European Geriatric Medicine最新文献

{"title":"Concomitant fractures in older patients with proximal femoral fractures: rib fractures are associated with increased complications and mortality for consideration in european geriatric medicine.","authors":"Clemens Roitzsch, Franziska Beyer, Klaus-Dieter Schaser, Marcel Mäder, Lorenz C Hofbauer, Babette Engler, Roman Riedel, Ivonne Panchyrz, Anne Postler","doi":"10.1007/s41999-026-01603-x","DOIUrl":"https://doi.org/10.1007/s41999-026-01603-x","url":null,"abstract":"<p><strong>Purpose: </strong>Proximal femoral fractures (PFF) are a global health burden in aging populations. Evidence on the prevalence and clinical relevance of concomitant fractures in this population remains limited. This study investigated the impact of concomitant fractures on mortality, complications, transfusion requirements, and postoperative mobility in patients with geriatric PFF.</p><p><strong>Methods: </strong>This single-center cohort study included patients ≥ 65 years with a positive geriatric screening, who underwent surgery for a PFF after low-energy trauma between January 2019 and December 2023. Patients with concomitant fractures were compared with those with isolated PFF. Outcomes included mortality, perioperative parameters, complications, and mobility at discharge. Uni- and multivariable regression models were applied adjusting for age, sex, comorbidities, body mass index (BMI), and fracture type.</p><p><strong>Results: </strong>A total of 1553 patients were analyzed; 164 (10.5%) sustained concomitant fractures (n = 180), most commonly of the upper limb (57%), pelvis (16%), and ribs (13%). Concomitant fractures were ipsilateral in 89% and surgically treated in 29%. Compared with isolated PFF, these patients had higher rates of in-house venous thromboembolism (VTE) (5.5% vs. 0.9%, p < 0.001), required 0.4 more units of blood transfusion (95% confidence interval (CI) 0.114-0.744), and showed impaired mobilization at discharge (odds ratio (OR) 0.5, 95%CI 0.328-0.654). No difference in overall in-house or 90-day mortality was observed. However, concomitant rib fractures markedly increased the risk of non-surgical complications (OR 2.8, 95%CI 1.175-6.804), VTE (OR 14.8, 95%CI 4.078-53.492), blood transfusion by 1.1 units (95%CI 0.323-1.925), and 90-day mortality (OR 6.4, 95%CI 2.675-15.469).</p><p><strong>Conclusion: </strong>Concomitant fractures occur in over 10% of geriatric PFF patients and worsen clinical outcomes, particularly VTE risk, transfusion needs, and mobility. Rib fractures are a high-risk subgroup requiring specific clinical attention.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From stages to trajectories: a life-course reference framework for skeletal muscle health.","authors":"Ziwen Wang, Fei Zhang, Zhong Wang","doi":"10.1007/s41999-026-01605-9","DOIUrl":"https://doi.org/10.1007/s41999-026-01605-9","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcome and discharge destination in older patients with spinal cord injury: a retrospective cohort study.","authors":"Stephan Kurz, Oliver Habich, Katja Brauer, Frederik Wilhelm Schneckmann","doi":"10.1007/s41999-026-01577-w","DOIUrl":"https://doi.org/10.1007/s41999-026-01577-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate functional outcomes and discharge destination after specialized inpatient rehabilitation in patients aged > 75 years with spinal cord injury (SCI).</p><p><strong>Methods: </strong>This retrospective single-center cohort study included 160 patients aged ≥ 60 years who completed inpatient SCI rehabilitation at the specialized SCI unit of BG Trauma Center Frankfurt, Germany (2010-2025). Patients were grouped into 60-75 and > 75 years. Functional status was assessed using the Spinal Cord Independence Measure (SCIM) at admission and discharge. Outcomes included discharge destination, functional gain (ΔSCIM), in-hospital complications, and medication at discharge.</p><p><strong>Results: </strong>The mean age was 67 ± 5 years in the 60-75-year group and 80 ± 4 years in the > 75-year group; 75.0% and 64.1% were male, respectively. At discharge, 68.8% of patients aged > 75 years returned home compared with 81.3% of those aged 60-75 years. Only 7.8% of patients aged > 75 years were discharged home without nursing support. SCIM scores were lower in the > 75-year group (27 ± 18 vs. 40 ± 24; p = .003), as were functional gains (ΔSCIM: 12 ± 13 vs. 20 ± 19; p = .004). Baseline neurological status and in-hospital mortality (6.3% vs. 4.2%; p = .554) did not differ significantly between groups.