Prevalence of Sarcopenia among Nursing Home Older Residents in Cairo, Egypt

Rahman, Tomader Taha Abdel; Elkholy, Nehal Mahmoud; Mortagy, Ahmad Kamel

doi:10.4236/aar.2014.32019

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…Therefore, sarcopenia screening is recommended for all RAC residents regardless of the individual's BMI. In studies that have used the EWGSOP diagnostic criteria, the prevalence of sarcopenia in RAC residents has been reported between 17.7% and 40.2% [14][15][16][17], with variations in prevalence rates likely due to geographical, cultural, or ethnic differences. For example, among residents in Egypt, a lower rate of sarcopenia (17.7%) was attributed to increased sunlight hours, as vitamin D status is well known to be protective of muscle mass in older adults [16].…”

Section: Discussionmentioning

confidence: 99%

“…In studies that have used the EWGSOP diagnostic criteria, the prevalence of sarcopenia in RAC residents has been reported between 17.7% and 40.2% [14][15][16][17], with variations in prevalence rates likely due to geographical, cultural, or ethnic differences. For example, among residents in Egypt, a lower rate of sarcopenia (17.7%) was attributed to increased sunlight hours, as vitamin D status is well known to be protective of muscle mass in older adults [16]. A study analysing sarcopenia across older adults living in four RAC facilities in Chengdu City, China (mean age ± SD; 81.6 ± 3.3 years) found sarcopenia prevalence to be 32.5% when assessed using the EWGSOP criteria [17].…”

Section: Discussionmentioning

confidence: 99%

“…Studies overseas that have used the EWGSOP criteria to assess residents living in residential aged care (RAC) report varying rates of sarcopenia [13][14][15]. For example, sarcopenia prevalence among RAC residents of 40.2% in Australia [14] and 38.7% in Slovenia [15] has been reported, with a slightly lower prevalence in Italy (32.8%), China (32.5%) and Egypt (17.7%) [13,16,17]. While these studies had small sample sizes of 80 to 277 participants, results suggest that, among residents in RAC, sarcopenia may be a widespread condition.…”

Section: Introductionmentioning

confidence: 99%

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Sarcopenia Prevalence and Risk Factors among Residents in Aged Care

et al. 2022

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The aim of this study was to investigate the prevalence of sarcopenia and associated risk factors among older adults living in three residential aged care (RAC) facilities within Auckland, New Zealand. A total of 91 older adults (63% women, mean age ± SD; 86.0 ± 8.3 years) were recruited. Using the European Working Group on Sarcopenia in Older People criteria, sarcopenia was diagnosed from the assessment of: appendicular skeletal muscle mass/height2, using an InBody S10 body composition analyser and a SECA portable stadiometer or ulna length to estimate standing height; grip strength using a JAMAR handheld dynamometer; and physical performance with a 2.4-m gait speed test. Malnutrition risk was assessed using the Mini Nutrition Assessment–Short Form (MNA-SF). Most (83%) of residents were malnourished or at risk of malnutrition, and 41% were sarcopenic. Multivariate regression analysis showed lower body mass index (Odds Ratio (OR) = 1.4, 95% CI: 1.1, 1.7, p = 0.003) and lower MNA-SF score (OR = 1.6, 95% CI: 1.0, 2.4, p = 0.047) were predictive of sarcopenia after controlling for age, level of care, depression, and number of medications. Findings highlight the need for regular malnutrition screening in RAC to prevent the development of sarcopenia, where low weight or unintentional weight loss should prompt sarcopenia screening and assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sarcopenia Prevalence and Risk Factors among Residents in Aged Care

et al. 2022

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“…Several factors have been associated with sarcopenia, including low Body Mass Index (BMI), sedentary lifestyle, malnutrition, continuous polymedication 16,17 , lower functional ability, smoking 18,19 , greater fragility and depression 19 .…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia

Zanotti

Wender

2021

PAJAR, Pan Am. J. Aging Res.

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Objective: To assess the prevalence of sarcopenia and associated factors among older women from the local community and older women living in Long-Term Care (LTC) institutions.Methods: A cross-sectional study conducted with 423 older women aged 60 or more, from the local community and older women aged 60 or more, living in LTC institutions. Sarcopenia was defined, according to the consensus of the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), including three criteria: low muscle strength (LMS) (<16kg); low muscle mass (LMM) (≤6.75kg/m2) assessed by a skeletal muscle mass index, and low physical performance (LPP) (≤0,8m/s) assessed by gait speed test. Older women who only showed LMS were considered to have pre-sarcopenia, those with LMS associated with LMM were diagnosed with sarcopenia and those who met all three criteria, were diagnosed with severe sarcopenia.Results: Among the community-dwelling older women, the prevalence of sarcopenia was 2.0% (from 60 to 69), 8.6% (from 70 to 79) and 12.9% (80 or more) and among the ones living in LTC Institutions, 3.3% (from 60 to 69), 14.8% (from 70 to 79) and 34.2% (80 or more). After multivariate logistic regression, age and low body mass index (BMI) were associated with sarcopenia in both groups.Conclusion: The prevalence of sarcopenia is higher among LTC older women. However, this is not an independent factor. In addition, regardless of residence, low BMI and advanced age are predictive for sarcopenia.

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Anthropometric Measurements and Cognitive Impairment Rather Than Nutrition Status Are Associated With Sarcopenia in Long‐Term Care Residents

2019

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Background Sarcopenia is an important health problem in older adults. The aim was to study the association of anthropometric measurements, functional capacity, cognitive impairment, and nutrition status with sarcopenia in institutionalized older adults. Methods A cross‐sectional study was undertaken, determining the calf circumference (CC), mid‐upper arm muscle circumference (MUAMC), and body mass index (BMI) and administering the Pfeiffer test and Mini Nutritional Assessment Short Form (MNA‐SF). Sarcopenia was diagnosed following criteria of the European Working Group on Sarcopenia in Older People. After bivariate analyses, a multivariate logistic regression model was constructed to determine the association of study variables with sarcopenia. Results The study group comprised 249 residents (mean age 84.9 ± 6.7 years). The prevalence of sarcopenia was 63%. The multivariate analysis with adjusted odds ratios (ORs) indicated that the risk of sarcopenia was significantly increased by being female (OR = 2.8; 95% CI 1.3–6.2), having moderate or severe cognitive impairment (Pfeiffer test score of 5–10) (OR = 2.4; 95% CI 0.9–6.4), and having a BMI < 22 kg/m2 (OR = 22.4; 95% CI 6.7–75.0). Moreover, a low CC (OR = 6.5; 95% CI 3.0–14.0) or MUAMC (OR = 3.9; 95% CI 1.7–9.3) also significantly increased the risk of sarcopenia. A negative association was observed between sarcopenia and MNA‐SF, although it did not remain statistically significant in the multivariate analysis. Conclusions The variables identified as risk factors for sarcopenia can assist in detecting individuals at higher risk who require special clinical attention.

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Prevalence of Sarcopenia among Nursing Home Older Residents in Cairo, Egypt

Cited by 10 publications

References 24 publications

Sarcopenia Prevalence and Risk Factors among Residents in Aged Care

Sarcopenia Prevalence and Risk Factors among Residents in Aged Care

Sarcopenia

Anthropometric Measurements and Cognitive Impairment Rather Than Nutrition Status Are Associated With Sarcopenia in Long‐Term Care Residents

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