de Souza Larissa Franciny, Fontanela Laís Coan, Gonçalves Camila, Mendrano Amanda Lena, Freitas Mariana Alves, Danielewicz Ana Lúcia, de Avelar Núbia Carelli Pereira
Federal University of Santa Catarina, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil.
Public Health and Teacher at Federal University of Santa Catarina - UFSC, Department of Health Science, Campus Jardim Das Avenidas, Araranguá, Santa Catarina, Brazil.
Exp Aging Res. 2022 Mar-Apr;48(2):150-163. doi: 10.1080/0361073X.2021.1939564. Epub 2021 Jun 25.
Sarcopenia has a high prevalence in older adults and is associated with chronic aggravations to health, so therefore it is important to identify older adults who are affected by sarcopenia in order to establish preventative strategies or early interventions.
To estimate the prevalence of probable sarcopenia and verify its association with cognitive impairment, fear of falling, depressive symptoms and health self-perception in community-dwelling older adults.
A cross-sectional study with simple random sampling including 306 older adults of both genders. The outcome variable was probable sarcopenia evaluated by the Five times sit-to-stand test (5XSST) considering probable sarcopenia when the measured time was > 15 seconds, following the recommendation of the European Working Group on Sarcopenia in Older People. The predictor variables were cognitive impairment, fear of falling, depressive symptoms and self-perception of health. Multivariate Logistic Regression was performed to verify associations between the variables.
The prevalence of probable sarcopenia was 50.00%. The older adults had significantly higher chances of presenting probable sarcopenia when displaying cognitive impairment (OR 2.49; 95%CI 1.46-4.24), fear of falls (OR 4.23; 95%CI 2.51-7.12), depressive symptoms (OR 2.20; 95%CI 1.32-3.67), poor (OR 2.48; 95%CI 1.19-5.16) and fair self-perception of health (OR 2.11; 95%CI 1.22-3.63) when compared to those who did not have the same conditions.
The prevalence of probable sarcopenia in this study was 50.00%, and was associated with the presence of depressive symptoms, cognitive impairment, fear of falls and negative self-perception of health.
肌肉减少症在老年人中患病率很高，且与健康状况的慢性恶化相关，因此识别受肌肉减少症影响的老年人对于制定预防策略或早期干预措施很重要。
评估社区居住老年人中可能存在的肌肉减少症的患病率，并验证其与认知障碍、跌倒恐惧、抑郁症状和健康自我认知之间的关联。
采用简单随机抽样的横断面研究，纳入306名男女老年人。结局变量是通过五次坐立试验（5XSST）评估的可能的肌肉减少症，按照欧洲老年人肌肉减少症工作组的建议，当测量时间>15秒时考虑为可能的肌肉减少症。预测变量是认知障碍、跌倒恐惧、抑郁症状和健康自我认知。进行多变量逻辑回归以验证变量之间的关联。
可能的肌肉减少症患病率为50.00%。与没有相同情况的老年人相比，出现认知障碍（OR 2.49；95%CI 1.46-4.24）、跌倒恐惧（OR 4.23；95%CI 2.51-7.12）、抑郁症状（OR 2.20；95%CI 1.32-3.67）、健康自我认知差（OR 2.48；95%CI 1.19-5.16）和一般（OR 2.11；95%CI 1.22-3.63）的老年人出现可能的肌肉减少症的几率显著更高。
本研究中可能的肌肉减少症患病率为50.00%，且与抑郁症状、认知障碍、跌倒恐惧和健康负面自我认知有关。
