Sarcopenia Clinical Trial
Official title:
Interest of a Tongue Strength Measurement in the Screening for Sarcopenia in Hospitalized Elderly Patients
Sarcopenia is a syndrome characterized by a progressive and generalized loss of skeletal
muscle mass, strength and function that increases the risk of physical dependence, impaired
quality of life and mortality. This is a major public health problem. Indeed, its prevalence
has been estimated at 63.8% for elderly patients hospitalized in acute geriatric unit.
Several methods of sarcopenia screening exist at present. The European Working Group on
Sarcopenia in Older People (EWGSOP) proposes to carry out three examinations for the
diagnosis of sarcopenia: the Dual-Energy X-ray Absorptiometry (DEXA) test and two motor tests
(walking speed and hand test). These measurements have already been evaluated and validated.
They are reliable, inexpensive and easily achievable in clinical routine.
Recent studies have shown that decreased muscle mass and / or strength could be associated
with dysphagia. Indeed, many muscles of the head and neck are simultaneously solicited for
swallowing coordination. This suggests that a reduction in the mass or strength of these
muscles could impact the swallowing function. The investigator's hypothesize that loss of
lingual muscle strength may be associated with sarcopenia. The study will measure the tongue
strength using the Iowa Oral Performance Instrument (IOPI) in a geriatric population with or
without sarcopenia.
- Determine the incidence of lingual hypotonia in hospitalized elderly sarcopenia
patients.
- To compare the sensitivity, the specificity of the measurement of the force of the
tongue with the usual measures proposed by the EWGSOP in the context of screening for
sarcopenia.
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