Factors associated with risk of sarcopenia in older adults
Palavras-chave:Sarcopenia, Aging, Social groups, Educational status, Health
This study aimed to assess the factors associated with the risk of sarcopenia in older adults who attend social groups. This is a cross-sectional conducted with 207 older adults. A sociodemographic questionnaire, the International Physical Activity Questionnaire (IPAQ) and the SARC-f questionnaire were used as instruments. Data analysis was carried out by using the chi-squared test and the Binary Logistic Regression (p < 0.05). The results showed a significant association of the risk of sarcopenia with the education level (p = 0,016). There was a significant difference among the groups in self-perceived health (p = 0.001), health perception compared to older adults of the same age (p = 0.001), amount of medications used (p = 0.001), history of falls (p = 0.001) and near-falls (p = 0.001). No significant difference was found in the risk of sarcopenia with level of physical activity. When comparing the ratios of diseases reported according to the risk of sarcopenia, there was a significant difference in heart disease (p = 0.001), systemic arterial hypertension (p = 0.001), stroke (p = 0.001), diabetes (p = 0.049), osteoarthritis (p = 0.001), lung disease (p = 0.034), depression (p = 0.001) and osteoporosis (p = 0.001). The logistic regression revealed that the older adults who had no history of falls and reported no heart disease, lung disease, depression or osteoporosis were more likely to have no risk of sarcopenia. Therefore, it was concluded that the education level and health conditions reported by the older adults can be considered as factors associated with the risk of sarcopenia. The level of physical activity is not a factor associated with the indication of sarcopenia.
He X, Li Z, Tang X, Zhang L, Wang L, He Y, et al. Age-and sex-related differences in body composition in healthy subjects aged 18 to 82 years. Medicine (Baltimore). 2018;97(25):e11152.
Manini TM, Clark BC. Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci. 2011;67(1):28-40.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: Revised European Consensus on Definition and Diagnosis. Age Ageing. 2019;48(1):16-31.
Cesari M, Rolland Y, Abellan Van Kan G, Bandinelli S, Vellas B, Ferrucci L. Sarcopenia-related parameters and incident disability in older persons: results from the “invecchiare in Chianti” study. J Gerontol A Biol Sci Med Sci. 2014;70(4):457-63.
Pagotto V, Silveira EA. Applicability and agreement of different diagnostic criteria for sarcopenia estimation in the elderly. Arch Gerontol Geriatr. 2014;59(2):288-94.
Pereira FB, Leite AF, Paula AP. Relationship between pre-sarcopenia, sarcopenia and bone mineral density in elderly men. Arch Endocrinol Metabol. 2015;59(1):59-65.
Lang T, Streeper T, Cawthon P, Baldwin K, Taaffe DR, Harris T. Sarcopenia: etiology, clinical consequences, intervention, and assessment. Osteoporos Int. 2010;21(4):543-59.
Bijlsma A, Meskers C, Ling C, Narici M, Kurrle S, Cameron I, et al. Defining sarcopenia: the impact of different diagnostic criteria on the prevalence of sarcopenia in a large middle aged cohort. Age. 2013;35(3):871-81.
Diz JBM, Leopoldino AAO, Moreira BdS, Henschke N, Dias RC, Pereira LSM, et al. Prevalence of sarcopenia in older Brazilians: A systematic review and meta‐analysis. Geriatr Gerontol Int. 2017;17(1):5-16.
Beaudart C, Zaaria M, Pasleau F, Reginster J-Y, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. PloS one. 2017;12(1):e0169548.
Brandão GS, Camelier FW, Sampaio AA, Brandão GS, Silva AS, Gomes GS, Donner CF, et al. Association of sleep quality with excessive daytime somnolence and quality of life of elderlies of community. Multidiscip Respir Med. 2018;13(1).
Kim H, Suzuki T, Kim M, Kojima N, Yoshida Y, Hirano H, et al. Incidence and predictors of sarcopenia onset in community-dwelling elderly Japanese women: 4-year follow-up study. J Am Medical Dir Assoc. 2015;16(1).
Sternäng O, Reynolds CA, Finkel D, Ernsth-Bravell M, Pedersen NL, Dahl Aslan AK. Factors associated with grip strength decline in older adults. Age Ageing. 2014;44(2):269-74.
