Pinheiro Hudson Azevedo, Cerceau Vera Regina, Pinheiro Luana de Azevedo, Pagotto Valéria, Menezes Ruth Losada de
Secretaria de Saúde do Distrito Federal, Diretoria Regional de Atenção Secundária, Brasília, DF, Brazil.
Universidade Católica de Brasília, Curso de Enfermagem, Brasília, DF, Brazil.
Epidemiol Serv Saude. 2025 Aug 4;34:e20240500. doi: 10.1590/S2237-96222025v34e20240500.en. eCollection 2025.
To estimate the prevalence of sarcopenia and identify associated factors by sex in elderly people referred by Primary Healthcare to a geriatrics and gerontology reference service in an area of the Federal District in the period of 2015-2017.
This is a longitudinal study that used the criteria of the European Working Group of Sarcopenia in Older People (hand grip, calf circumference and usual gait speed), in addition to clinical aspects and socioeconomic data.
500 elderly people were evaluated in an area of the Federal District, of which 32.6% were pre-sarcopenic, 32.2% were sarcopenic and 7.6% were severely sarcopenic. Risk factors (>70 years and urinary incontinence) and protection factors (high body mass index) were identified. Heart disease and osteoporosis were also identified as risk factors for women and, for men, visual impairment, and occurrence of falls in the last six months were the risk factors identified before the anamnesis.
The prevalence of 32.2% of sarcopenia and 7.6% of severe sarcopenia was observed in elderly people treated by Primary Healthcare in the Federal District, and age >70 years old and urinary incontinence were identified as risk factors. High body mass index was considered a protective factor. These data highlighted the need for public health strategies aimed at preventing and treating sarcopenia, considering regional particularities and risk factors specific to each community.
估算2015 - 2017年期间，在联邦区某地区由初级医疗保健机构转诊至老年病学和老年医学参考服务机构的老年人中肌肉减少症的患病率，并按性别确定相关因素。
这是一项纵向研究，除临床情况和社会经济数据外，还采用了老年人肌肉减少症欧洲工作组的标准（握力、小腿围和通常步态速度）。
在联邦区某地区对500名老年人进行了评估，其中32.6%为肌肉减少症前期，32.2%为肌肉减少症，7.6%为严重肌肉减少症。确定了风险因素（年龄>70岁和尿失禁）和保护因素（高体重指数）。心脏病和骨质疏松症也被确定为女性的风险因素，而对于男性，视力障碍以及过去六个月内发生跌倒则是在问诊前确定的风险因素。
在联邦区接受初级医疗保健治疗的老年人中，观察到肌肉减少症患病率为32.2%，严重肌肉减少症患病率为7.6%，年龄>70岁和尿失禁被确定为风险因素。高体重指数被认为是一个保护因素。这些数据凸显了针对预防和治疗肌肉减少症制定公共卫生策略的必要性，同时要考虑到地区特殊性和每个社区特有的风险因素。