</p><p><strong>Conclusions: </strong>Most patients aged > 75 years were discharged home despite lower functional gains. Advanced age alone should not be considered a barrier to specialized inpatient rehabilitation. Early discharge planning and adequate post-acute support are essential to facilitate supported community discharge and reduce institutionalization.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of malnutrition and hydration status with cognitive frailty in older adults.","authors":"Mert Can Ataca, Evrim Ataca, Cihan Heybeli, İrem Tanriverdi, Raye Sevra Ozmen, Duygu Uzun Arda, Pinar Soysal","doi":"10.1007/s41999-026-01601-z","DOIUrl":"https://doi.org/10.1007/s41999-026-01601-z","url":null,"abstract":"<p><strong>Purpose: </strong>Cognitive frailty (CF), defined as the coexistence of physical frailty and cognitive impairment without dementia, is a potentially reversible geriatric syndrome. Although malnutrition and dehydration are considered modifiable contributors, their relative roles in CF remain unclear.</p><p><strong>Methods: </strong>Adults aged ≥65 years who underwent comprehensive geriatric assessment were included. CF was defined using Fried's frailty criteria and cognitive test scores (MoCA or MMSE). Nutritional status was assessed using the Mini Nutritional Assessment (MNA), and hydration status was evaluated by calculated plasma osmolarity. Age-, sex-, and Charlson Comorbidity Index comparisons were performed using 1:1 propensity score matching. Longitudinal changes in CF and nutritional status were examined in participants with follow-up data.</p><p><strong>Results: </strong>Among 232 individuals with CF, malnutrition and dehydration were present in 31.3% and 32.9%, respectively. After matching, malnutrition remained significantly more prevalent in the CF group than in robust controls (32.9% vs. 2.9%, p<0.001), whereas hydration status did not differ. Malnutrition was independently associated with lower body mass index, hypoalbuminemia, higher frailty, dysphagia, and poorer functional status (p<0.05). Although malnutrition and dehydration frequently coexisted, no significant association was observed. Longitudinal analyses showed that improvement in nutritional status was associated with CF resolution, while persistent CF was accompanied by declining MNA scores (p<0.05).</p><p><strong>Conclusions: </strong>Malnutrition appears to be an important and potentially modifiable component of CF, whereas dehydration appears to play a more limited, stage-dependent role. Routine dysphagia screening, deprescribing of unnecessary medications, and caregiver education addressing increasing dependence in daily activities should be integral components of the management of CF.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Geriatric Medicine education in Portuguese medical schools.","authors":"Joana Soares, Maria José Diógenes, Sofia Duque, Mariana Alves","doi":"10.1007/s41999-026-01599-4","DOIUrl":"https://doi.org/10.1007/s41999-026-01599-4","url":null,"abstract":"<p><strong>Purpose: </strong>Portugal is one of the most rapidly aging countries in Europe, highlighting the need for adequate undergraduate training in the care of older adults. However, Geriatric Medicine (GM) teaching in Portugal remains heterogeneous, and its alignment with the European Union of Medical Specialists (UEMS) undergraduate recommendations is unclear. We aim to map current GM education practices across Portuguese medical schools and to provide a national overview to support future curricular improvements.</p><p><strong>Methods: </strong>A descriptive observational study was conducted using an online structured questionnaire sent to the presidents of the pedagogical councils of all 11 Portuguese schools. The survey assessed the presence and characteristics of geriatrics teaching, including dedicated courses, mandatory or elective, and geriatrics content integrated into other curricular units, in accordance with the UEMS undergraduate framework.</p><p><strong>Results: </strong>Responses were obtained from 9 out of the 11 Portuguese medical schools. Five schools reported offering a mandatory geriatrics course, three as standalone courses, with European Credit Transfer and Accumulation System credits ranging from 1 to 8 (~ 28-224 h of estimated total student workload). Four schools reported offering an elective geriatrics course. Although most UEMS-recommended topics were addressed in schools with mandatory courses, several areas-including fecal incontinence, sexuality, palliative care, ethical and legal issues, and older people abuse-were inconsistently covered.