Table 2.
Frequency (percentage) of hip fracture patients (n = 71) presenting above or below each diagnostic parameter for geriatric cachexia
Diagnostic parameters | Above diagnostic criteria (n, %) | Below diagnostic criteria (n, %) |
---|---|---|
BMI ≤22 kg m2 | 61 (85.9 %) | 10 (14.1 %) |
ASM index (kg m2): ≤7.25 men; ≤5.45 womena | 49 (69 %) | 22 (31 %) |
Isometric grip-strength: ≤27.3kg men; ≤16.3 kg womenb | 31 (43.7 %) | 40 (56.3 %) |
Dietary energy intake ≤70 % estimated energy requirementsa | 42 (59.2 %) | 29 (40.8 %) |
SNAQ score ≤14c | 21 (29.6 %) | 50 (70.4 %) |
MUAMC: ≤23.49 cm men; ≤20.84 womenb (n = 142) | 39 (54.9 %) | 32 (45.1 %) |
BMI body mass index, ASM appendicular skeletal muscle, SNAQ Simplified Nutritional Appetite Questionnaire, MUAMC mid-upper arm muscle circumference
aDiagnostic cut-offs from the proposed diagnostic algorithm for cachexia were derived from Evans et al. [18]
bScreening tool diagnostic criteria cut-offs for isometric hand-grip strength and MUAMC were obtained from wave 1 of the Australian Longitudinal Study of Ageing (ALSA) [35]
cA score ≤14 for SNAQ identifies persons with anorexia at risk of significant weight loss of at least 5 % within 6 months [38]