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16. High Sarcopenia Awareness Contrasts a Lack of Clinical Implementation Among Geriatric Rehabilitation Health Care Professionals in the Netherlands: EMPOWER-GR.

Author

Verstraeten, Laure M. G., van Wijngaarden, Janneke P., Meskers, Carel G. M., and Maier, Andrea B.

Subjects
HEALTH services accessibility, MORTALITY, CROSS-sectional method, SOCIAL media, SCALE analysis (Psychology), MEDICAL personnel, HUMAN services programs, MALNUTRITION, RESEARCH funding, INFORMATION resources, DESCRIPTIVE statistics, GERIATRIC rehabilitation, HOSPITAL health promotion programs, MEDICAL screening, DATA analysis software, SARCOPENIA, COGNITION, PSYCHOSOCIAL factors
Abstract

Background and Purpose: Despite being associated with serious adverse outcomes, such as mortality, sarcopenia remains largely undiagnosed in older individuals. This study aimed to assess the awareness, practices, and barriers and enablers to clinical implementation of sarcopenia diagnosis and treatment among geriatric rehabilitation health care professionals in the Netherlands. Methods: As part of EMPOWER-GR, a cross-sectional survey among geriatric rehabilitation health care professionals working in the Netherlands was undertaken between September 23, 2020, and January 28, 2021. Professionals were recruited via a geriatric rehabilitation care provider, health care professional associations, professional networks of the research team, and social media. Descriptive statistics were used to assess the study outcomes. Results and Discussion: Of the 501 geriatric rehabilitation health care professionals, 12.2% were physicians, 23.0% physical therapist/occupational therapists, 30.3% dietitians, 19.6% nurses, and 11.0% health care assistants. The concept of sarcopenia was known by 83.8% of the participants, 92.5% correctly identified sarcopenia as low muscle mass and strength (and low physical performance), and 73.8% identified sarcopenia as very important in the management of older adults admitted for rehabilitation. Although 26.2% and 18.9% of the participants reported screening and diagnosing sarcopenia, respectively, in their current practice, only 3.0% adequately used the (revised) definition of the European Working Group on Sarcopenia in Older People. When sarcopenia has been diagnosed, 65.0% reported initiating treatment consisting of resistance exercise training (78.7%), food fortification/high-energy or protein diet (85.4%), and oral nutritional supplements (70.4%). Most important barriers to screening and diagnosis were lack of knowledge, access to tools, and equipment and time, while enablers were protocol implementation, access to training, and clear responsibilities. Conclusions: Sarcopenia awareness is high among geriatric rehabilitation health care professionals in the Netherlands, but adequate screening and diagnosis is almost nonexistent in current clinical practice, which hampers interventions. Better knowledge, clear responsibilities, and access to tools and protocols, as well as prioritization, are needed for sarcopenia to be diagnosed and treated in geriatric rehabilitation in the Netherlands. [ABSTRACT FROM AUTHOR]

Published
2024
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23. Correction to:Capturing postural blood pressure dynamics with near‑infrared spectroscopy‑measured cerebral oxygenation (GeroScience, (2023), 10.1007/s11357-023-00791-9)

Author

Klop, Marjolein, de Heus, Rianne A. A., Maier, Andrea B., van Alphen, Anne, Floor‑Westerdijk, Marianne J., Bronkhorst, Mathijs, Melis, René J. F., Meskers, Carel G. M., Claassen, Jurgen A. H. R., van Wezel, Richard J. A., Rehabilitation medicine, AMS - Ageing & Vitality, AMS - Rehabilitation & Development, and Amsterdam Neuroscience - Neurovascular Disorders

Abstract

In the article version originally published online, Table 2 was switched in the publication process. The correct version of Table 2 is shown below. (Table presented.) Heat map of average correlations for supine-stand and sit-stand transitions, during initial response (0-30 seconds after standing up) and late response (30-175 seconds after standing up) * Significantly different (p

Published
2023
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31. The Physical Activity and Nutritional INfluences in Ageing (PANINI) Toolkit: A Standardized Approach towards Physical Activity and Nutritional Assessment of Older Adults

Author

Ramsey, Keenan A., primary, Meskers, Carel G. M., additional, Trappenburg, Marijke C., additional, Bacalini, Maria Giulia, additional, Delledonne, Massimo, additional, Garagnani, Paolo, additional, Greig, Carolyn, additional, Kallen, Victor, additional, van Meeteren, Nico, additional, van Riel, Natal, additional, Correia Santos, Nadine, additional, Sipilä, Sarianna, additional, Thompson, Janice L., additional, Whittaker, Anna C., additional, and Maier, Andrea B., additional

Published
2022
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32. Determinants of orthostatic cerebral oxygenation assessed using near-infrared spectroscopy

Author

Mol, Arjen, Claassen, Jurgen A. H. R., Maier, Andrea B., van Wezel, Richard J. A., and Meskers, Carel G. M.

