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RELATIONSHIP OF PHASE ANGLE WITH SARCOPENIA COMPONENTS AND COMPREHENSIVE GERIATRIC ASSESSMENT IN PHYSICALLY INDEPENDENT OLDER ADULTS

FATMA ÖZGE KAYHAN KOÇAK, SUMRU SAVAŞ, ASLİ KİLAVUZ, SİBEL ÇAVDAR

European Journal of Geriatrics and Gerontology - 2024;6(3):208-215

University of Health Sciences Turkey Tepecik Education and Research Hospital, Division of Geriatric Medicine, Department of Internal Medicine, İzmir, Turkey

 

Objective: This study aimed to investigate the relationship between phase angle (PhA), sarcopenia components, and comprehensive geriatric assessment in physically independent older adults. Materials and Methods: This cross-sectional study involved 135 physically independent older adults admitted to a geriatric outpatient clinic. All participants underwent bioelectrical impedance analyses and comprehensive geriatric assessments. The individuals were investigated in two groups regarding PhA: 1st versus 2nd and 3rd terciles. The individuals in the first tercile were considered to have low PhA (for women <4.6° and men <5.4°). Results: The prevalence of individuals with low PhA was 22% (n=30). PhA was correlated with hand grip strength (HGS) and appendicular skeletal muscle mass (ASMM) overall (r=0.523; p<0.001, r=0.335; p<0.001, respectively). A moderately positive, moderately significant correlation was found between PhA and ASMM in males (r=0.618; p<0.001), with the highest significance of all. In univariate analysis, components of sarcopenia and comprehensive geriatric assessments were not associated with low PhA values overall and in the male group (p>0.05). Only ASMM was significantly associated with low PhA in the univariate and multivariate analyses in the female group (p=0.02 and p=0.03, respectively). Conclusion: Challenges such as the use of different formulas for calculating ASMM and various cutoff values for different ethnic groups can be barriers to ASMM assessment. PhA might be a simple predictor of ASMM in physically independent older women.