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1. Sarcopenia is independently associated with diabetic foot disease

Author

Qingfeng Cheng, Jinbo Hu, Ping Yang, Xueting Cao, Xuefeng Deng, Qin Yang, Zhiping Liu, Shumin Yang, Richa Goswami, Yue Wang, Ting Luo, Kun Liao, and Qifu Li

Subjects
Medicine, Science
Abstract

Abstract The aim of this study was to investigate the association of sarcopenia and diabetic foot disease (DFD) in a cross-sectional study. Body composition was assessed using dual-energy X-ray-absorptiometry (DXA) among 1105 patients with type 2 diabetes (120 patients with newly diagnosed DFD [DFD duration less than 3 months]). Severity of DFD was assessed, referring to foot ulcers, Wagner grade and the percentage of amputation. Skeletal muscle index (SMI) was calculated, and sarcopenia was defined as SMI less than 7.0 kg/m2 (in men) or 5.4 kg/m2 (in women). SMI was significantly decreased in patients with DFD compared to patients without (6.79 ± 1.20 vs. 7.21 ± 1.05 kg/m2, P

Published
2017
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2. Sarcopenia is independently associated with diabetic foot disease

Author

Ting Luo, Jinbo Hu, Liu Zhiping, Kun Liao, Yue Wang, Shumin Yang, Xueting Cao, Qin Yang, Qingfeng Cheng, Richa Goswami, Xuefeng Deng, Ping Yang, and Qifu Li

Subjects
Male, Sarcopenia, medicine.medical_specialty, Cross-sectional study, medicine.medical_treatment, Science, 030209 endocrinology & metabolism, Type 2 diabetes, Severity of Illness Index, Article, 03 medical and health sciences, Absorptiometry, Photon, 0302 clinical medicine, Diabetes mellitus, Internal medicine, Severity of illness, medicine, Humans, Aged, Multidisciplinary, business.industry, Confounding, Middle Aged, medicine.disease, musculoskeletal system, Diabetic foot, Diabetic Foot, Surgery, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Amputation, Medicine, Female, business, human activities, 030217 neurology & neurosurgery
Abstract

The aim of this study was to investigate the association of sarcopenia and diabetic foot disease (DFD) in a cross-sectional study. Body composition was assessed using dual-energy X-ray-absorptiometry (DXA) among 1105 patients with type 2 diabetes (120 patients with newly diagnosed DFD [DFD duration less than 3 months]). Severity of DFD was assessed, referring to foot ulcers, Wagner grade and the percentage of amputation. Skeletal muscle index (SMI) was calculated, and sarcopenia was defined as SMI less than 7.0 kg/m2 (in men) or 5.4 kg/m2 (in women). SMI was significantly decreased in patients with DFD compared to patients without (6.79 ± 1.20 vs. 7.21 ± 1.05 kg/m2, P P P = 0.027) after controlling confounders including age, diabetic duration and diabetic chronic complications. In DFD group, patients with sarcopenia exhibited more foot ulcers, higher Wagner grade and greater percentage of amputation compared to patients without sarcopenia. We conclude that sarcopenia is independently associated with DFD. Worse prognosis is seen in patients with DFD accompanied by sarcopenia.

Published
2017

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