Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study

Osteoporosis and sarcopenia are two chronic conditions, which widely affect older people and share common risk factors. We investigated the prevalence of low bone mineral density (BMD) and sarcopenia, including the overlap of both conditions (osteosarcopenia) in 572 older hospitalized patients (mean...

Full description

Bibliographic Details
Main Authors: Maryam Pourhassan, Bjoern Buehring, Ulrik Stervbo, Sven Rahmann, Felix Mölder, Sebastian Rütten, Ulrike Trampisch, Nina Babel, Timm Henning Westhoff, Rainer Wirth
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/11/3786
_version_ 1797509029263572992
author Maryam Pourhassan
Bjoern Buehring
Ulrik Stervbo
Sven Rahmann
Felix Mölder
Sebastian Rütten
Ulrike Trampisch
Nina Babel
Timm Henning Westhoff
Rainer Wirth
author_facet Maryam Pourhassan
Bjoern Buehring
Ulrik Stervbo
Sven Rahmann
Felix Mölder
Sebastian Rütten
Ulrike Trampisch
Nina Babel
Timm Henning Westhoff
Rainer Wirth
author_sort Maryam Pourhassan
collection DOAJ
description Osteoporosis and sarcopenia are two chronic conditions, which widely affect older people and share common risk factors. We investigated the prevalence of low bone mineral density (BMD) and sarcopenia, including the overlap of both conditions (osteosarcopenia) in 572 older hospitalized patients (mean age 75.1 ± 10.8 years, 78% women) with known or suspected osteoporosis in this prospective observational multicenter study. Sarcopenia was assessed according to the revised definition of the European Working Group on Sarcopenia in Older People (EWGSOP2). Low BMD was defined according to the World Health Organization (WHO) recommendations as a T-score < −1.0. Osteosarcopenia was diagnosed when both low BMD and sarcopenia were present. Low BMD was prevalent in 76% and the prevalence of sarcopenia was 9%, with 90% of the sarcopenic patients showing the overlap of osteosarcopenia (8% of the entire population). Conversely, only few patients with low BMD demonstrated sarcopenia (11%). Osteosarcopenic patients were older and frailer and had lower BMI, fat, and muscle mass, handgrip strength, and T-score compared to nonosteosarcopenic patients. We conclude that osteosarcopenia is extremely common in sarcopenic subjects. Considering the increased risk of falls in patients with sarcopenia, they should always be evaluated for osteoporosis.
first_indexed 2024-03-10T05:12:10Z
format Article
id doaj.art-bec4ef7b30e549369bb397059e3a7573
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-10T05:12:10Z
publishDate 2021-10-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-bec4ef7b30e549369bb397059e3a75732023-11-23T00:45:55ZengMDPI AGNutrients2072-66432021-10-011311378610.3390/nu13113786Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys StudyMaryam Pourhassan0Bjoern Buehring1Ulrik Stervbo2Sven Rahmann3Felix Mölder4Sebastian Rütten5Ulrike Trampisch6Nina Babel7Timm Henning Westhoff8Rainer Wirth9Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-University Bochum, Hölkeskampring 40D, 44625 Herne, GermanyRheumazentrum Ruhrgebiet, Ruhr-University Bochum, 44649 Herne, GermanyCenter for Translational Medicine and Immune Diagnostics Laboratory, Medical Department I, Marien Hospital Herne, Ruhr-University Bochum, 44625 Herne, GermanyAlgorithmic Bioinformatics, Center for Bioinformatics, Saarland University, 66041 Saarbrücken, GermanyAlgorithms for Reproducible Bioinformatics, Genome Informatics, Institute of Human Genetics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, GermanyCenter for Orthopedics and Trauma Surgery, St. Anna Hospital, St. Elisabeth Gruppe, 44649 Herne, GermanyDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-University Bochum, Hölkeskampring 40D, 44625 Herne, GermanyCenter for Translational Medicine and Immune Diagnostics Laboratory, Medical Department I, Marien Hospital Herne, Ruhr-University Bochum, 44625 Herne, GermanyCenter for Translational Medicine and Immune Diagnostics Laboratory, Medical Department I, Marien Hospital Herne, Ruhr-University Bochum, 44625 Herne, GermanyDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-University Bochum, Hölkeskampring 40D, 44625 Herne, GermanyOsteoporosis and sarcopenia are two chronic conditions, which widely affect older people and share common risk factors. We investigated the prevalence of low bone mineral density (BMD) and sarcopenia, including the overlap of both conditions (osteosarcopenia) in 572 older hospitalized patients (mean age 75.1 ± 10.8 years, 78% women) with known or suspected osteoporosis in this prospective observational multicenter study. Sarcopenia was assessed according to the revised definition of the European Working Group on Sarcopenia in Older People (EWGSOP2). Low BMD was defined according to the World Health Organization (WHO) recommendations as a T-score < −1.0. Osteosarcopenia was diagnosed when both low BMD and sarcopenia were present. Low BMD was prevalent in 76% and the prevalence of sarcopenia was 9%, with 90% of the sarcopenic patients showing the overlap of osteosarcopenia (8% of the entire population). Conversely, only few patients with low BMD demonstrated sarcopenia (11%). Osteosarcopenic patients were older and frailer and had lower BMI, fat, and muscle mass, handgrip strength, and T-score compared to nonosteosarcopenic patients. We conclude that osteosarcopenia is extremely common in sarcopenic subjects. Considering the increased risk of falls in patients with sarcopenia, they should always be evaluated for osteoporosis.https://www.mdpi.com/2072-6643/13/11/3786osteopeniaosteoporosissarcopeniaosteosarcopeniabone mineral densitymuscle mass
spellingShingle Maryam Pourhassan
Bjoern Buehring
Ulrik Stervbo
Sven Rahmann
Felix Mölder
Sebastian Rütten
Ulrike Trampisch
Nina Babel
Timm Henning Westhoff
Rainer Wirth
Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
Nutrients
osteopenia
osteoporosis
sarcopenia
osteosarcopenia
bone mineral density
muscle mass
title Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
title_full Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
title_fullStr Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
title_full_unstemmed Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
title_short Osteosarcopenia, an Asymmetrical Overlap of Two Connected Syndromes: Data from the OsteoSys Study
title_sort osteosarcopenia an asymmetrical overlap of two connected syndromes data from the osteosys study
topic osteopenia
osteoporosis
sarcopenia
osteosarcopenia
bone mineral density
muscle mass
url https://www.mdpi.com/2072-6643/13/11/3786
work_keys_str_mv AT maryampourhassan osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT bjoernbuehring osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT ulrikstervbo osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT svenrahmann osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT felixmolder osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT sebastianrutten osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT ulriketrampisch osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT ninababel osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT timmhenningwesthoff osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy
AT rainerwirth osteosarcopeniaanasymmetricaloverlapoftwoconnectedsyndromesdatafromtheosteosysstudy