Institute of Human Convergence Health Science, Gachon University, Incheon, Republic of Korea.
Department of Sport Coaching, Korea National Sport University, Seoul, Republic of Korea.
Front Public Health. 2024 May 28;12:1346315. doi: 10.3389/fpubh.2024.1346315. eCollection 2024.
This study aimed to investigate the ecological system factors that influence discrimination of sarcopenia among older individuals living in contemporary society. Data analysis included information from 618 older adults individuals aged 65 years or older residing in South Korea. To assess variations in ecological system factors related to SARC-F scores, we conducted correlation analysis and t-tests. Discriminant analysis was used to identify factors contributing to group discrimination. The key findings are summarized as follows. First, significant differences at the < 0.001 level were observed between the SARC-F score groups in various aspects, including attitudes toward life, wisdom in life, health management, social support, media availability, sports environment, collectivist values, and values associated with death. Further, service environment differences were significant at < 0.01 level, while social belonging and social activities exhibited significance at < 0.05. Second, factors influencing group discrimination based on the SARC-F scores were ranked in the following order: health management, attitudes toward life, fear of own death, wisdom in life, physical environment, sports environment, media availability, social support, fear of the own dying, collectivist values, service environment, social activities, and social belonging. Notably, the SARC-F tool, which is used for sarcopenia discrimination, primarily concentrates on physical functioning and demonstrates relatively low sensitivity. Therefore, to enhance the precision of sarcopenia discrimination within a score-based group discrimination process, it is imperative to incorporate ecological system factors that exert a significant influence. These modifications aimed to enhance the clarity and precision of the text in an academic context.
本研究旨在探讨影响当代社会中老年人肌少症歧视的生态系统因素。数据分析包括来自韩国 618 名 65 岁或以上老年人的信息。为了评估与 SARC-F 评分相关的生态系统因素的变化,我们进行了相关分析和 t 检验。判别分析用于确定有助于群体歧视的因素。主要发现总结如下。首先,在生活态度、生活智慧、健康管理、社会支持、媒体可用性、体育环境、集体主义价值观和与死亡相关的价值观等方面,SARC-F 评分组之间存在显著差异(p<0.001)。此外,服务环境差异在 p<0.01 水平上显著,而社会归属和社会活动在 p<0.05 水平上显著。其次,基于 SARC-F 评分的群体歧视影响因素的排名如下:健康管理、生活态度、对自身死亡的恐惧、生活智慧、物理环境、体育环境、媒体可用性、社会支持、对自身死亡的恐惧、集体主义价值观、服务环境、社会活动和社会归属。值得注意的是,用于肌少症歧视的 SARC-F 工具主要关注身体功能,灵敏度相对较低。因此,为了在基于评分的群体歧视过程中提高肌少症歧视的准确性,必须纳入对歧视具有显著影响的生态系统因素。这些修改旨在提高文本在学术背景下的清晰度和准确性。