Osteoporos Sarcopenia.  2016 Jun;2(2):110-115. 10.1016/j.afos.2016.05.001.

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

Affiliations
  • 1Division of Occupational Therapy, Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok-Noi, Bangkok, 10700, Thailand.
  • 2Division of Rehabilitation Psychology and Recreation, Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok-Noi, Bangkok, 10700, Thailand.
  • 3Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok-Noi, Bangkok, 10700, Thailand. nisakorn.khong@gmail.com

Abstract

BACKGROUND
Sarcopenia is one of common problems among elderly worldwide.
OBJECTIVE
To determine the prevalence of sarcopenia and related factors in community-dwelling elders Thai population.
METHODS
This 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.
RESULTS
The 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.
CONCLUSIONS
Thirty 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.

Keyword

Sarcopenia; Prevalence; Community-dwelling elders; Factors

MeSH Terms

Aged
Asian Continental Ancestry Group*
Body Mass Index
Cross-Sectional Studies
Female
Gait
Hand Strength
Humans
Male
Mass Screening
Multivariate Analysis
Odds Ratio
Overweight
Prevalence*
Sarcopenia*
Thinness
Walking
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