Yalcin Ahmet, Aras Sevgi, Atmis Volkan, Cengiz Ozlem Karaarslan, Varli Murat, Cinar Esat, Atli Teslime
Department of Geriatric Medicine, Ankara University School of Medicine İbn-i Sina Hospital, Ankara, Turkey.
Geriatr Gerontol Int. 2016 Aug;16(8):903-10. doi: 10.1111/ggi.12570. Epub 2015 Aug 5.
Sarcopenia is prevalent in older people, and is related to survival and disability. There are no data on sarcopenia evaluated according to European Working Group on Sarcopenia in Older People criteria for nursing home residents in Turkey. We aimed to evaluate the prevalence of sarcopenia according to European Working Group on Sarcopenia in Older People criteria and associated factors with sarcopenia among nursing home residents in Turkey.
The study cohort consisted of individuals aged over 65 years and living in the Seyranbağları Nursing Home and Rehabilitation Center in Ankara, Turkey. Besides demographic and medical data, Mini-Mental State Examination, activities of daily living, Mini-Nutritional Assessment, body mass index, calf circumference, gait speed and handgrip strength were also investigated. Muscle mass was evaluated by bioelectrical impedance analysis. Sarcopenia was diagnosed according to European Working Group on Sarcopenia in Older People criteria.
A total of 141 older individuals were evaluated. Sarcopenia was found in 29% (n = 41) of the participants. Participants with sarcopenia were older and had low scores for activities of daily living, low body mass index, greater cognitive dysfunction, high malnutrition risk and low calf circumference. Body mass index and calf circumference were found to be associated with sarcopenia in multivariate logistic regression analysis.
Almost one-third of older nursing home residents were diagnosed with sarcopenia according to European Working Group on Sarcopenia in Older People criteria in this study in Turkey. Calf circumference and body mass index were associated with increased risk of sarcopenia among nursing home residents. This is the first study evaluating sarcopenia using European Working Group on Sarcopenia in Older People criteria in Turkey. Geriatr Gerontol Int 2016; 16: 903-910.
肌肉减少症在老年人中普遍存在,且与生存及残疾相关。在土耳其,尚无依据欧洲老年人肌肉减少症工作组标准评估养老院居民肌肉减少症的数据。我们旨在依据欧洲老年人肌肉减少症工作组标准评估土耳其养老院居民中肌肉减少症的患病率及其相关因素。
研究队列由年龄超过65岁、居住在土耳其安卡拉Seyranbağları养老院及康复中心的个体组成。除人口统计学和医学数据外,还对简易精神状态检查表、日常生活活动能力、微型营养评定量表、体重指数、小腿围、步速和握力进行了调查。通过生物电阻抗分析评估肌肉量。依据欧洲老年人肌肉减少症工作组标准诊断肌肉减少症。
共评估了141名老年人。29%(n = 41)的参与者被发现患有肌肉减少症。患有肌肉减少症的参与者年龄更大,日常生活活动能力得分低,体重指数低,认知功能障碍更严重,营养不良风险高,小腿围小。在多因素逻辑回归分析中,发现体重指数和小腿围与肌肉减少症相关。
在土耳其的这项研究中,依据欧洲老年人肌肉减少症工作组标准,近三分之一的老年养老院居民被诊断患有肌肉减少症。小腿围和体重指数与养老院居民肌肉减少症风险增加相关。这是土耳其第一项使用欧洲老年人肌肉减少症工作组标准评估肌肉减少症的研究。《老年医学与老年病学国际杂志》2016年;16:903 - 910。