{"record":{"leader":"cx  r22     2  45","datafield":[{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"20220505afrey50      ba0"},"tag":100},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"fre"},{"code":2,"content":"639-2"}],"tag":101},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":2021},"tag":103},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"k"},{"code":"f","content":"fre"}],"tag":104},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":0},{"code":"b","content":"#"},{"code":"c","content":"#"}],"tag":106},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"AFNOR"},"tag":152},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"Oeuvre Textuelle"},"tag":189},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":"t","content":"Variation du poids, de la composition corporelle mesurée par impédancemétrie et de la force de préhension au cours des trois premières semaines d'hospitalisation en SSR (Soins de Suite et de Réadaptation) gériatrique., Etude prospective dans le cadre de la cohorte \"Valcor\""}],"tag":241},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0y"},{"code":"a","content":"INTRODUCTION : La dénutrition est un déséquilibre négatif du bilan énergétique et/ou protéique responsable d\u2019une modification de la composition corporelle et d\u2019une aggravation du pronostic. Les relations entre perte de poids et modifications corporelles chez le sujet âgé sont contradictoires et peu étudiées lors des premières semaines d\u2019une hospitalisation. L\u2019objectif de cette étude est l\u2019analyse des variations du poids, de la composition corporelle, de l\u2019angle de phase et de la force de préhension chez une population hospitalisée en SSR gériatrique entre J1 et J21, et de la mortalité à 3 mois. MATÉRIELS ET MÉTHODES : Il s\u2019agit d\u2019une étude prospective, multicentrique et ancillaire de l\u2019étude VALCOR (VALeur prédictive de la composition CORporelle sur le devenir des sujets âgés au cours de l\u2019hospitalisation en soins de suite et réadaptation). L\u2019analyse porte sur 108 patients de plus de 75 ans et étudie à J1 et J21 : le poids, la composition corporelle (par bio-impédancemétrie) et la force de préhension (par dynamométrie). La mortalité est évaluée à 3 mois. RÉSULTATS : Entre J1 et J21, le poids est stable et seule la masse grasse diminue (p=0,001). L\u2019angle de phase est diminué à J1 (p=0,002) et à J21 (p=0,006) chez les patients décédés. Plus l\u2019angle de phase est élevé, plus la masse musculaire (p=0,0004), la masse maigre (p<0,0001) et l\u2019albumine (p=0,005) à J1 le sont également. DISCUSSION : Le rôle potentiel de la masse grasse comme réserve énergétique en cas de situation de stress aiguë lors d\u2019une hospitalisation est soulevé. L\u2019angle de phase constitue un élément pronostic dans cette population gériatrique hospitalisée."}],"tag":300},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0y"},{"code":"a","content":"INTRODUCTION: Denutrition is an energetic and/or proteic negative imbalance which lead to a body composition variation and a poor prognostic. Studies about the link between weight loss and body composition variation in elderly patients contradict each other. In these studies, very few include patients during their first weeks of hospitalisation. The objective of this study is the analysis of the variation of weight, body composition, phase angle and hand grip strength among patients hospitalised in a geriatric RC between day 1 and day 21; and the 3-months mortality. MATERIELS AND METHODS: It is a prospective, multicentric, ancillary study of the VALCOR study (predictive value of the body composition on the prognostic of elderly patients hospitalised in a geriatric RC). The analysis focuses on 108 patients over 75-year-old. It studies the variation between day 1 and day 21 of weight, body composition measured by bioimpedancemetry and hand grip strength measured par dynamometry. 3-month mortality is also evaluated. RESULTS: Between day 1 and day 21, weight does not change and only fat mass decreases (p=0.001). Angle phase at 1 day (p=0.002) and 21 days (p=0,006) are significantly lower in the dead group. The higher angle phase is, the higher muscular mass (p=0.0004), lean mass (p<0.0001) and albumin level (p=0.005) are. DISCUSSION : Fat mass might have a role of energy reserve in case of acute body stress in this study. Angle phase is a prognostic factor in this hospitalised geriatric population."}],"tag":300},{"ind2":0,"ind1":" ","subfield":[{"code":"b","content":"Thèse d'exercice"},{"code":"c","content":"Médecine"},{"code":"e","content":"Paris 12"},{"code":"d","content":2021}],"tag":328},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":"t","content":"Variation of weight, body composition measured by bioimpedancemetry, hand grip strength during the first three weeks of hospitalisation in a geriatric RC (Rehabilitation center). Prospective study as part of the « VALCOR » study."}],"tag":441},{"ind2":1,"ind1":" ","subfield":[{"code":3,"content":260375306},{"code":7,"content":"ba0yba06"},{"code":"a","content":"Turk"},{"code":"b","content":"Selim"},{"code":"f","content":"1996-\u2026"},{"code":4,"content":"070"}],"tag":501},{"ind2":1,"ind1":" ","subfield":[{"code":3,"content":"083944729"},{"code":7,"content":"ba0yba06"},{"code":"a","content":"Bouillanne"},{"code":"b","content":"Olivier"},{"code":"f","content":"1961-...."},{"code":4,"content":727}],"tag":501},{"ind2":2,"ind1":0,"subfield":[{"code":3,"content":110489594},{"code":7,"content":"ba0yba06"},{"code":"a","content":"Université Paris-Est Créteil Val de Marne"},{"code":"b","content":"Faculté de santé"},{"code":4,"content":295}],"tag":511},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"092710417"},{"code":"a","content":"Malnutrition"},{"code":3,"content":"040839486"},{"code":"x","content":"Dissertation universitaire"},{"code":2,"content":"fmesh"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"040711579"},{"code":"a","content":"Gériatrie"},{"code":3,"content":"040839486"},{"code":"x","content":"Dissertation universitaire"},{"code":2,"content":"fmesh"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"04077211X"},{"code":"a","content":"Centres de rééducation et de réadaptation"},{"code":3,"content":"040839486"},{"code":"x","content":"Dissertation universitaire"},{"code":2,"content":"fmesh"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"040672301"},{"code":"a","content":"Composition corporelle"},{"code":3,"content":"040839486"},{"code":"x","content":"Dissertation universitaire"},{"code":2,"content":"fmesh"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":3,"content":"040742555"},{"code":"a","content":"Mortalité"},{"code":3,"content":"040839486"},{"code":"x","content":"Dissertation universitaire"},{"code":2,"content":"fmesh"}],"tag":606},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":3,"content":"027253139"},{"code":"a","content":"Thèses et écrits académiques"},{"code":2,"content":"rameau"}],"tag":608},{"ind2":3,"ind1":" ","subfield":[{"code":"a","content":"FR"},{"code":"b","content":"Abes"},{"code":"c","content":20260606},{"code":"g","content":"AFNOR"}],"tag":801}],"controlfield":[{"tag":"001","content":262204339},{"tag":"003","content":"http://www.idref.fr/262204339"},{"tag":"004","content":20220505},{"tag":"005","content":20260606020040},{"tag":"006","content":"0499"},{"tag":"007","content":"0499"},{"tag":"008","content":"Tr2"}]}}