title: Sarcopenia assessment project in the nursing homes in Turkey.
abstract: OBJECTIVE
  Sarcopenia and sarcopenic obesity (SO) are geriatric syndromes leading to physical disability, poor quality of life and death. The aim of this study was to investigate the prevalence of sarcopenia and SO in nursing homes in Turkey and to define local disparities for diagnosing sarcopenia and SO.
  
  
  METHODS
  This cross-sectional multicenter study was performed in 711 patients in 14 nursing homes. Comprehensive geriatric assessment tests, handgrip strength and calf circumference (CC) measurements were carried out. Sarcopenia was both defined by handgrip strength and CC criteria.
  
  
  RESULTS
  According to handgrip strength measurement, 483 (68%) of patients were sarcopenic (male: 72%, female: 63.8%), 228 were non-sarcopenic. The prevalence of SO was 22% (13.7% in men, 30.2% in women). Patients (82.5%) who were diagnosed as sarcopenic by the handgrip strength test were not sarcopenic according to CC sarcopenia criteria. Therefore, we tried to determine the optimal CC value for diagnosing sarcopenia in our population.
  
  
  CONCLUSIONS
  Both sarcopenia and SO were prevalent among Turkish nursing home elderly residents. Most of the patients with sarcopenia were obese or overweight. We showed that diagnosing sarcopenia with CC measurement underestimated the sarcopenia prevalence assessed by handgrip strength. So we concluded that, although different assessment methods are recommended for the diagnosis of sarcopenia local disparities should be considered.
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Halil
authors.affiliation: Gazi University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Z
authors.initials: Z
authors.lastname: Ulger
authors.affiliation: Ankara University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Varlı
authors.affiliation: Istanbul University, Faculty of Cerrahpasa Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Döventaş
authors.affiliation: Istanbul University, Faculty of Istanbul Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: G B
authors.initials: GB
authors.lastname: Oztürk
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: M E
authors.initials: ME
authors.lastname: Kuyumcu
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: B B
authors.initials: BB
authors.lastname: Yavuz
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Yesil
authors.affiliation: Istanbul University, Faculty of Istanbul Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Tufan
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Cankurtaran
authors.affiliation: Istanbul University, Faculty of Istanbul Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Saka
authors.affiliation: Ege University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Izmir, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Sahin
authors.affiliation: Istanbul Bilim University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Curgunlu
authors.affiliation: Narlidere Geriatric Care Center and Residential Home, Izmir, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Tekin
authors.affiliation: Ege University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Izmir, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Akçiçek
authors.affiliation: Istanbul University, Faculty of Istanbul Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: M A
authors.initials: MA
authors.lastname: Karan
authors.affiliation: Ankara University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Atlı
authors.affiliation: Istanbul University, Faculty of Cerrahpasa Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Beger
authors.affiliation: Istanbul University, Faculty of Cerrahpasa Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Istanbul, Turkey.
authors.forename: D S
authors.initials: DS
authors.lastname: Erdinçler
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Arıoğul
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D049628:Body Size; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D018737:Hand Strength; D006801:Humans; D007866:Leg; D008297:Male; D018482:Muscle, Skeletal; D009735:Nursing Homes; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D011788:Quality of Life; D055948:Sarcopenia / Q000175:diagnosis* / Q000453:epidemiology*; D012737:Sex Factors; D014421:Turkey / Q000453:epidemiology