A pilot observational study measuring acute sarcopenia in older colorectal surgery patients

Research output: Contribution to journalArticle

External organisations

  • Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. welchc@bham.ac.uk.
  • Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK. welchc@bham.ac.uk.
  • School of Sport, Exercise and Rehabilitation Sciences; University of Birmingham; Edgbaston Birmingham B15 2TT UK
  • MRC Arthritis Research UK Centre for Musculoskeletal Ageing Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
  • National Institute for Health Research (NIHR), Birmingham Biomedical Research Centre, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
  • University Hospital Birmingham Foundation Trust, Queen Elizabeth Hospital Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK.
  • Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
  • Neuroscience & Ophthalmology Research Group, Institute of Inflammation & Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, B15 2TT, Birmingham, UK. l.j.hill@bham.ac.uk.

Abstract

OBJECTIVE: To explore variability in acute changes in muscle mass and function in older patients undergoing elective colorectal surgery, as well as feasibility of measures, in order to refine study processes to inform the protocol for a larger study.

RESULTS: Results are presented for seven participants recruited to this pilot study. It is possible to perform serial measurements of bilateral anterior thigh thickness (BATT) and handgrip strength prior to, within 24 h of surgery, and 1 week postoperatively. Gait speed can be reliably measured preoperatively and at 1 week postoperatively. In this pilot study, BATT and gait speed declined at 1 week postoperatively (median BATT 4.17 cm, 3.47 cm, p = 0.028; median gait speed 0.89 m/s, 0.83 m/s, p = 0.043). Baseline hsCRP correlated with change in BATT (τb = 0.73, p = 0.04) and baseline DHEA-S correlated with change in gait speed (τb = 0.87, p = 0.02). This pilot study has assisted to refine the protocol for our larger study, which will further characterise these changes.

Details

Original languageEnglish
Article number24
JournalBMC Research Notes
Volume12
Issue number1
Publication statusPublished - 14 Jan 2019

Keywords

  • Acute sarcopenia, Aged, Biomarkers, Inflammation