PD387 - INVESTIGATION OF SARCOPENIA, FRAILTY, AND QUALITY OF LIFE IN OLDER ADULTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

PD387

INVESTIGATION OF SARCOPENIA, FRAILTY, AND QUALITY OF LIFE IN OLDER ADULTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

E. Ertal Akgoz¹, S. Kahraman¹, M. Mahmutoglu^1,2, F. Celik¹, M. Ilengiz^1,*

¹Nutiriton and Dietetics, Biruni University, ²Medikare Dialysis Centers, Istanbul, Türkiye

Rationale: Chronic kidney disease (CKD) is associated with impaired nutritional status, decreased physical function, and an increased risk of frailty, particularly in older adults. Sarcopenia and frailty are prevalent in patients with CKD. Although these conditions become more pronounced in individuals undergoing hemodialysis, they are not routinely assessed in clinical practice. This study aimed to investigate sarcopenia, frailty, and quality of life in older adults receiving hemodialysis.

Methods: This study was conducted with 40 randomly selected individuals aged 65 years and older who applied to the Medikare Bağcılar Dialysis Center in Istanbul. Sarcopenia risk was screened using the SARC-F, and handgrip strength was measured using a Jamar handgrip dynamometer. Frailty status was assessed using the FIND Scale, and quality of life was evaluated using the SF-12 Health Survey.

Results: Possible sarcopenia was identified in 57.5% of the participants, disability in 50%, and frailty in 25%. When evaluated according to sex, SARC-F and FIND disability scores were found to be significantly higher in women compared to men (p<0.05). Total disability and frailty scores were significantly higher in individuals with possible sarcopenia. No significant difference was found in quality of life scores according to sarcopenia, frailty, and disability status (p>0.05). While a negative correlation was found between right and left handgrip strength and disability and SARC-F scores, a positive correlation was found between age and SARC-F score.

Conclusion: Sarcopenia and disability were found to be common in older adults undergoing hemodialysis. Advanced age, low muscle strength, and increased levels of disability were strongly associated with frailty and sarcopenia. However, no significant difference was found in quality of life according to fraility and sarcopenia status.

Disclosure of Interest: None declared