Lawongsa Kasidid, Tepakorn Jitrawee
Family Medicine, Phramongkutklao Hospital, Bangkok, THA.
Cureus. 2024 Jun 29;16(6):e63483. doi: 10.7759/cureus.63483. eCollection 2024 Jun.
This study aimed to investigate the prevalence of sarcopenia among older Thai adults residing in Bangkok and identify associated risk factors.
This cross-sectional study included Thai adults aged ≥60 years. All participants underwent assessments using the Yubi-wakka test, anthropometric measurements, bioelectrical impedance analysis, handgrip strength tests, and physical performance evaluations. Information on demographic characteristics, chronic health conditions, nutritional status, and medication use was also collected. Sarcopenia was diagnosed according to the 2019 Asian Working Group for Sarcopenia criteria. Statistical analyses were performed using the independent t-test, Chi-square test, and logistic regression to identify risk factors.
Among the 600 participants, the overall prevalence of sarcopenia was 19%. The multivariate analysis identified 13 significant risk factors associated with sarcopenia, including age ≥75 years (odds ratio [OR]=10.6, 95% confidence interval [CI]=3.7-30.2), higher education level (year) (OR=0.85, 95% CI=0.74-0.98), lower income level (OR=5.4, 95% CI=1.4-21.4), Barthel index <90 (OR=11.0, 95% CI=3.5-34.5), lower body mass index (OR=0.7, 95% CI=0.6-0.8), low calf circumference (OR=7.6, 95% CI=2.5-23.3), fall in the past year (OR, 3.1; 95% CI, 1.4-6.6), frailty (OR, 2.3; 95% CI, 1.1-4.5), malnutrition (OR=3.5, 95% CI=1.3-9.3), history of stroke (OR=7.5, 95% CI=1.3-41.4), vitamin D deficiency (OR=9.4, 95% CI=1.1-82.5), knee osteoarthritis (OR=6.3, 95% CI=1.57-25.31), and malignancy (OR=4.8, 95% CI=1.01-22.70).
This study evaluated the sarcopenia status across a diverse demographic of older Thai adults using comprehensive assessments, and examined the impact of socioeconomic factors and various chronic conditions on the occurrence of sarcopenia.
本研究旨在调查居住在曼谷的泰国老年人中肌肉减少症的患病率，并确定相关风险因素。
这项横断面研究纳入了年龄≥60岁的泰国成年人。所有参与者均接受了由比瓦卡测试、人体测量、生物电阻抗分析、握力测试和身体性能评估。还收集了有关人口统计学特征、慢性健康状况、营养状况和药物使用的信息。根据2019年亚洲肌肉减少症工作组标准诊断肌肉减少症。使用独立t检验、卡方检验和逻辑回归进行统计分析以确定风险因素。
在600名参与者中，肌肉减少症的总体患病率为19%。多变量分析确定了13个与肌肉减少症相关的显著风险因素，包括年龄≥75岁（比值比[OR]=10.6，95%置信区间[CI]=3.7-30.2）、较高教育水平（年）（OR=0.85，95%CI=0.74-0.98）、较低收入水平（OR=5.4，95%CI=1.4-21.4）、巴氏指数<90（OR=11.0，95%CI=3.5-34.5）、较低体重指数（OR=0.7，95%CI=0.6-0.8）、小腿围较低（OR=7.6，95%CI=2.5-23.3）、过去一年跌倒（OR，3.1；95%CI，1.4-6.6）、虚弱（OR，2.3；95%CI，1.1-4.5）、营养不良（OR=3.5，95%CI=1.3-9.3）、中风史（OR=7.5，95%CI=1.3-41.4）、维生素D缺乏（OR=9.4，95%CI=1.1-82.5）、膝关节骨关节炎（OR=6.3，95%CI=1.57-25.31）和恶性肿瘤（OR=4.8，95%CI=1.01-22.70）。
本研究通过全面评估评估了不同人口统计学特征的泰国老年人的肌肉减少症状况，并研究了社会经济因素和各种慢性疾病对肌肉减少症发生的影响。