Moon SJ, Kim TH, Yoon SY, Chung JH, Hwang H-J. Relationship between stage of chronic kidney disease and sarcopenia in Korean aged 40 years and older using the Korea National Health and Nutrition Examination Surveys (KNHANES IV-2, 3, and V-1, 2), 2008–2011. PloS one. 2015;10(6):e0130740.
Tramontano A, Veronese N, Sergi G, Manzato E, Rodriguez-Hurtado D, Maggi S, et al. Prevalence of sarcopenia and associated factors in the healthy older adults of the Peruvian Andes. Arch Gerontol Geriatr. 2017;68:49-54.
Richardson R, Peres JS, Wanderley J, Correia L, Peres MHM. Epistemologia do trabalho científico M Pesquisa social: métodos e técnicas São Paulo: Atlas. 1999.
Matsudo V, Matsudo SM, Araújo TL, Andrade DR, Oliveira LC, Hallal PC. Time trends in physical activity in the state of Sao Paulo, Brazil: 2002-2008. Med Sci Sports Exerc. 2010;42(12):2231-6.
Woo J, Leung J, Morley JE. Validating the SARC-F: A suitable community screening tool for sarcopenia? J Am Med Direct Assoc. 2014;15(9):630-4.
Faul F, Erdfelder E, Lang AG, Buchner A. GPower 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Beha Res Methods. 2007;39(2):175-91.
Trajanoska K, Schoufour JD, Darweesh SK, Benz E, Medina‐Gomez C, Alferink LJ, et al. Sarcopenia and its clinical correlates in the general population: the Rotterdam Study. J Min Rese. 2018;33(7):1209-18.
Larsson L, Degens H, Li M, Salviati L, Lee Yi, Thompson W, et al. Sarcopenia: aging-related loss of muscle mass and function. Physiol Rev. 2019;99(1):427-511.
Akune T, Muraki S, Oka H, Tanaka S, Kawaguchi H, Nakamura K, et al. Exercise habits during middle age are associated with lower prevalence of sarcopenia: the ROAD study. Osteopors Inter. 2014;25(3):1081-8.
Castro MR, Lima LHR, Duarte ER. Jogos recreativos para a terceira idade: uma análise a partir da percepção dos idosos. Rev Bras Cienc Esporte. 2016;38(3):283-9.
Chung P-K, Zhao Y, Liu J-D, Quach B. A canonical correlation analysis on the relationship between functional fitness and health-related quality of life in older adults. Arch Gerontol Geriatr. 2017;68:44-8.
Alexandre TS, Duarte YAO, Santos JLF, Lebrão ML. Prevalência e fatores associados à sarcopenia, dinapenia e sarcodinapenia em idosos residentes no Município de São Paulo-Estudo SABE. Rev Bras Epidemiol. 2019;21:e180009.
Fávaro-Moreira NC, Krausch-Hofmann S, Matthys C, Vereecken C, Vanhauwaert E, Declercq A, Bekkering GE, Duyck J. Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinal data. Adv Nutr. 2016;7(3):507-22.
Confortin SC, Ono LM, Barbosa AR, d’Orsi E. Sarcopenia e sua associação com mudanças nos fatores socioeconômicos, comportamentais e de saúde: Estudo EpiFloripa Idoso. Cad Saúde Pública. 2018;34:e00164917.
Souza VA, Oliveira D, Barbosa SR, Correa JOA, Colugnati FAB, Mansur HN, et al. Sarcopenia in patients with chronic kidney disease not yet on dialysis: Analysis of the prevalence and associated factors. PLoS One. 2017;12(4):e0176230.
Martinez BP, Batista AKMS, Gomes IB, Olivieri FM, Camelier FWR, Camelier AA. Frequency of sarcopenia and associated factors among hospitalized elderly patients. BMC Musculoskelet Disord. 2015;16(1):108.
Pritchard JM, Kennedy CC, Karampatos S, Ioannidis G, Misiaszek B, Marr S, Patterson C, Woo T, Papaioannou A. Measuring frailty in clinical practice: a comparison of physical frailty assessment methods in a geriatric out-patient clinic. BMC Geriatr. 2017;17(1):264.