Subjects
Cellular and Molecular Neuroscience, Aging, Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1], NIRS, Orthostatic hypotension, Endocrine and Autonomic Systems, Blood pressure, UT-Hybrid-D, Biophysics, Neurology (clinical), Baroreflex, Cerebrovascular circulation
Abstract

Background: To understand the relationship between blood pressure changes during standing up and clinical outcome, cerebral oxygenation needs to be measured, which may be performed using near-infrared spectroscopy (NIRS). However, the role of potential determinants of NIRS-derived orthostatic cerebral oxygenation, i.e., age, sex, type of postural change (i.e., standing up from sitting versus supine position), blood pressure (BP) and baroreflex sensitivity (BRS) is still unknown and needed to better interpret findings from studies using orthostatic NIRS measurements. Methods: 34 younger (median age 25 years, inter quartile range (IQR) 22–45) and 31 older adults (median age 77 years, IQR 72–81) underwent BP, BRS and NIRS measurements during standing up from sitting and supine position. Linear regression models were used to assess the potential determinant role of age, sex, type of postural change, BP and BRS in orthostatic cerebral oxygenation drop and recovery. Orthostatic cerebral oxygenation test-retest reliability was assessed using intra class correlations. Results: Younger age, male sex and standing up from supine compared to sitting position were positively associated with cerebral oxygenation drop; older age and standing up from sitting compared to supine position were associated with higher cerebral oxygenation recovery. Test-retest reliability was highest (ICC > 0.83) during standing up from supine position. Conclusion: Based on the findings of this study, age, sex and type of postural change are significant determinants of NIRS-derived orthostatic cerebral oxygenation and should be taken into account in the interpretation of NIRS measurements. In the design of new studies, standing up from supine position is preferable (higher reliability) over standing up from sitting position.

Published
2022
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33. Automated recognition of functioning, activity and participation in COVID-19 from electronic patient records by natural language processing: a proof- of- concept

Author

Meskers, Carel G. M., primary, van der Veen, Sabina, additional, Kim, Jenia, additional, Meskers, Caroline J. W., additional, Smit, Quirine T. S., additional, Verkijk, Stella, additional, Geleijn, Edwin, additional, Widdershoven, Guy A. M., additional, Vossen, Piek T. J. M., additional, and van der Leeden, Marike, additional

Published
2022
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38. Additional file 1 of Smoothness metrics for reaching performance after stroke. Part 1: which one to choose?

Author

Mohamed Refai, Mohamed Irfan, Saes, Mique, Scheltinga, Bouke L., van Kordelaar, Joost, Bussmann, Johannes B. J., Veltink, Peter H., Buurke, Jaap H., Meskers, Carel G. M., van Wegen, Erwin E. H., Kwakkel, Gert, and van Beijnum, Bert-Jan F.

Abstract

Additional file 1. The file consists of supplementary files as follows: 1.A Search string for the systematic literature review. 1.B Modelling reach-to-grasp movement in healthy subjects. 1.C Base velocity profiles used. 1.D Mathematical definition of metrics. 1.E Metrics and cited sources. Simulations for asymmetric profile. 1.F Monotonicity analysis for the sub-movement simulation.

Published
2021
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39. Additional file 1 of Smoothness metric during reach-to-grasp after stroke: part 2. longitudinal association with motor impairment

Author

Saes, Mique, Mohamed Refai, Mohamed Irfan, van Kordelaar, Joost, Scheltinga, Bouke L., van Beijnum, Bert-Jan F., Bussmann, Johannes B. J., Buurke, Jaap H., Veltink, Peter H., Meskers, Carel G. M., van Wegen, Erwin E. H., and Kwakkel, Gert

Abstract

Additional file 1. A. Time course of smoothness and upper extremity motor impairment scores, an overview of all time points against each other. B. Overview of data used for statistical analyses: kinematics, clinical scores and patient characteristics. C. Sub-analysis of FM-UE without hand scores: recovery over time and longitudinal association with SPARC.

Published
2021
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41. Additional file 3 of Smoothness metrics for reaching performance after stroke. Part 1: which one to choose?

Author

Mohamed Refai, Mohamed Irfan, Saes, Mique, Scheltinga, Bouke L., van Kordelaar, Joost, Bussmann, Johannes B. J., Veltink, Peter H., Buurke, Jaap H., Meskers, Carel G. M., van Wegen, Erwin E. H., Kwakkel, Gert, and van Beijnum, Bert-Jan F.

Abstract

Additional file 3. PRISMA checklist for the systematic review filled in accordance with reporting guidelines.

Published
2021
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42. The Cortical Response Evoked by Robotic Wrist Perturbations Reflects Level of Proprioceptive Impairment After Stroke

Author

Kordelaar, Joost van, Ruit, Mark van de, Solis Escalante, T., Aerden, Leo A.M., Meskers, Carel G. M., Wegen, Erwin E.H. van, Kwakkel, Gert, Helm, Frans C.T. van der, Kordelaar, Joost van, Ruit, Mark van de, Solis Escalante, T., Aerden, Leo A.M., Meskers, Carel G. M., Wegen, Erwin E.H. van, Kwakkel, Gert, and Helm, Frans C.T. van der

Abstract

Contains fulltext : 241994.pdf (Publisher’s version ) (Open Access)

Published
2021

43. Objectively measured arm use in daily life improves during the first 6 months poststroke:a longitudinal observational cohort study

Author

Regterschot, G. R. H., Bussmann, J. B. J., Fanchamps, Malou H. J., Meskers, Carel G. M., Ribbers, Gerard M., Selles, Ruud W., Regterschot, G. R. H., Bussmann, J. B. J., Fanchamps, Malou H. J., Meskers, Carel G. M., Ribbers, Gerard M., and Selles, Ruud W.

