Polypharmacy and sarcopenia in hospitalized older patients: results of the GLISTEN study

Aging Clin Exp Res. 2019 Apr;31(4):557-559. doi: 10.1007/s40520-019-01136-3. Epub 2019 Feb 18.

Abstract

Background: Recently the Berlin Aging Study II (BASE-II) showed that polypharmacy is associated with clinically relevant sarcopenia among community-dwelling older persons. Here we report findings from the GLISTEN study about the association of polypharmacy with sarcopenia among older medical in-patients.

Methods: The GLISTEN study investigated prevalence and clinical correlates of sarcopenia in older patients admitted to geriatric and internal medicine acute care wards of 12 Italian hospitals.

Results: In this sample of older medical in-patients with high prevalence of sarcopenia (34.7%) and polypharmacy (70.2%) we did not observe a significant association of polypharmacy with sarcopenia.

Conclusions: Present findings demonstrate that the association of polypharmacy with sarcopenia, observed in the BASE-II study, is not evident in the GLISTEN sample, being our patients significantly older, more multi-morbid, with high prevalence of sarcopenia and polypharmacy, suggesting that this association might vary according to the heterogeneous health, functional, and nutritional characteristics of older people.

Keywords: In-patients; Polypharmacy; Sarcopenia; Skeletal muscle.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment*
  • Humans
  • Independent Living / statistics & numerical data
  • Italy
  • Male
  • Polypharmacy*
  • Prevalence
  • Risk Factors
  • Sarcopenia / epidemiology*
  • Sarcopenia / etiology