PD985 - IMPACT OF SARCOPENIC OBESITY ACCORDING TO ESPEN-EASO APPROACH ON FUNCTIONAL STATUS OF HOSPITALIZED OLDER ADULTS

PD985

IMPACT OF SARCOPENIC OBESITY ACCORDING TO ESPEN-EASO APPROACH ON FUNCTIONAL STATUS OF HOSPITALIZED OLDER ADULTS

M. Bianchini^1,*, G. Gortan Cappellari¹, P. De Colle², G. Castiglia², R. Barazzoni¹, M. Zanetti¹

¹University of Trieste, ²Geriatric Unit, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy

Rationale: Sarcopenic obesity (SO) is linked with adverse clinical outcomes in older adults. The aim of this study was to assess the correlations of SO in hospitalized older patients using the ESPEN-EASO approach.

Methods: Observational study conducted in a geriatric unit of an academic hospital including 453 older adults admitted from Emergency Department. Patients underwent obesity screening, measurement of handgrip strength (HGS, dynamometry) and of body composition (by bioimpedance analysis). SO was defined as low HGS, reduced skeletal muscle mass (SMM) % body weight (BW) and increased fat mass % BW; cut-offs were defined according to the ESPEN-EASO approach. Patients with positive screening not included in the SO group were defined obese (OB). Those with negative screening, reduced SMM % BW and HGS were included in the sarcopenic (SARC) group, the remaining in the control group (NS-NO). Functional status was investigated by IADL and by ADL at admission, during hospitalization and at discharge.

Results: Among enrolled patients (mean age: 84.9±7.0 y, F: 236, 52.1%), 36 (7.9%) met the criteria for SO, 65 (14.3%) for OB, 98 (21.0%) for SARC and 254 (56.7%) for NS-NO. In multivariate analysis only SO demonstrated an increased (p=0.027) risk of impaired ADL at discharge (OR: 2.9, CI: 1.09-7.74) independently of disease severity or comorbidities, while OB did not (OR: 0.75, CI: 0.43-1.32, p=0.316). Age, malnutrition and cognitive impairment, were independently associated with reduced ADL at admission and at discharge and with IADL, but not with functional recovery at discharge.

Conclusion: SO and OB show distinct effects on functional impairment and recovery at discharge, underlining the need for targeted interventions in hospitalized older adults.

Disclosure of Interest: None declared