Publications by authors named "Cihan Kılıc"

Objective: This study examines the relationship between two frailty screening tools and 90-day all-cause mortality in geriatric inpatients.

Methods: The study included patients aged ≥60 years who were admitted to the geriatrics unit of a university hospital between June 2021 and August 2022 and whose mortality status and duration of hospitalization data were obtained from the Health Ministry System. During hospitalization, the patients were screened using two different frailty scales: the Simpler Modified Fried Frailty Scale (sMFS) and the Clinical Frailty Scale (CFS).

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Objective: The prevalence of obesity by fat percentage has seen a steady increase in older adults in recent years, secondary to increases in fat mass in body composition, even in healthy aging. Malnutrition is a common geriatric syndrome with serious clinical outcomes. Increases in fat mass and waist circumference with healthy aging should not prevent the risk of malnutrition from being masked.

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Objective: While the literature contains several studies on the frailty assessed during hospitalization and/or outpatient settings and nursing homes, few studies have assessed frailty in community-dwelling older adults. We investigated the prevalence of frailty and associated factors among older adults in a sample of community-dwelling older adults.

Methods: We included community-dwelling older adults >60 years living in the Fatih District of the Istanbul Province.

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Background & Aims: Sarcopenia is a well-defined geriatric syndrome and a major cause of disability and mortality. We investigate the associations of alternative sarcopenia definitions with mortality in community-dwelling older adults.

Methods: Sarcopenia was defined based on the EWGSOP1 and EWGSOP2 probable sarcopenia criteria, with standard handgrip strength (HGS) cut-offs of 30/20 kg for an EWGSOP1 definition and 27/16 kg for an EWGSOP2 definition, or alternatively, population-specific cut-offs of 35/20 kg for a EWGSOP2 definition.

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Article Synopsis
  • Sarcopenia, a common disorder in older adults, can lead to serious health issues, making regular screening essential, with the SARC-F questionnaire being the main tool recommended for assessment.
  • This study aimed to evaluate a proxy-reported version of the SARC-F questionnaire (SARC-F by proxy) to see if it effectively screens for sarcopenia in individuals who may have difficulty communicating.
  • Results showed that the performance of SARC-F by proxy was comparable to the standard SARC-F for diagnosing sarcopenia, indicating it could be a valid alternative for those unable to self-report.
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Objective: Probable sarcopenia is a predictor of functional limitation in older adults. However, whether standard thresholds recommended by guides, or population-specific thresholds better predict impairment in functionality is an issue that needs to be enlightened. We aimed to study the associations of probable sarcopenia identified by the use of EWGSOP2 and population-specific thresholds with deterioration in functionality at follow-up and give prevalences of probable sarcopenia with different thresholds in older outpatients admitted to a tertiary health center.

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Article Synopsis
  • Falls are a significant public health issue for older adults, leading to increased health risks, costs, and the need to identify those at risk in the community.
  • A field study was conducted in Istanbul to investigate the prevalence of falls and factors associated with them among older adults aged over 60, using various assessments like the FRAIL questionnaire and cognitive tests.
  • The study utilized a range of measures to evaluate health status, functional capacity, quality of life, and risk factors related to falls, and analyzed the data using statistical tests to draw meaningful conclusions.
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Background & Aims: Ageing brings alterations in body composition, as skeletal muscle gradually declines and accumulation of adipose tissue accompanies it. Although sarcopenia (S) and obesity (O) were separately reported to be associated with frailty and poor physical performance, whether they bring more detrimental or favorable effect when they coexist (i.e.

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Purpose: EWGSOP2 defines "probable sarcopenia" as the presence of low muscle strength without non-muscle causes. The associations of probable sarcopenia have been studied in few reports to date, and our intention in this study is to identify associations of probable sarcopenia with common geriatric syndromes in a sample of older adults who attended the geriatric outpatient clinic of Istanbul University Hospital.

Methods: The present study was designed as a retrospective cross-sectional study.

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Background And Objective: Hypertension is the most prevalent chronic disease in older adults. Antihypertensive drug use increases with aging. In some studies, hypotension developing under antihypertensive medication use has been indicated as a potential risk factor for morbidity and mortality in older adults.

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Background: Sarcopenia is associated with an increased likelihood of major adverse health outcomes. Therefore, screening and early and timely identification of sarcopenia are essential. EWGSOP2 (European Working Group on Sarcopenia in Older People2) suggests Ishii screening test for formal-case findings.

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Objectives: A preserved ambulation is one of the keypoints for functionality and polypharmacy, a common problem in older adults, is associated with worse functional status. Our aim was to examine the associations of polypharmacy with certain physical performance measures used to evaluate ambulation.

Methods: This retrospective, cross-sectional study was conducted in a geriatric outpatient clinic.

