Association between malnutrition and stages of sarcopenia in geriatric rehabilitation inpatients: RESORT

BACKGROUND & AIMS

Malnutrition and sarcopenia coexist in older adults, yet they remain largely undiagnosed and untreated, despite available interventions. This study aimed to assess the prevalence, the coexistence of, and the association between malnutrition and sarcopenia in geriatric rehabilitation inpatients.

METHODS

REStORing health of acutely unwell adulTs (RESORT) is an observational, longitudinal cohort of geriatric rehabilitation inpatients. The association between malnutrition, diagnosed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia according to the revised definition of the European Working Group on Sarcopenia in Older People (EWGSOP2) (no sarcopenia, probable sarcopenia, confirmed sarcopenia and severe sarcopenia) was determined using multinomial logistic regression analyses, adjusted for age, sex, comorbidities and cognitive impairment.

RESULTS

Out of 506 geriatric rehabilitation inpatients, 51% were malnourished, 49% had probable sarcopenia, 0.4% had confirmed sarcopenia (non-severe) and 19% had severe sarcopenia. Malnutrition and probable sarcopenia and malnutrition and confirmed/severe sarcopenia coexisted in 23% and 13% of the 506 patients respectively. Malnutrition was not associated with probable sarcopenia (OR = 0.91, 95% CI = 0.58-1.42, p = 0.674) but with severe sarcopenia (OR = 2.07, 95% CI = 1.13-3.81, p = 0.019).

CONCLUSION

The prevalence, coexistence of, and the association between malnutrition and severe sarcopenia in geriatric rehabilitation inpatients warrant diagnosis at admission. Further research into feasible and effective interventions to counteract both conditions to improve geriatric rehabilitation outcomes is needed.

Field gradient imaging of nanoparticle systems: analysis of geometry and surface coating effects

In this work we compare the standard imaging of various types of nanoparticles deposited on surfaces by atomic force microscopy (AFM) with a complementary analysis of the same samples by either electrostatic force microscopy (EFM) or magnetic force microscopy (MFM). Experiments were carried out on gold nanoparticles (decahedrons and stars) and two different iron oxide systems: goethite (alpha-FeOOH) and hematite (alpha-Fe(2)O(3)). Regardless of the particular geometry, the EFM signal appears to be stronger on edges or tips of pure gold nanoparticles. Both EFM and MFM experiments were also carried out on iron oxide particles. Apart from the structural analysis, we analyzed the influence of a shell layer deposited on the gold and iron oxide particles, the shell being amorphous SiO(2). Although the silica layer was found to have an insulating effect around the particles, in all cases EFM/MFM measurements could still be performed by the proper choice of the scan lift height (with an eventual slight increase of the sample bias, where applicable).