SARCOPENIA AND

Aulia Rizka
Division of Geriatric Medicine

Department of Internal Medicine

OSTEOPOROSIS
Faculty of Medicine Universitas Indonesia
Cipto Mangunkusumo Genera lHospital

d.auliarizka@yahoo.co.id
CURRICULUM VITAE
Education:
•MD – Faculty of Medicine Airlangga
University, 2007
•Internist – FMUI, 2012
•Master in Medical Education– FMUI, 2015
•Geriatric Consultant – FMUI 2016
•PhD Biomedicine – FMUI 2017

Position:
•Staff Geriatric Division Department on
Internal Medicine CM Hospital-FMUI
•Researcher, Metabolic Vascular Aging
Cluster IMERI FMUI
 Sarcopenia:
Muscle changes in
definition, diagnosis,
ageing process
intervention

Topics
Intervention to
Osteosarcopenia:
combat
what and how?
osteosarcopenia
 Muscle
Changes
with Age

Int J of Molecul Medicine

2012;30:4
Muscle Strength and Sarcopenia
Age and Ageing 2019;48:1
Definition of Sarcopenia (2018)
Sarcopenia is a progressive and
generalised skeletal muscle
Muscle disease:
disorder that is associated with low muscle
Begin early in life
increased likelihood of adverse strength>low
outcomes including falls, muscle mass
fractures, physical disability
and mortality Low muscle quality
and quantity

• Age and Ageing 2019;48:1

 EWGSOP
Diagnosis
Criteria of
Sarcopenia

• Age and Ageing 2019;48:1

Case Finding: SARC-F questionnaire

Hongkong J Med 2016:22(3):294

 TITIK POTONG
EWGS IWGS AWGS

Massa otot SMI SMI SMI

L: <7,26 kg/m2 L : ≤7,23 kg/m2 L : <7 kg/m2
P: <5,5 kg/m2 P : ≤5,67 kg/m2 P : <5,4 kg/m2
Kekuatan genggam
tangan L : <30 kg L: <26 kg
P: <20 kg P: <18 kg

Kecepatan berjalan < 0,8 m/detik < 1 m/detik <0,8 m/detik

(gait speed)

Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian working group
for sarcopenia. J Am Med Dir Assoc. 2014;15:95–101.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis.
Age Ageing. 2010;39:412–23.
DIAGNOSIS
Sarkopenia
(Asia)

Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc.
2014;15:95–101.
Prevalence
of
Sarcopenia

Rev. bras. geriatr. gerontol. vol.18 no.3 Rio de

Janeiro July/Sept. 2015
Sarcopenic Obesity

Nutrition and Aging 2015;3:147-140

 Possible
intervention

Nature Reviews Rheumatology volume 13, pages 340–347 (2017)

osteosarcopenia
Aging Res Reviews 2014;11(2):320-4
 Muscle and
Bone Loss

Physiology
DOI:10.1152/physiol.00033.2014
Bone 2015;80:126-30
Balance in
elderly with
osteoporosis

J of Hormosan Med Assoc 2014:113:334-9

 Risk Factors of Osteosarcopenia
Osteoporosis Sarcopenia Osteosarcopenia
Maternal history of hip fracture Low albumin Older age
Stroke Female
Hyperlipidemia High alcohol intake
Oral steroids
Menopause
Low protein intake
Low BMI
Current smoking
Low dietary calcium
Low serum vitamin D
Hypogonadism
Hyperparathyroidism
Obesity
Rheumatoid arthritis
CKD
Low mobility and function
Aus Fam Physician 2017;11
Recommended tests to identify secondary
Osteosarcopenia
Osteosarcopenic
obesity
Int J of Women Health 2017:9:33-42
Ageing Res Reviews 2014;15:51-60
J of Sarcopenia, Cachexia, Muscle 2014:5:183-192

Effect of Osteosarcopenic
Obesity
 Older persons with osteosarcopenia has
been proposed as a subset of frailer
individuals at higher risk of
institutionalization, falls, and fractures

Conclusion
Interventions such as resistance training,
adequate protein and calcium dietary intake,
associated with maintenance of appropriate
levels of vitamin D, have a dual positive
effect on bone and muscle, reducing falls,
fractures, and, consequently, disability.

Osteoporos Int. 2017 Oct;28(10):2781-2790

Thank You