Inflammatory myopathies

Sarcopenia assessed by DXA and hand-grip dynamometer: a potential marker of damage, disability and myokines imbalance in inflammatory myopathies

Rheumatology (Oxford)Published Prospective case-control study

Authors' conclusion

DXA and hand-grip dynamometer are useful tools to assess damage in IM.

Study context

Population
Adults with inflammatory myopathies (IM), disease duration ≥12 months, low or no disease activity for ≥6 months
Participants
40 vs 30
Comparison
IM patients vs healthy volunteers
  • IMn = 40
  • Volunteersn = 30reference
Outcome
Ability of DXA and hand-grip dynamometer to measure damage in IM
Methodological detailsage and sex-matched controls
  • Age and sex-matched controls

Main finding

As reported in the abstract

Muscle mass decreased in IM vs volunteers (IQR −24.3% to +7.8%)

−10%

Grip strength decreased in IM vs volunteers (IQR −51.3% to −18.9%)

−30%

DXA and grip strength measurements duration

≤20 min

Observational data: associations, not effects.

Further findings

Sarcopenia (EWGSOP2) in IM
17.5% · 7 of 40

Sarcopenia (EWGSOP2) in IM

Sarcopenic patients had the worst damage, impaired functions, disability and history of severe myopathy

Myokines associated with sarcopenia

Decreased irisin, AUC
0.71
Decreased osteonectin, AUC
0.80

Original publication

Sarcopenia assessed by DXA and hand-grip dynamometer: a potential marker of damage, disability and myokines imbalance in inflammatory myopathies. Rheumatology (Oxford). Published 27 March 2024. doi:10.1093/rheumatology/keae207

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