</p><p><strong>Conclusion: </strong>GM teaching in Portugal remains uneven, with mandatory training present in only half of the medical schools and limited practical exposure. These findings highlight a gap between undergraduate medical education and the needs of future physicians caring for an aging population, supporting the need for curricular strengthening and greater national harmonization.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving diabetes management in older adults with cancer: a quality improvement project to enhance monitoring during steroid-based systemic anti-cancer therapy.","authors":"Evelyne Liuu, Rose Evans, Nathanael Bassas-Letissier, Gitanjali Amaratunga, Sarah Compton, Alexandros Georgiou, Tania Kalsi, Yuk-Fun Liu, James Maguire, Clare Nottage, Hannah L Rush, Carly Welch","doi":"10.1007/s41999-026-01585-w","DOIUrl":"https://doi.org/10.1007/s41999-026-01585-w","url":null,"abstract":"<p><strong>Purpose: </strong>Older adults undergoing systemic anti-cancer therapy (SACT) with steroids are at high risk of developing steroid-induced hyperglycaemia (SIH). However, monitoring and management remain inconsistent. This quality improvement project (QIP) involved developing and evaluating the GOLD diabetes enhanced monitoring pathway, a multidisciplinary, age-adapted initiative for older patients at intermediate SIH risk.</p><p><strong>Methods: </strong>The pathway was implemented at Guy's and St Thomas' NHS Foundation Trust between February 2022 and June 2025. This included collaborative planning, structured risk stratification, diabetes education, home capillary blood glucose monitoring, telephone follow-up by geriatric clinical nurse specialists, medication and safety protocols. Iterative refinements were made through seven Plan-Do-Study-Act (PDSA) cycles. The primary outcome was the rate of SIH requiring diabetes medication intervention, whilst secondary outcomes included changes in SACT/steroid regimens, unplanned hospitalisations, and all-cause mortality.</p><p><strong>Results: </strong>Of the 126 patients (58% male; median age 74 years [IQR: 70-79]; 77% with pre-existing diabetes), diabetes medication intervention was provided in 32%, primarily with the initiation or escalation of gliclazide. Only three asymptomatic hypoglycaemic events occurred. Unplanned hospitalisations occurred in 28% of patients (n = 35), with only two admissions related to diabetes. All-cause mortality (33%, n = 41) was associated with metastatic disease, malnutrition, and social isolation, but not with glycaemic control or diabetes intervention.</p><p><strong>Conclusion: </strong>The GOLD pathway appears feasible, safe, and effective in managing SIH in older adults with cancer. Its success highlights the value of multidisciplinary collaboration and iterative refinement in addressing a critical gap in geriatric oncology care, as well as supporting structured diabetes monitoring in clinical practice. Larger multi-centre implementation effectiveness evaluation will enable sustainable, cost-effective practice across diverse settings.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal trends in the incidence of falls and prevalence of risk factors for falls in community-dwelling older people in Ireland.","authors":"Kate Doyle, Caoimhe McGarvey, Siobhan Scarlett, Frank Moriarty, Amanda Lavan, Rose-Anne Kenny, Robert Briggs","doi":"10.1007/s41999-026-01602-y","DOIUrl":"https://doi.org/10.1007/s41999-026-01602-y","url":null,"abstract":"<p><strong>Purpose: </strong>Multifactorial falls risk assessment incorporates assessment of modifiable falls risk factors, including fall-risk-increasing drugs(FRIDs) identified by Screening Tool of Older Persons Prescriptions in older adults with high fall risk(STOPPFall), orthostatic hypotension(OH) and mobility(measured by Timed-Up-and-Go(TUG)). The aim of this study is to assess the prevalence of these falls risk factors and incidence of falls in a large population-based cohort of community-dwelling older people.