FRI0243 SARCOPENIA IS ASSOCIATED WITH MALNUTRITION IN PATIENTS WITH SYSTEMIC SCLEROSIS

2020 
Background: Sarcopenia is one of the major health problems in older patients and is defined as a progressive decrease in muscle mass and function1. Sarcopenia has only rarely been studied in systemic sclerosis (SSc) and its impact in clinical characteristics of SSc is poorly investigated. Objectives: To evaluate the associations between sarcopenia and clinical features in SSc patients. Methods: Cross-sectional study, including 82 patients who met the ACR/EULAR 2013 classification criteria for SSc. Dual-energy X-ray absorptiometry, handgrip strength, and short physical performance battery were used to assess sarcopenia according the European Working Group on Sarcopenia in Older People’s (EWGSOP) diagnostic criteria updated in 20191. Malnutrition was evaluated according to the European Society of Clinical Nutrition and Metabolism (ESPEN)2, using the Malnutrition Universal Screening Tool (MUST) to screen risk for malnutrition. Results: The mean age was 60.4 years and 91.5% were women (table 1). Sarcopenia was identified in 15 (18.3%) SSc patients. Malnutrition was diagnosed in 12 (14.6%) and was more common in patients with sarcopenia (P=0.038). Also, there were significant differences between patients with and without sarcopenia regarding Body Mass Index (P=0.001), Fat Free Mass Index (P Conclusion: Sarcopenia is relatively common and is associated with malnutrition in patients with SSc. In our population, sarcopenia was not associated with other features related to a more severe disease. The role of sarcopenia in the prognosis of SSc needs to be better understood in longitudinal studies. References: [1]Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. [2]Cederholm T, Bosaeus I, Barazzoni R, et al. Diagnostic criteria for malnutrition - An ESPEN Consensus Statement. Clin Nutr. 2015;34(3):335-40 Disclosure of Interests: Vanessa Hax: None declared, Rafaela Cavalheiro do Espirito Santo: None declared, Emerson Pena: None declared, Luisa Rodrigues: None declared, Renata Ternus Pedo: None declared, Jordana Miranda de Souza Silva: None declared, Nicole Pamplona Bueno de Andrade: None declared, Andrese Aline Gasparin: None declared, Ricardo Xavier Consultant of: AbbVie, Pfizer, Novartis, Janssen, Eli Lilly, Roche, Rafael Mendonca da Silva Chakr: None declared
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