Prevalence of Sarcopenia and Associated Factors in Community-dwelling Elderly Populations in Chengdu China

WANG Hui, HAI Shan, LIU Ying.et al

Abstract

To determine the prevalence of sarcopenia in community-dwelling elderly populations in Chengdu and its associated risk factors. MethodsA total of 947 community dwelling residents aged ≥60 yr. in Chengdu participated in this study. Their appendicular skeletal muscle mass was measured through bioelectrical impedance analyses. Sarcopenia was defined using the diagnostic algorithm recommended by the Asia Working Group (AWGS) for Sarcopenia. Data in relation to the demographic characteristics,chronic diseases and life style of the participants were obtained through a questionnaire survey,which included the 15-item geriatric depression scale (GDS-15) and the mini nutritional assessment (MNA). ResultsOverall,10.5% of the elderly participants were identified with sarcopenia: 8.4% in men and 12.5% in women. The prevalence of sarcopenia increased with age: 2.3% in the 60-64 yr.,5.6% in the 65-74 yr.,19.7% in the ≥75 yr.. Age 〔odds ratio (OR)=1.109,95% confldence interval (CI):1.054-1.168〕,smoking (OR=3.482,95%CI:1.356-8.938) and Malnorishment (OR=5.598,95%CI:2.677-11.709) are significant predictors of sarcopenia after adjustment for potential confounders. ConclusionApproximately 10% community-dwelling elderly in Chengdu have sarcopenis. Age,smoking,malnutrition are risk factors of sarcopenia.

 

Keywords: Sarcopenia, Community-dwelling, Malnutrition, Malnorishment 

 

Full Text:

PDF


References


ROSENBERG IH. Sarcopenia; origins and clinical relevance. J Nutr,1997,127(5 Suppl) ;990S-991S.

MORLEY JE. Sarcopenia in the elderly. Family Practice. 2012,29 :i44-i48.

ROLL AND Y, CZERWINSKI S, VAN KAN GA, et al. Sarcopenia; its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging , 2008,12(7);433-450.

DOHERTY TJ. Aging and sarcopenia. Appl Physiol, 2003, 95(4):1717-1727.

LANG T. STREEPER T, CAWTHON P. et al. Sarcopenia; etiology, clinical consequences, intervention, and assessment. Osteoporos Int ,2010,21 (4):543-559.

CHEN LK, LIU LK, WOO J, et al. Sarcopenia in Asia; consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc,2014 ,15(2) :95-101.

GUIGOZ Y. VELLAS B, GARRY PJ. Assessing the nutritional status of the elderly: the mini nutritional assessment as part of the geriatric evaluation. Nutr Rev, 1996,54(1 Pt 2) :S59-S65.

LIMPPJ, NG LL. CHIAM PC, et al. Validation and comparison of three brief depression scales in an elderly Chinese population. Int J Geriatr Psychiatr , 2000, 15 ( 9): 824-830.

CHIEN MY, HUANG TY, WU YT. Prevalence of sarcopenia estimated using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan. J Am Geriatr Soc,2008,56(9); 1710-1715.

] YUR. WONG M, LEUNG J, et al. Incidence, reversibility, risk factors and the protective effect of high body mass index against sarcopenia in community-dwelling older Chinese adults. Geriatr Gerontol Int, 2014, 14 ( Suppl 1): 15-28.

HAN P. KANG L. GUO Q. et al. Prevalence and factors associated with sarcopenia in suburb-dwelling older Chinese using the Asian Working Group for Sarcopenia definition. J Gerontol A Bio Sci Med Sci-*2016-71(4):529-535.

WEN X. AN P, CHEN WC, et al. Comparisons of sarcopenia prevalence based on different diagnostic criteria in Chinese older adults. J Nutr Health Aging,2015,19(3) :342- 347.

LIN CC, LIN WY, MENG NH. Et al. Sarcopenia prescience and associated factors in an elderly taiwanese metropolitan population. J Am Geriatr Soci,2013,61(3) ;459-462.

KIM H, SUZUKI T, KIM M, et al. Incidence and predictors of sarcopenia onset in community-dwelling elderly Japanese women; 4-year follow-up study. J Am Med Dir Assoc,2015,16(1): 85. el-8[2018-05-16]. https://doi. org/ 10. 1016/j. jamda. 2014. 10. 006.

ALEXANDRE TDS, DE OLIVEIRA DUARTE YA, FERREIRA SANTOS JL, et al. Prevalence and associated factors of sarcopenia among elderly in brazil: findings from the sabe study. J Nutr Health Aging,2014 ,18(3) ;284-290.

FIGUEIREDO CP, DOMICIANO DS, LOPES JB, et al. Prevalence of sarcopenia and associated risk factors by two diagnostic criteria in community-dwelling older men; the so paulo ageing &- health study (SPAH). Osteoporos Int,2014,

25(2);589-596.

NARICI MV, MAFFULLI N. Sarcopenia: characteristics, mechanisms and functional significance. Br Med Bull, 2010, 95(1):139-159.

GUIGOZ Y. The mini nutritional assessment (MNA) review of the literature—what does it tell us, J Nutr Health Aging, 2006,10(6);466-485.

KONDRUP J, ALLISON SP. ELIA M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003,22 (4):415-421.

CERRI AP, BELLELLI G, MAZZONE A, et al. Sarcopenia and malnutrition in acutely ill hospitalized elderly: Prescience and outcomes. Clin Nutr,2015,34(4) :745-751.

WUCH, CHEN KT, HOU MT, et al. Prevalence and associated factors of sarcopenia and severe sarcopenia in older Taiwanese living in rural community: the Tianliao old people study 04. Geriatr Gerontol Int,2014 ,14(Suppl 1):69-75.

VELAZQUEZ ALVA MIX, IRIGOYEN CAMACHO ME. DELGADILLO VELAZQUEZ J, et al. The relationship between sarcopenia, undernutrition, physical mobility and basic activities of daily living in a group of elderly women of Mexico city. Nutricion Hospitalaria,2013,28(2):514-521.

GAO LL. JIANG JJ, YANG M, et al. Prevalence of sarcopenia and associated factors in Chinese community- dwelling elderly: comparison between rural and urban areas. J Am Med Dir Assoc,2015,16(11) :el-1003. e6.

TYROVOLAS S, KOYANAGI A, OLAYA B, et al. Factors associated with skeletal muscle mass, sarcopenia. and sarcopenic obesity in older adults; a multi-continent study. J Cachexia Sarcopenia Muscle.2016.7(3):312-321.

HSU YH, LIANG CK, CHOU MY, et al. Association of cognitive impairment, depressive symptoms and sarcopenia among healthy older men in the veterans retirement community in southern Taiwan; a cross-sectional study. Geriatr Gerontol Int,2014,14(Suppl 1): 102-108.

KIMNH. KIM HS, EUN CR. et al. Depression is associated with sarcopenia. not central obesity, in elderly Korean men. J Am Geriatr Soc,2011,59( 11) ;2062-2068.

WU HM. YU B. MENG G. et al. Both muscle mass and muscle strength are inversely associated with depressive symptoms in an elderly Chinese population. Int J Geriatr Psychiatr,2017,32(7):769-778.


Refbacks

  • There are currently no refbacks.