Association between Levels of Physical Activity, Sarcopenia, Type 2 Diabetes and the Quality of Life of Elderly People in Community Dwellings in Lebanon

Saadeddine, Dana; Itani, Leila; Kreidieh, Dima; Masri, Dana El; Tannir, Hana; Ghoch, Marwan El

doi:10.3390/geriatrics6010028

Cited by 9 publications

(5 citation statements)

References 38 publications

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“…This might reflect that female individuals are more compliant with their cancer screening recommendations than male individuals (17,18). At an average age of 63.9 years, the prevalence of hypertension and diabetes mellitus in our population is similar to other studies done in Lebanon, while the prevalence of dyslipidemia was almost twice as high (19)(20)(21).…”

supporting

confidence: 85%

Efficacy of lung cancer screening at the American University of Beirut Medical Center

Harb,

Alhafi,

Tfayli

2023

Front. Oncol.

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IntroductionIn Lebanon, a dedicated screening program for lung cancer is absent. Screening is largely based on the recommendation of an informed physician or the initiative of a patient. To better understand the situation, it is important to look at the available data on patients currently being screened for lung cancer in this country. Our aim in this study is to review the data and compare it with that in the literature as well as to assess the efficacy of the screening process followed.MethodsOur study accessed the electronic medical records of patients at the American University of Beirut Medical Center (AUBMC), a tertiary care center in Lebanon. We collected information on patients who underwent screening low-dose computed tomography (LDCT) scan between June 2019 and June 2021 inclusive. Records of all patients who underwent a non-contrast computed tomography (CT) scan at AUBMC during this period were collected and analyzed.ResultsOn average, our population had a 52.6 pack-year smoking history. Moreover, 47% of our population had an accurate pack-year reported, while 12% did not have enough information to even estimate their pack-year history. When looking at the accurate and estimated data, 5% of our population did not even meet the ≥20 pack-year smoking history. Eight patients had positive findings on the screening LDCT, which we defined as suspicious findings that require further workup (e.g., PET/CT or biopsy) or other significant incidental findings.ConclusionA well-organized program for lung cancer screening in Lebanon is absent. Screening largely depends on the initiative of the physician or the patient. We were able to uncover multiple flaws in the screening method used, including poor documentation and follow-up. Although the screening method adopted retained some benefits in terms of detecting early malignancy, it lacked proper organization and was not ideal. A better, systematized screening program is needed to have optimal outcomes.

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supporting

confidence: 85%

Efficacy of lung cancer screening at the American University of Beirut Medical Center

Harb,

Alhafi,

Tfayli

2023

Front. Oncol.

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“…This can be explained by 46.2% of older adults reported physical activity twice or more of week. Several studies have shown that physical activity is associated with a lower prevalence of sarcopenia (25)(26)(27)(28)(29). A study conducted among Japanese communitybased older adults demonstrated that 7% were sarcopenic by AWGS criteria (30).…”

Section: Discussion Of the Resultsmentioning

confidence: 99%

Associations between sarcopenia and undernutrition in brazilian older adults, using five cut-off points for muscle strength

Dock-Nascimento,

da Silva,

de Aguilar-Nascimento

et al. 2023

Acta Port Nutr

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OBJECTIVES: To investigate the prevalence of sarcopenia according to five cut-off points for muscle strength and the association with undernutrition in Community dwelling older adults. METHODOLOGY: Cross-sectional study with 321 elderly subjects from community centers in Cuiabá-MT. The main variable was the prevalence of sarcopenia and association with undernutrition. Sarcopenia was diagnosed by low muscle strength (grip strength - GS; kg) according to five cut-off points and low calf circumference (CC; cm). Nutritional status was assessed by mini nutritional assessment-short form (MNA-SF®). RESULTS: The median age was 69 (64-74) years, and 24.7% were undernourished. The presence of sarcopenia ranged from 1.6 to 7.6%. This prevalence was lower using EWGSOP2 criteria compared to EWGSOP (p=0.005) and ESCEO and SDOC criteria (p<0.001). The older undernourished adults were almost 3.5 times more likely to have sarcopenia (OR=3.49; p=0.003) when ESCEO criteria was used and almost 2.5 times (OR=2.43; p=0.037) times using SDOC criteria. CONCLUSIONS: The prevalence of sarcopenia ranged from 1.6 to 7.6%. The older undernourished adults were almost 3.5 (ESCEO) and 2.5 (SDOC) times more likely to have sarcopenia.

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“…Physical exercise helps prevent the metabolic syndrome in the elderly and reduces the risk of type 2 diabetes. Saadeddine D et al [ 22 ] collected data on the lack of links between PA and health outcomes in developing countries. They conducted a cross-sectional survey to study the relationship between the PA level of middle-aged and elderly people in community housing in Lebanon and skeletal muscle reduction, cardiovascular risk factors (dyslipidemia, type 2 diabetes, and cardiovascular disease), and quality of life.…”

Section: Discussionmentioning

confidence: 99%

The relationship between physical activity and diabetes in middle-aged and elderly people

Tian

Shilko

et al. 2023

Medicine

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To investigate the association between diabetes symptoms and physical activity (PA) levels among middle-aged and older Chinese adults. Data for this study were obtained from 2018 Charles data. Z test, logistic regression analysis, and linear hierarchical regression analysis were performed in 5352 individuals aged ≥50 years with complete information. In terms of diabetes, 6.8% of the middle-aged and elderly people with diabetes were detected, and 93.2% of the middle-aged and elderly people without diabetes symptoms. The proportion of middle-aged and elderly people with high PA levels was 50.5%, and the proportion of middle-aged and elderly people with low PA was 49.5%. There was a significant positive correlation between low PA and diabetes ( P < .05). After adjusting demographic characteristics (gender, registered permanent residence type, education level, age, widowhood) and health status characteristics (poor mood, asthma, hyperlipidemia, disability, memory disease, self-assessment of health status, hypertension, smoking, stroke, depression), there was still a statistical significance between PA level and diabetes ( P < .05). The risk of diabetes of middle-aged and elderly people in China increases with age, while the risk of diabetes of middle-aged and elderly people with low level of PA is higher. The risk of diabetes is high among middle-aged and elderly people who are old, have poor self-evaluation health, suffer from hyperlipidemia, memory disease, and asthma. The middle-aged and old people should increase their PA levels to prevent and improve diabetes.

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Association between Levels of Physical Activity, Sarcopenia, Type 2 Diabetes and the Quality of Life of Elderly People in Community Dwellings in Lebanon

Cited by 9 publications

References 38 publications

Efficacy of lung cancer screening at the American University of Beirut Medical Center

Efficacy of lung cancer screening at the American University of Beirut Medical Center

Associations between sarcopenia and undernutrition in brazilian older adults, using five cut-off points for muscle strength

The relationship between physical activity and diabetes in middle-aged and elderly people

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