Tan Robby Carlo, Castilla Kyler Kenn, Serafico Michael, Mensink Marco, de Groot Lisette
Department of Science and Technology, Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines; Division of Human Nutrition & Health, Wageningen University and Research, Wageningen, The Netherlands.
Department of Science and Technology, Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines.
J Frailty Aging. 2025 Apr 30;14(3):100044. doi: 10.1016/j.tjfa.2025.100044.
Sarcopenia, characterized by a progressive decline in muscle mass and strength, is a significant concern among older individuals, impacting their functionality and overall quality of life (QOL). The relationship between sarcopenia and QOL among Filipino older adults remains underexplored. Thus, the study aims to determine the prevalence of sarcopenia and its association with the QOL of community-dwelling older adults in selected Philippine cities.
This cross-sectional study used convenience sampling in the selection of the cities. Participants were randomly selected from the list provided by each local city government.
536 apparently healthy community-dwelling Filipino older adults from three major islands in the Philippines.
Sarcopenia was determined using the 2019 Asian Working Group for Sarcopenia criteria which is the presence of low muscle mass, plus low muscle strength, and/or low physical performance. Quality of life was assessed using the culturally-validated WHO-QOL short form questionnaire. Mixed Model logistic regression adjusted for covariates was performed to study the association of sarcopenia indicators to quality of life.
24.3 % of older Filipinos were found to have sarcopenia. Sarcopenic community-dwelling older adults had significantly decreased odds of attaining higher score in the physical domain (OR 0.63; 0.40-0.98), psychological domain (OR 0.55; CI 0.35-0.84), and overall quality of life (OR 0.57; CI 0.37-0.89) than the non-sarcopenic group.
One in four community-dwelling Filipino older adults met the sarcopenia criteria. Sarcopenia is associated with decreased QOL scores, particularly in the physical health and psychological health domains. Sarcopenia needs to be considered in the context of public health to come up with targeted nutrition and health interventions for improved QOL.
肌肉减少症的特征是肌肉质量和力量逐渐下降，这是老年人的一个重大问题，会影响他们的功能和整体生活质量（QOL）。菲律宾老年人中肌肉减少症与生活质量之间的关系仍未得到充分研究。因此，本研究旨在确定菲律宾部分城市社区居住的老年人中肌肉减少症的患病率及其与生活质量的关联。
本横断面研究在城市选择中采用便利抽样。参与者从每个当地市政府提供的名单中随机选取。
来自菲律宾三个主要岛屿的536名看似健康的社区居住菲律宾老年人。
采用2019年亚洲肌肉减少症工作组标准确定肌肉减少症，即存在低肌肉量，加上低肌肉力量和/或低身体机能。使用经过文化验证的世界卫生组织生活质量简表问卷评估生活质量。进行了调整协变量的混合模型逻辑回归，以研究肌肉减少症指标与生活质量的关联。
发现24.3%的菲律宾老年人患有肌肉减少症。与非肌肉减少症组相比，患有肌肉减少症的社区居住老年人在身体领域（比值比0.63；0.40 - 0.98）、心理领域（比值比0.55；可信区间0.35 - 0.84）和整体生活质量（比值比0.57；可信区间0.37 - 0.89）得分较高的几率显著降低。
四分之一的社区居住菲律宾老年人符合肌肉减少症标准。肌肉减少症与生活质量得分降低有关，特别是在身体健康和心理健康领域。在公共卫生背景下需要考虑肌肉减少症，以制定有针对性的营养和健康干预措施，改善生活质量。
