconditioning and untreated sarcopenia is linked to falls, morbidity, and mortality.

The underlying mechanisms behind the progressive loss of muscle mass and function associated with aging are yet unknown but seems to be multifactorial. A decrease in physical activity level and an altered central and peripheral nervous system innervation have been identified as some of the contributing factors. Furthermore, chronic low-grade inflammation has been proposed as a central contributor to sarcopenia and thus physical frailty.

However, it is not yet clear whether the elevated markers of inflammation seen in the elderly are due to aging, chronic illness, or inactivity. But overall, it seems that inflammation plays an important role in the development of muscle loss, and is related to increased risk of falls, fragility, and early death.

Enrollment: 508 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Geriatric patients referred to out-patient clinic for fall assessments
• equal to or over the age of 65

Exclusion criteria

• age under 65 years
• participants who do not understand Danish
• severe communicative problems
• moderate to severe dementia or cognitive deficits
• no independent walking

Trial design

508 participants in 1 patient group

Home-dwelling geriatric outpatients

Description:

Home-dwelling geriatric outpatients from the Falls Clinic at Gentofte Hospital . Clinical assesment: Blood test, body composition (BIA and/or DXA), balance tests (sway), handgrip strength, isometric knee extension strength, chair-rise test, gait-speed, thickness of the thigh muscles, screening for sarcopenia (SARC-F), screening for malnutrition (SNAQ), screening for depression (GDS-15), screening for self-rated health (EQ-5D-5L), frailty (CSHA Frailty Scale)

Treatment:

Other: Assessing sarcopenia and potential biomarkers of sarcopenia in fall patients