The prevalence of sarcopenia and related factors in a community-dwelling elders Thai population

Abstract

BackgroundSarcopenia is one of common problems among elderly worldwide.ObjectivesSarcopenia is one of common problems among elderly worldwide. To determine the prevalence of sarcopenia and related factors in community-dwelling elders Thai population.MethodsThis cross-sectional study was performed in 243 subjects aged over 60 years. All participants were evaluated for handgrip strength by dynamometer and for gait speed by walking a 6-m distance. The muscle mass for subjects who had abnormal grip strength and/or gait speed was evaluated by bioimpedance analysis (BIA). The prevalence of sarcopenia was calculated and factors related to sarcopenia were also analyzed.ResultsThe mean age was 69.7 ± 6.9 years with three-fourths female participants. Approximate 60% of subjects were overweight. There were 74 participants (30.5%, (95% CI: 25.0%–36.5%)) with abnormal grip strength; gait speed and muscle mass. Males had more prevalence than females (33.9% vs. 29.3% respectively). There is higher prevalence with increasing age among both genders (17.9%, 41.4% and 80.0% in young old, middle old, and the very old groups respectively in male; and 11.5%, 49.1%, and 65.0% in female). After using multivariate analysis, age, body mass index (BMI), and quadriceps strengths were significantly related to sarcopenia with the adjusted odds ratio of 15.47 (95% CI: 4.93, 48.54), 12.84 (95% CI: 3.85, 42.82) and 3.77 (95% CI: 1.70, 8.37) respectively.ConclusionsThirty percent of the community-based elderly experienced sarcopenia. As the prevalence is high, the screening for sarcopenia should be performed in community-dwelling elders especially older age, underweight subjects and lower quadriceps strength.

Prevalence and risk factors of primary sarcopenia in community-dwelling outpatient elderly: a cross-sectional study

“…Fall history was acquired by asking participants the number of falls in the Statistical analysis. Based on a previous study 13 , the prevalence of sarcopenia in Thai community-dwelling elderly was 30.5%. Thus, the required sample for an α = 0.05 and Z = 1.96 was estimated to be 326 participants.…”

“…In order to effectively prevent the development of sarcopenia, it is important to know which risk factors contribute to the condition. Many factors have been identified to contribute to sarcopenia such as age, sex, physical activity, falls, frailty, comorbidities, body mass index (BMI), dietary intake, and malnutrition, however; this was not consistent across all studies 13,[18][19][20] . One of the reasons is that most of the previous studies did not clearly differentiate between primary and secondary sarcopenia.…”

“…used the 2014 AWGS criteria have reported that the prevalence of sarcopenia was 1-30% in a community setting, 14-33% in a long-term care setting, and up to 60% in in-hospital rehabilitation unit [11][12][13] . However, sarcopenia in outpatient setting has been evaluated in a few studies and the prevalence ranged from 0.8 to 26% [14][15][16][17] .…”

Vitamin D and Sarcopenia: Potential of Vitamin D Supplementation in Sarcopenia Prevention and Treatment

“…The prevalence of sarcopenia in 1882 elderly Japanese individuals, aged 65 to 89 years, was observed to be 21.8% and 22.1% for men and women, respectively, with diagnosis based on the EWGSOP criteria [ 9 ]. Other research with 243 elderly Thai participants indicated a sarcopenia prevalence of 30.5% (33.9% for men and 29.3% for women) [ 10 ]. Few studies have reported the prevalence of sarcopenia based on the EWGSOP2 criteria.…”

Hubungan Komponen Comprehensive Geriatric Assessment dan Sarkopenia pada Usia Lanjut

“…Sebuah studi di Thailand juga menyebutkan bahwa lansia madya lebih mengalami risiko terjadi sarkopenia (OR 6,19, IK 95% 2,91-13,18) dan begitu pula lansia tua (OR 15,47, IK 95% 4,93-58,54). 28 Status nutrisi adalah faktor dengan nilai OR terbesar pada analisis bivariat maupun multivariat. Hasil ini sesuai dengan penelitian komunitas lansia di Taiwan yang menunjukkan adanya asosiasi positif antara malnutrisi dengan sarkopenia (OR 2,859, IK 95% 1,133-7,217).…”