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Background & Aims: There have been several attempts to come up with a global operational definition of sarcopenia (S), and consequently, a definition of S has been established, to some extent. That said, the definition of sarcopenic obesity (SO), which is defined as the presence of obesity + sarcopenia, remains obscure, hindering evaluations of the prevalence and relevance of SO. It has yet to be elucidated whether SO is associated with worse functionality when compared to S alone (S without obesity).

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Article Synopsis
  • The study aimed to explore the relationship between low blood pressure (both systolic and diastolic) caused by antihypertensive medications and mortality rates among nursing home residents aged 60 and older.
  • The research, conducted over a median follow-up of about 15 months for short-term and 40 months for long-term mortality, found that 34.8% of residents had low systolic blood pressure (≤110 mm Hg) and 15.8% had low diastolic blood pressure (≤65 mm Hg).
  • Results indicated that both low SBP and low DBP were significantly associated with higher mortality risks over both follow-up periods, even after accounting for factors like age, mobility status, and overall health. *
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Background: The sarcopenia quality-of-life (SarQoL)® questionnaire is a multidimensional sarcopenia specific tool designed for community dwelling older adults.

Aims: The aim of this study was to translate, to cross-culturally adapt and validate the SarQoL® questionnaire to assess sarcopenia-related quality of life in Turkish older adults.

Methods: The validation process was performed in two sections: the first section constituted the translation with cross-cultural adaptation of SarQoL® into Turkish.

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Objective: We aimed to compare European Working Group on Sarcopenia in Older People (EWGSOP2)-suggested and population-specific handgrip strength (HGS) thresholds to detect probable sarcopenia and their associations with physical-performance measures and frailty.

Methods: A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed.

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Purpose: This study aims to determine the prevalence and factors independently associated with chronic pain.

Methods: Participants  ≥ 65 years of age admitted to a geriatric outpatient-clinic were recruited between November 2012 and May 2018. Chronic pain is defined as presence of musculoskeletal system-based pain ongoing more than 3 months.

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Purpose: Urinary incontinence (UI) is a common cause of morbidity in the female older adult. Identification of factors associated with UI is necessary to identify risky individuals, to take preventive measures, and to recognize commonly associated co-morbidities. We suggest that sarcopenia may be associated with UI through decrease in muscle mass/strength.

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Background/aim: Polypharmacy and inappropriate medication use in older adults is a major public health problem associated with morbidity and mortality. Aging is associated with metabolic changes and decreased drug clearance, increased drug-drug interactions, prescribing cascades, and potentially inappropriate medication (PIM) use. The purpose of this study was to evaluate the association between a common geriatric syndromes and PIM use among older adults.

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Aim: To investigate the muscle mass adjustment technique that best correlates with functional measures.

Methods: A cross-sectional study was designed. Community-dwelling older adults aged ≥60 years were assessed for body composition and functional measures between November 2012 and July 2017 in the geriatric outpatient clinic of a university hospital.

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Background: Recently frailty has drawn significant interest as an important predictor of several clinically relevant outcomes. There is no widely accepted instrument for the assessment of frailty and most of the current ones evaluate only physical features. The Tilburg Frailty Indicator (TFI) is a valid and reliable instrument which enables multidimensional assessment of frailty.

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Purpose: Sarcopenic-obesity (SO) is associated with low-functional-status and mortality. Few studies evaluated the definition and prevalence of SO. We aimed to investigate the fat-percentage cut-off values for obesity and prevalences of obesity, SO in community-dwelling older adults in Turkey.

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Aim: Sarcopenia is recognized with its adverse functional outcomes. We aimed to report the prevalence of European Working Group on Sarcopenia in Older People (EWGSOP) defined sarcopenia and its individual components in community dwelling outpatient older adults and study the correlations of EWGSOP defined sarcopenia, muscle mass, muscle strength, and physical performance with functional status.

Material And Methods: The subjects were prospectively recruited from the geriatrics outpatient clinics of our university hospital.

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Objective: We aimed to develop a new screening tool for self-neglect in community-dwelling self-sufficient older adults.

Methods: Istanbul Medical School Elder Self-Neglect questionnaire (IMSelf-neglect) was developed as a screening tool. Community-dwelling, self-sufficient older adults were recruited in a geriatric outpatient clinic ( = 226, 142 female, 84 male).

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Aim: Low muscle mass (LMM) is a prerequisite to define sarcopenia. We aimed to report muscle-mass reference cut-off points adjusted for height and weight as muscle-mass threshold best discriminating muscle-weakness and adjusted for body mass index (BMI) significantly lower than that of healthy young population.

Material And Method: We included young adults between 18 and 39 years and community dwelling older adults 60-99 years of age.

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