</p><p><strong>Methods: </strong>Data from The Irish Longitudinal Study on Ageing(TILDA) Waves 1,3,and 6 was used. STOPPFall medications were recorded at each wave. OH was defined as an orthostatic drop in systolic blood pressure ≥20 mmHg(upon standing from sitting) and/or reporting orthostatic unsteadiness. Mobility impairment was defined by TUG ≥12 s. Falls were self-reported.</p><p><strong>Results: </strong>Participants aged ≥65 years at TILDA Waves 1(2009-2011,n=3507,mean age 73.3, 52.5% female), 3(2014-2015,n=3582,mean age 73.9, 54.2% female) and 6(2021-2023,n=3333,mean age 74.3, 55.3% female) were included. Incidence of all falls on weighted population analysis increased from 22.1% at Wave 1 (approximately 117,665 older people) to 29.8% at Wave 6 (approximately 228,007 people). Prevalence of STOPPFall medication use was high, with over 1 in 4 using one STOPPFall medication and over 1 in 7 using ≥2 STOPPFall medications across each wave. Over 1 in 5 of the population had OH and over 1 in 4 had mobility impairment at each wave.</p><p><strong>Conclusion: </strong>The incidence of falls among community-dwelling older adults is increasing, and the prevalence of falls risk factors is consistently high. This highlights the need to address falls risk factors in national falls prevention policies at population level to reduce the burden of falls and falls-related injuries.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of the European Geriatric Medicine Specialty Exam.","authors":"Román Romero-Ortuño, Mario Barbagallo, Sylvie Bonin-Guillaume, A Mark Clarfield, Jugdeep Dhesi, Sofia Duque, Maria Victoria Farré Mercadé, Albert Ferro, Christophe Graf, Olivier Guerin, Hege Beate Ihle-Hansen, Anna Björg Jónsdóttir, Jūratė Macijauskienė, Jean-Pierre Michel, Thomas Münzer, Maria S Nuotio, Karolina Piotrowicz, M Cristina Polidori, Regina Roller-Wirnsberger, Katrin Singler, Divya Tiwari, Eva Topinková, Rozemarijn Van Bruchem-Visser, Marianne van Iersel, Michael Vassallo, Tahir Masud","doi":"10.1007/s41999-026-01600-0","DOIUrl":"https://doi.org/10.1007/s41999-026-01600-0","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the development of the European Geriatric Medicine Specialty Exam (EGeMSE), from its early conception within the European Union of Medical Specialists-Geriatric Medicine Section (UEMS-GMS) to implementation of the first pilot examinations.</p><p><strong>Methods: </strong>This narrative article was based on a review of UEMS-GMS meeting minutes, European Geriatric Medicine Society (EuGMS) educational documents, appendices, reports, presentations, policy documents, and other relevant archival and publicly available sources. The evolution of the EGeMSE was reconstructed chronologically.</p><p><strong>Results: </strong>Discussions regarding a European Geriatric Medicine examination began in 2003 and evolved through successive working groups addressing postgraduate training, curricula, and assessment. During the following decade, the initiative became closely linked to development of a common European postgraduate curriculum and collaborative educational structures involving the UEMS-GMS, EuGMS, European Academy for Medicine of Ageing, International Association of Gerontology and Geriatrics-European Region, and other organisations. From 2018 onwards, the UEMS-GMS proposed a formal partnership with the British Geriatrics Society and the Federation of the Royal Colleges of Physicians of the United Kingdom, enabling adaptation of an established examination model to create a two-paper, multiple-choice, English-language European postgraduate examination. Following the first pilot examination in April 2025, the EGeMSE was recommended as a benchmark assessment of specialist knowledge within the 2025 European Training Requirements for the Specialty of Geriatric Medicine.</p><p><strong>Conclusion: </strong>The EGeMSE represents the culmination of more than 2 decades of European collaboration and provides a voluntary benchmark for specialist knowledge that supports the harmonisation of postgraduate Geriatric Medicine education across Europe.