Heart failure & cardiomyopathies

Sarcopenia Prognosis Using Dual-Energy X-Ray Absorptiometry and Prediction Model in Older Patients with Heart Failure

ESC Heart FailPublished Cohort study

Authors' conclusion

Sarcopenia diagnosed using DEXA was associated with poor prognosis in older patients with HF; however, the prediction equations were not.

Study context

Population
Patients aged ≥65 years hospitalised for heart failure (HF); median age 83 years, 50.2% men
Participants
269 patients
Exposure
Sarcopenia by DEXA vs by ASM prediction equations
Outcome
All-cause mortality
Follow-up
Median 690 days (IQR: 459-730)

Main finding

As reported in the abstract

All-cause mortality (54 patients [19.9%] died) · median follow-up 690 days
Hazard ratio (95% CI)P value
DEXA-sarcopeniaadjusted for pre-existing risk factors
2.33(1.26–4.31)
P = 0.007
Predicted-sarcopeniaadjusted
1.68(0.87–3.25)
P = 0.123
Anthropometric-sarcopeniaadjusted
1.64(0.86–3.12)
P = 0.132

Observational data: associations, not effects.

Further findings

Prevalence of sarcopenia

Original publication

Sarcopenia Prognosis Using Dual-Energy X-Ray Absorptiometry and Prediction Model in Older Patients with Heart Failure. ESC Heart Fail. Published 11 January 2024. doi:10.1002/ehf2.14667

Summarised from the published abstract; every number is checked against it

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