Federal Institute of Education, Science and Tecnhonology of Rio de Janeiro, Physical Therapy Course- IFRJ, Rio de Janeiro, RJ, Brazil.
Postgraduate Program in Rehabilitation Sciences, Federal University of Alfenas, Alfenas, MG, Brazil.
Arch Gerontol Geriatr. 2019 May-Jun;82:172-178. doi: 10.1016/j.archger.2019.02.002. Epub 2019 Feb 12.
Frailty and sarcopenia are highly prevalent, as a part of geriatric syndrome, among elderly individuals. However, little is known about how these syndromes can affect elderly individuals who continue to work.
To estimate the prevalence of sarcopenia and frailty, and their individual and occupational factors among elderly individuals.
This cross-sectional study included elderly individuals working in a public university in Brazil, who were classified according to their sarcopenia and frailty profiles. They answered a structured questionnaire comprising potential explanatory variables: individual sociodemographic factors, work related factors, and health behaviors. Additionally, they performed a physical performance test. Multinomial logistic regression was used to estimate odds ratios and respective 95% confidence intervals (95% CIs). All analyses were conducted using the Stata 13.0 software, considering a significance of 5%.
Respectively, 55.8% and 6.3% of the elderly participants were classified in the Sarcopenia and Severe Sarcopenia groups. Frailty prevalence was 9.4%, with 62.5% classified as Pre-frail. Sarcopenia prevalence was significantly higher among men, and among those living with a partner, with a university degree, exhibiting poor lower limb function, and with multiple work demands. Frailty prevalence was significantly higher among women, and among those living without a partner, having a low educational level, with less work experience, working in an unhealthy/dangerous environment, and whose job was predominantly physical.
This study identified different potential trigger factors for the development of sarcopenia and frailty. These findings confirm that individual and work factors could explain the incidence of sarcopenia and frailty syndrome.
衰弱和肌少症是老年人群中常见的老年综合征的一部分。然而,对于这些综合征如何影响继续工作的老年人,人们知之甚少。
评估老年人肌少症和衰弱的患病率,以及它们的个体和职业因素。
本横断面研究纳入了在巴西一所公立大学工作的老年人,根据他们的肌少症和衰弱特征进行分类。他们回答了一份包含潜在解释变量的结构化问卷:个体社会人口统计学因素、与工作相关的因素和健康行为。此外,他们还进行了身体机能测试。使用多项逻辑回归估计比值比及其 95%置信区间(95%CI)。所有分析均使用 Stata 13.0 软件进行,置信度为 5%。
分别有 55.8%和 6.3%的老年参与者被归类为肌少症和严重肌少症组。衰弱的患病率为 9.4%,其中 62.5%被归类为虚弱前期。肌少症的患病率在男性和与伴侣同住、有大学学历、下肢功能较差、有多种工作需求的人群中显著较高。女性和与伴侣不同住、教育程度较低、工作经验较少、在不健康/危险环境中工作、工作以体力劳动为主的人群中,衰弱的患病率显著较高。
本研究确定了导致肌少症和衰弱发展的不同潜在触发因素。这些发现证实,个体和工作因素可以解释肌少症和衰弱综合征的发生率。