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, acceptability, and preliminary effects of the Join4Joy approach for older adults living in nursing homes: a multicentre mixed-methods feasibility study.","authors":"Erika Karkauskiene, Laura Coll-Planas, Andrea Fuente-Vidal, Damaso Sanchez, Nadine Barth, Dhayana Dallmeier, José Luis Socorro-Cumplido, Maria Giné-Garriga, Paolo Caserotti, Guillaume Lefebvre, Javier Jerez-Roig","doi":"10.1007/s41999-026-01547-2","DOIUrl":"https://doi.org/10.1007/s41999-026-01547-2","url":null,"abstract":"<p><strong>Purpose: </strong>Nursing home residents increasingly enter care with advanced frailty, multimorbidity, and functional dependence, underscoring the need for engaging, adaptable physical activity (PA) programmes. Join4Joy is a co-created approach designed to promote movement and social connection among older adults through enjoyable activities. This study examined its feasibility, acceptability, and preliminary effects across five nursing homes in Spain, France, and Germany.</p><p><strong>Methods: </strong>This multicentre mixed-method study (ClinicalTrials.gov: NCT06100835) was delivered in two phases. Residents aged ≥ 65 years participated in 12 weekly 60-min PA sessions. Feasibility was assessed through attendance, procedural indicators, data completion, and retention; acceptability was evaluated using participant satisfaction and qualitative feedback, while safety was monitored throughout. Quantitative assessments evaluated physical function (SPPB), daily functioning (modified Barthel Index), quality of life (EQ-5D-5L), PA and sedentary behaviour (IPAQ-SF, SBQ, accelerometry), perceived improvement (PGI-I), and enjoyment (PACES-SF). Qualitative interviews and focus groups explored participant experiences.</p><p><strong>Results: </strong>Of 81 enrolled residents, 75 completed the intervention (retention = 92.6%). Attendance was high (73.8-95.0%), no adverse events occurred. Quantitative outcomes indicated small favourable or no changes in physical and daily functioning, quality of life, PA and sedentary behaviour, perceived improvement, and enjoyment. Qualitative themes highlighted enjoyment, social connection, confidence, and the value of tailored, playful activities, confirming high acceptability.</p><p><strong>Conclusion: </strong>Join4Joy is safe, feasible to deliver, and well received, demonstrating the viability of a future definitive trial. Future large-scale evaluations should integrate holistic psychosocial metrics like enjoyment and social connection alongside biomedical outcomes to fully assess co-created PA approaches in long-term care geriatric settings.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DXA-BIA discordance in low muscle mass and sarcopenia among older Korean adults under the AWGS 2025 criteria.","authors":"Junghyeon Hyeon","doi":"10.1007/s41999-026-01595-8","DOIUrl":"https://doi.org/10.1007/s41999-026-01595-8","url":null,"abstract":"<p><strong>Purpose: </strong>To compare dual-energy X-ray absorptiometry (DXA)- and bioelectrical impedance analysis (BIA)-based classifications of low muscle mass and sarcopenia under the Asian Working Group for Sarcopenia (AWGS) 2025 criteria.</p><p><strong>Methods: </strong>We analyzed nationally representative 2024 Korea National Health and Nutrition Examination Survey data from 1178 adults aged ≥65 years with both DXA and BIA measurements (survey-weighted mean age, 72.1 years; 54.3% women). Sarcopenia analyses included 1121 participants with handgrip-strength data, including 131 with low handgrip strength. Low muscle mass was defined using modality-specific height-adjusted, body mass index (BMI)-adjusted, and combined height-or-BMI criteria. Survey weights were used for prevalence estimates, whereas agreement statistics were unweighted.</p><p><strong>Results: </strong>Under the combined criterion, low-muscle-mass prevalence was 83.0% by DXA and 55.5% by BIA; observed agreement was 65.4%, and Cohen's kappa was 0.246. Observed agreement was highest for the BMI-adjusted criterion (50.6% vs 41.1%; agreement, 79.8%; kappa, 0.598) and lowest for the height-adjusted criterion (70.8% vs 28.8%; agreement, 56.5%; kappa, 0.258). Among participants with low handgrip strength, combined low-muscle-mass prevalence was 93.1% by DXA and 80.3% by BIA, with 18 DXA-positive/BIA-negative and 4 DXA-negative/BIA-positive classifications. Sarcopenia prevalence was 10.0% by DXA and 8.7% by BIA (kappa, 0.895); 990 participants with normal handgrip strength were concordantly non-sarcopenic.</p><p><strong>Conclusion: </strong>DXA and BIA yielded method-dependent low-muscle-mass classifications under AWGS 2025. Similar overall sarcopenia prevalence largely reflected the shared handgrip-strength requirement, whereas discordance persisted among participants with low handgrip strength.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}