J Agric Med Community Health.  2022 Jun;47(2):90-98. 10.5393/JAMCH.2022.47.2.090.

Nutrition and Psychosocial Factors were associated with Possible Sarcopenia in the Rural Elderly

Affiliations
  • 1Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University
  • 2Center for Farmer’s Safety and Health, Gyeongsang National University Hospital
  • 3Department of Information & Statistics, College of Natural Science, Gyeongsang National University

Abstract


Objective
This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community.
Methods
The study included 1,019 subjects aged 60 and over. “Possible sarcopenia” was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia.
Results
MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy.
Conclusion
It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises. Finally, it is also necessary to increase regular participation in community social activities.

Keyword

sarcopenia; nutritional status; psychosocial factor
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