Whaikid Phatcharaphon, Piaseu Noppawan
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
Int J Nurs Sci. 2023 Dec 3;11(1):31-45. doi: 10.1016/j.ijnss.2023.11.002. eCollection 2024 Jan.
This systematic review and meta-analysis aimed to assess the prevalence and identify factors associated with sarcopenia in older Thais.
Research studies were searched in online databases, including PubMed, Embase, Scopus, and Thai-Journal Citation Index. The articles included in this review were limited to being published between January 1, 2013 and January 31, 2023 and observational study designs. The research quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies. A meta-analysis was performed using the JBI SUMARI software. The review protocol has been registered on PROSPERO with the assigned ID CRD42023420514.
A total of 265 research articles were initially identified, out of which 17 articles were included in this study, including a total of 4,668 participants aged 60 years and over, consisting of 1,380 (29.6%) men and 3,288 (70.4%) women. The overall prevalence of sarcopenia in Thai older adults was 20.7% (95% CI 14.4%-27.8%). Subgroup analysis of the sarcopenia prevalence based on the study areas revealed that the prevalence was 33.4% (95% CI 28.7%-38.3%) in hospitalized individuals, 23.2% (95% CI 12.5%-35.9%) in outpatient clinic settings, and 17.3% (95% CI 9.4%-26.8%) in community-living older adults. Advanced age ( = 4.60, 95% CI 3.07-6.91), being male ( = 2.30, 95% CI 1.37-3.85), low body mass index (BMI) ( = 8.95, 95% CI 6.05-13.25), and malnutrition ( = 2.78, 95% CI 2.09-3.70) are strong predictors of sarcopenia in older adults in Thailand.
This systematic review represents the first assessment of the overall prevalence and factors associated with sarcopenia in Thai older adults, indicating its significant concern within this population. These findings are of importance for public health management aimed at preventing and managing sarcopenia in the country.
本系统评价和荟萃分析旨在评估泰国老年人肌肉减少症的患病率，并确定与之相关的因素。
在在线数据库中检索研究，包括PubMed、Embase、Scopus和泰国期刊引文索引。纳入本评价的文章限于2013年1月1日至2023年1月31日期间发表的，以及观察性研究设计的文章。使用乔安娜·布里格斯研究所（JBI）患病率研究的批判性评价工具评估研究质量。使用JBI SUMARI软件进行荟萃分析。该评价方案已在PROSPERO上注册，注册号为CRD42023420514。
初步识别出265篇研究文章，其中17篇纳入本研究，共包括4668名60岁及以上的参与者，其中男性1380名（29.6%），女性3288名（70.4%）。泰国老年人肌肉减少症的总体患病率为20.7%（95%CI 14.4%-27.8%）。根据研究地区对肌肉减少症患病率进行的亚组分析显示，住院患者的患病率为33.4%（95%CI 28.7%-38.3%），门诊患者为23.2%（95%CI 12.5%-35.9%），社区老年人为17.3%（95%CI 9.4%-26.8%）。高龄（β = 4.60，95%CI 3.07-6.91）、男性（β = 2.30，95%CI 1.37-3.85）、低体重指数（BMI）（β = 8.95，95%CI 6.05-13.25）和营养不良（β = 2.78，95%CI 2.09-3.70）是泰国老年人肌肉减少症的强预测因素。
本系统评价首次评估了泰国老年人肌肉减少症的总体患病率及其相关因素，表明该问题在这一人群中值得高度关注。这些发现对于该国旨在预防和管理肌肉减少症的公共卫生管理具有重要意义。
