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Assessment of Sarcopenia Measures, Survival, and Disability in Older Adults Before and After Diagnosis With Cancer
Author(s) -
Grant R. Williams,
Yanjun Chen,
Kelly Kenzik,
Andrew M. McDonald,
Shlomit Strulov Shachar,
Heidi D. Klepin,
Stephen B. Kritchevsky,
Smita Bhatia
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.4783
Subject(s) - sarcopenia , medicine , grip strength , lean body mass , cohort , cancer , population , gerontology , hand strength , physical therapy , cohort study , proportional hazards model , environmental health , body weight
Key Points Question What is the association of a cancer diagnosis with measures of sarcopenia? Findings In this matched cohort study of 515 older patients who developed cancer from the Health, Aging, and Body Composition (Health ABC) study, a steeper decline in gait speed prior to a cancer diagnosis and accelerated declines in appendicular lean mass after a cancer diagnosis were found, which were most striking in patients with metastatic disease. Meaning Accelerated losses in differing sarcopenia measures exist both prior to and after a cancer diagnosis and may present opportunities for targeted interventions to improve outcomes.

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