Division of Geriatrics, Department of Internal Medicine, Ege University Faculty of Medicine, Izmir, Turkey.
Department of Nutrition and Dietetics, Ege University Faculty of Health Sciences, İzmir, Turkey.
Arch Gerontol Geriatr. 2018 May-Jun;76:196-201. doi: 10.1016/j.archger.2018.03.003. Epub 2018 Mar 16.
Sarcopenia, functional disability, and depression are common problems in the elderly. Sarcopenia is associated with physical disability, functional impairment, depression, cardiometabolic diseases, and even mortality. This study aims to determine the association of sarcopenia with depression and functional status among ambulatory community-dwelling elderly aged 65 years and older.
The sample of this cross-sectional study consisted of 28,323 people, aged 65 years and older, living in Bornova, Izmir. Multi-stage sample selection was performed to reach 1007 individuals. However, 966 elderly people could be reached, and 861 elderly people who can walk were included in the study. The data were collected by the interviewers at home through face-to-face interview.
The mean age was 72.2 ± 5.8 (65-100) years. The prevalence of functional disability, depressive symptoms, and sarcopenia were 21.7%, 25.2%, and 4.6%, respectively. In multivariate analysis depression was associated with sarcopenia, being illiterate and divorced, perception of the economic situation as poor/moderate, increased number of chronic diseases, and having at least one physical disability. IADL associated functional disability with sarcopenia, being illiterate/literate and female, increased age and number of medications, and the BMI.
Sarcopenia in ambulatory community-dwelling elderly is significantly associated with depressive symptoms and functional disability. Elderly people at high risk of sarcopenia should be screened for functional disability and depression. Appropriate interventions should also be implemented.
肌少症、功能障碍和抑郁是老年人常见的问题。肌少症与身体残疾、功能障碍、抑郁、心血管代谢疾病甚至死亡有关。本研究旨在确定肌少症与 65 岁及以上社区活动的老年人抑郁和功能状态的关系。
本横断面研究的样本包括伊兹密尔博尔诺瓦的 28323 名 65 岁及以上的居民。采用多阶段抽样方法选取 1007 人，但仅联系到 966 名老年人，其中 861 名可行走的老年人被纳入研究。数据由家访的访谈员通过面对面访谈收集。
平均年龄为 72.2±5.8（65-100）岁。功能障碍、抑郁症状和肌少症的患病率分别为 21.7%、25.2%和 4.6%。在多变量分析中，抑郁与肌少症、文盲和离婚、经济状况差/中等、慢性疾病数量增加以及至少有一项身体残疾有关。IADL 与肌少症、文盲/识字和女性、年龄和用药数量增加以及 BMI 相关的功能障碍有关。
社区活动的老年人肌少症与抑郁症状和功能障碍显著相关。应筛查肌少症高危老年人的功能障碍和抑郁。还应实施适当的干预措施。
