Characteristics of sarcopenia by European consensuses and a phenotype score

Jang

2021

Ann Geriatr Med Res

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While the global population is aging, South Korea is one of the most rapidly aging societies worldwide. It took 17 years for Korea to transition to an aged society from an aging society, defined as proportions of the population aged 65 years or older of ≥ 14.0% and 7.0%, respectively, while Japan took 24 years for the same transition. 1) More strikingly, Korea is expected to become a super-aged society, defined as a proportion of the population aged 65 years or older of ≥ 20.0%, in 2025. This prominent trend of population aging in Korea has been, to some degree, attributed to rapid economic development that accompanies the fast-growing life expectancy at birth with the establishment of modern healthcare systems after

Section: Geriatric Syndromes and Common Comorbiditiesmentioning

confidence: 99%

Geriatrics Fact Sheet in Korea 2021

Baek

Jang

2021

Ann Geriatr Med Res

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“…Frailty, a clinically recognizable state of vulnerability with decreased physiological reserve occurring with human aging, is associated with falls, disabilities, treatment-related adverse outcomes, and even mortality [38]. The risk factors for frailty and frailty progression include socio-demographic, physical, biological, psychological, and lifestyle factors [39,40]. Because oral health in uences physical (weight and muscle loss, disability, and mobility), biological (in ammation), psychological (depression and cognition), and lifestyle (food intake) factors, these various conditions and oral health itself may lead to longitudinal deterioration of frailty, resulting multifaceted deterioration across geriatric parameters.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Impact of Oral Health on Geriatric Syndromes and Clinical Outcomes in Community-dwelling Older Adults

Lim

Park

et al. 2020

Preprint

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BackgroundOral health is essential for daily living and plays a pivotal role in overall health conditions and well-being. This study evaluated the impact of self-reported oral health on geriatric conditions, institutionalization, and mortality. MethodsThis study analyzed the population of the Aging Study of Pyeongchang Rural Area that had undergone geriatric assessments between 2016 and 2017. The oral health status of the participants was determined using three items from the General Oral Health Assessment Index, and the participants were classified into three groups according to the total sum of the scores as good (3), fair (4–7), or poor (8-15). The outcomes were the incidence of geriatric syndromes at 2 years and the composite outcome of mortality and institutionalization.ResultsAmong the 1189 participants, 44.1% were women, and the mean age of the study population was 75.0 years. Good, fair, and poor oral health were observed in 597 (50.2%), 406 (34.1%), and 186 (15.6%) individuals, respectively. Worsening oral health status was associated with the incidences of various geriatric syndromes at follow-up, and these associations were attenuated after adjusting for baseline demographic and geriatric parameters. Similarly, the significant association between baseline oral health status and the incidence of the composite outcome was attenuated after adjusting for demographic and geriatric parameters. ConclusionsOral health affected the geriatric health conditions in this prospective, longitudinal cohort of community-dwelling older adults. The correlations and interactions of oral health status with other functional parameters may deserve consideration as a geriatric domain.

“…According to the Korean Geriatrics Fact Sheet 2018, 89.5% of the older Korean population had one or more chronic diseases and the annual national medical expenses for older adults accounted for 39.9% of the total medical expenses [2]. With these population changes, overarching needs exist to identify vulnerable older adults who are at high risk for conditions such as multimorbidity, polypharmacy, low economic status, cognitive impairment and functional decline, while growing evidence suggest frailty as a core geriatric syndrome that is highly correlated with human aging, multimorbidity, and disability [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Association of the FRAIL Scale with Geriatric Syndromes and Health-Related Outcomes in Korean Older Adults

Chong

Jung

et al. 2021

Ann Geriatr Med Res

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BackgroundNeeds exist for appropriate tools for frailty screening in community-dwelling older people, with growing older population. We aimed to investigate the association of geriatric conditions and healthrelated outcomes with the 5-item FRAIL scale in a Korean rural community setting. MethodsComprehensive geriatric assessments including FRAIL scale were performed in 1,292 communitydwelling people (mean age: 74.6 years) in the Aging Study of Pyeongchang Rural Area (ASPRA). These population was prospectively followed up to 3 years to analyze outcomes of death, institutionalization, disability, and quality of life. We investigated the association between frailty status by the FRAIL scale and outcomes. ResultsAccording to the FRAIL scale, 524 (36.5 %) were prefrail and 297 (23.0 %) were frail. In an adjusted model, degree of frailty status was significantly associated with concurrent geriatric syndromes, and 3-year incidences of mortality, institutionalization, and disability.Kaplan-Meier analysis showed significant difference in 3-year survival based on the frailty status (92.6% for robust; 85.7% for prefrail; 74.2% for frail; Log-rank p < 0.001). ConclusionThe 5-item FRAIL scale can screen accompanying geriatric syndromes and is associated with the 3year health-related outcomes in community-dwelling Korean older adults. From the perspective of public health, this simple screening tool for frailty assessment might be applicable to older population in Korea.