Evaluation of the SARC-F Score as a Screening Tool for Undernutrition in a Geriatric Population

Study Overview
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Brief Summary
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To study the relationship between sarcopenia and undernutrition in adult patients over 70 years of age, and at the same time to define a threshold value for the predictive SARC-F score of undernutrition. Hypothesis : the SARC-F score is correlated with malnutrition defined according to the following HAS criteria : Moderate denutrition Severe denutrition

Detailed Description
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The geriatric population is a population at risk, given the frequent and numerous comorbidities present. Undernutrition is one of these, which is frequently associated with sarcopenia, that is, a decrease in muscle strength. Its screening must be early to avoid complications (osteoporosis, fractures, infections ...) and given the cost it generates for society. However, the detection of undernutrition can sometimes be time-consuming and its criteria in default, such as in the presence of edema or obesity, for example. There is a score, the SARC-F, which allows to detect sarcopenia from a result greater than or equal to 4, but which does not allow direct detection of undernutrition. The primary objective is to evaluate the SARC-F score as a screening tool for undernutrition in a geriatric population, secondary objectives being to find a threshold value at this score, and also to estimate a prevalence of undernutrition in this population. It will be a cross-sectional exploratory study to evaluate a diagnostic tool, the SARC-F score, with comparison between cases and controls. The study will be conducted in a single center, a geriatric short-stay service. Participation in the study will be offered to any patient admitted to the geriatric ward, those who meet the inclusion criteria and do not have exclusion criteria will have to complete the SARC-F questionnaire during their stay, and to do the handgrip test and impedancemetry performed by a third party. Biological data (albumin, pre-albumin and C-Reactive Protein) and anthropometric data will be collected and analyzed to determine if the patient is malnourished or not, and the results of SARC-F will be compared between these 2 groups.

Official Title
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Evaluation of the SARC-F Score as a Screening Tool for Undernutrition in a Geriatric Population

Conditions
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Denutrition, Sarcopenia

Intervention / Treatment
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* Other: SARC-F score, handgrip test and impedancemetry


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 70 years and over living at home or in nursing homes in Puy-de-Dôme sent in short geriatric stay at the Grand Pré clinic by their general practioner, an emergency department or an EHPAD Exclusion Criteria: refusal to participate in the study severe dementia preventing answering SARC-F questions no fluency in the French language patient with a pacemaker (contraindication of the use of impedancemetry)

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group/Cohort 1<br>all patient SARC-F score, handgrip test and impedancemetry | Other: SARC-F score, handgrip test and impedancemetry<br>* Participation in the study will be offered to any patient admitted to the geriatric ward, those who meet the inclusion criteria and do not have exclusion criteria will have to complete the SARC-F questionnaire during their stay, and to do the handgrip test and impedancemetry performed by a third party. Biological data (albumin, pre-albumin and C-Reactive Protein) and anthropometric data will be collected and analyzed to determine if the patient is malnourished or not, and the results of SARC-F will be compared between these 2 groups.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| score SARC-F | SARC-F score (dependent variable) defined by a questionnaire, completed by the patient during the stay at the clinic. This questionnaire includes 5 questions rated from 0 to 2 and is therefore 10 in total. It is admitted the presence of sarcopenia for a score greater than or equal to 4 according to the literature. However, there is currently no study defining a threshold for the diagnosis of undernutrition | at day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SARC-F to predict undernutrition | discriminant values of SARC-F to predict undernutrition in the study population, considered qualitatively or quantitatively | at day 1 | 
| denutrition prevalence | overall prevalence of undernutrition in the study population | at day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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denutrition screening tool, SARC-F score, denutrition in geriatric population, sarc-f score associated with denutrition