Abstract

Background It is unclear how arm use in daily life changes after stroke since studies investigating the change in arm use poststroke are scarce. The aim of this study was to investigate the change in arm use during the first six months poststroke. Secondary aim was to compare arm use changes between arm recovery clusters. Methods Arm use was measured during week 3, 12, and 26 poststroke with accelerometers on the wrists and the nonaffected leg. Outcomes were the amount of affected and nonaffected arm use during sitting and standing per day and per sit/stand hour, and the daily ratio between arms. Arm function was measured with the Fugl-Meyer Upper Extremity Scale to identify recovery clusters (poor/moderate/excellent). Generalized estimating equations compared arm use outcomes between time points and between recovery clusters. Results Thirty-three stroke patients participated. Affected arm use per day increased between week 3 and 12 (30 %; p = 0.04) and it increased per sit/stand hour between week 3-12 (31 %; p < 0.001) and between week 3 and 26 (48 %; p = 0.02). Nonaffected arm use per day decreased between week 3 and 12 (13 %; p < 0.001) and between week 3 and 26 (22 %; p < 0.001) and it decreased per sit/stand hour between week 3 and 26 (18 %; p = 0.003). The daily ratio increased between week 3 and 12 (43 %; p < 0.001) and between week 3 and 26 (95 %; p < 0.001). Changes in arm use did not differ significantly between recovery clusters (p = 0.11-0.62). Affected arm use was higher in the excellent recovery cluster (p < 0.001). Conclusions Affected arm use and the ratio between arms increase during the first 26 weeks poststroke especially in patients with excellent arm recovery.

Published
2021

48. Supplementary_Material – Supplemental material for Is Resting-State EEG Longitudinally Associated With Recovery of Clinical Neurological Impairments Early Poststroke? A Prospective Cohort Study

Author

Mique Saes, Zandvliet, Sarah B., Andringa, Aukje S., Daffertshofer, Andreas, Twisk, Jos W. R., Meskers, Carel G. M., Wegen, Erwin E. H. Van, and Kwakkel, Gert

Subjects
FOS: Clinical medicine, 110308 Geriatrics and Gerontology, 110904 Neurology and Neuromuscular Diseases, Neuroscience
Abstract

Supplemental material, Supplementary_Material for Is Resting-State EEG Longitudinally Associated With Recovery of Clinical Neurological Impairments Early Poststroke? A Prospective Cohort Study by Mique Saes, Sarah B. Zandvliet, Aukje S. Andringa, Andreas Daffertshofer, Jos W. R. Twisk, Carel G. M. Meskers, Erwin E. H. van Wegen and Gert Kwakkel in Neurorehabilitation and Neural Repair

Published
2020
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49. Supplementary_Material – Supplemental material for Lack of Knowledge Contrasts the Willingness to Counteract Sarcopenia Among Community-Dwelling Adults

Author

Ancum, Jeanine M. Van, Meskers, Carel G. M., Reijnierse, Esmee M., Suey S. Y. Yeung, Jonkman, Nini H., Trappenburg, Marijke C., Pijnappels, Mirjam, and Maier, Andrea B.

Subjects
FOS: Clinical medicine, 111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences, 110306 Endocrinology, 110308 Geriatrics and Gerontology
Abstract

Supplemental material, Supplementary_Material for Lack of Knowledge Contrasts the Willingness to Counteract Sarcopenia Among Community-Dwelling Adults by Jeanine M. Van Ancum, Carel G. M. Meskers, Esmee M. Reijnierse, Suey S. Y. Yeung, Nini H. Jonkman, Marijke C. Trappenburg, Mirjam Pijnappels and Andrea B. Maier in Journal of Aging and Health

Published
2020
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50. Supplementary_Material – Supplemental material for Position-Cortical Coherence as a Marker of Afferent Pathway Integrity Early Poststroke: A Prospective Cohort Study

Author

Zandvliet, Sarah B., Wegen, Erwin E. H. Van, S. Floor Campfens, Kooij, Herman Van Der, Kwakkel, Gert, and Meskers, Carel G. M.

Subjects
FOS: Clinical medicine, 110308 Geriatrics and Gerontology, 110904 Neurology and Neuromuscular Diseases, Neuroscience
Abstract

Supplemental material, Supplementary_Material for Position-Cortical Coherence as a Marker of Afferent Pathway Integrity Early Poststroke: A Prospective Cohort Study by Sarah B. Zandvliet, Erwin E. H. van Wegen, S. Floor Campfens, Herman van der Kooij, Gert Kwakkel and Carel G. M. Meskers in Neurorehabilitation and Neural Repair

Published
2020
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