High Prevalence of Probable Sarcopenia in a Representative Sample From Colombia: Implications for Geriatrics in Latin America

Pérez-Sousa, Miguel Ángel; Pozo-Cruz, Jesús del; Cano-Gutiérrez, Carlos; Izquierdo, Mikel; Ramírez-Vélez, Róbinson

doi:10.1016/j.jamda.2020.10.021

Cited by 32 publications

(40 citation statements)

References 35 publications

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“…Similar to previous findings, low physical activity was identified as the most important modifiable risk factor, with physically inactive older adults 1.7 times more likely to have probable sarcopenia. 9 Resistance training has been shown as an effective tool for the management and treatment of sarcopenia; however, this study’s findings suggest specific attention should be given to low SEP groups who have been identified as less likely to engage in physical activity programmes. 4 , 25 …”

Section: Discussionmentioning

confidence: 71%

“…This is broadly in agreement with previous studies of probable sarcopenia based on EWGSOP2 guidelines. Some authors, in assessing muscle weakness for probable sarcopenia, used hand grip strength, 9 , 10 while others also included performance on chair rise test. 7 , 8 Wearing et al reported a prevalence of 26.3% and 28.0% for probable sarcopenia in females and males, respectively (n = 219), although this study was conducted in a study population of advanced age (84.1 ± 5.7 years).…”

Section: Discussionmentioning

confidence: 99%

“…Dodds et al utilized occupation class as a measure of SEP but found that no significant association persisted when controlled for other known risk factors. 7 Pérez-Sousa et al reported that individuals of high SEP, defined as social class, were significantly less likely to meet the criteria for probable sarcopenia compared to those of low SEP. 9 Previous studies have examined associations between low muscle strength and SEP employing a range of indicators. Associations between low hand grip strength and SEP, when measured by wealth, have previously been reported.…”

Section: Discussionmentioning

confidence: 99%

“… 7 Recently, a study from Colombia reported a high prevalence of probable sarcopenia (46.5%) in a population which also appeared to have a relatively high proportion of socioeconomic disadvantage. 9 To the best of the authors’ knowledge, this is the first study to specifically investigate probable sarcopenia and socioeconomic disadvantage. We used educational attainment, which is considered a robust indicator of SEP amongst older adult populations.…”

Section: Introductionmentioning

confidence: 97%

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Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults

Swan¹,

Warters²,

O’Sullivan³

2021

CIA

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Introduction Maintaining skeletal muscle function throughout life is a crucial component of successful aging. Disadvantaged socioeconomic position (SEP) is associated with adverse health outcomes, but has not been extensively studied for the muscle disease sarcopenia. We aimed to determine the prevalence of probable sarcopenia, a precursor to sarcopenia diagnosis, based on the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) guidelines overall, and according to SEP. Methods This cross-sectional study comprised 3342 community-dwelling older adults [mean age (SD) 68.9 ± 6.3 years] from Wave 1 of the Irish Longitudinal Study on Ageing. Probable sarcopenia was identified using gender-specific cut-off values for handgrip strength as recommended by EWGSOP2. SEP was defined by educational attainment. Multivariate regression analysis was employed to determine associations between probable sarcopenia and pre-defined risk factors. Results Overall, 23.4% of the population had probable sarcopenia and was significantly higher in the subset with low compared with high SEP (28.9% vs 18.1%, p<0.001). Consistent with this, multivariate logistic regression analysis showed that disadvantaged SEP was a significant determinant of probable sarcopenia [OR, CI 1.48 (1.17, 1.87) p<0.001]. Other known risk factors, namely, increased age, low physical activity, comorbidity, and osteoarthritis were significantly associated with an increased likelihood of probable sarcopenia, while overweight/obesity appeared to be protective. Conclusion Disadvantaged SEP was an independent determinant of probable sarcopenia in community-dwelling older adults. These findings highlight that SEP and health inequality should be considered in prevention and treatment policy for sarcopenia in the community.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults

Swan¹,

Warters²,

O’Sullivan³

2021

CIA

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“…It is classified as a disease under the World Health Organization (WHO)'s International Statistical Classification of Diseases and Related Health Problems (ICD) (3). The prevalence of sarcopenia ranges between 9 and 51%, and probable or possible sarcopenia between 26.3 and 73.3% depending on the case finding approach, population subgroup, and definitions used (4)(5)(6)(7)(8). Aging is a known risk factor for sarcopenia and the number of individuals with sarcopenia is projected to increase by 72.4% in Europe between 2016 and 2045 (9,10).…”

Section: Introductionmentioning

confidence: 99%

Possible Sarcopenia and Impact of Dual-Task Exercise on Gait Speed, Handgrip Strength, Falls, and Perceived Health

et al. 2021

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Background: Sarcopenia is defined as a progressive age-related loss in muscle mass and strength affecting physical performance. It is associated with many negative outcomes including falls, disability, cognitive decline, and mortality. Protein enriched diet and resistance training have shown to improve muscle strength and function but there is limited evidence on impact of dual-task exercise in possible sarcopenia.Objective: To evaluate impact of community-based dual-task exercise on muscle strength and physical function in possible sarcopenia defined by either slow gait (SG) or poor handgrip strength (HGS). The secondary aims include effect on cognition, frailty, falls, social isolation, and perceived health.Methods: Community-dwelling older adults ≥60 years old were recruited from screening program intended to identify seniors at risk, and invited to participate in dual-task exercise program called HAPPY (Healthy Aging Promotion Program for You). One hundred and eleven participants with possible sarcopenia completed 3 months follow-up. Questionnaire was administered on demographics, frailty, sarcopenia, falls, perceived health, social network, functional, and cognitive status. Physical performance included assessment of HGS, gait speed, and Short Physical Performance Battery test (SPPB).Results: The mean age of the Exercise group was 75.9 years old and 73.0% were women. The Exercise group had more female (73.0 vs. 47.5%), were older (75.9 vs. 72.5 years old), had higher prevalence of falls (32.4 vs. 15.0%), lower BMI (23.7 vs. 25.8), and education (4.0 vs. 7.2 years). The gait speed of the Exercise group increased significantly with significant reduction in the prevalence of SG and poor HGS. All components of SPPB as well as the total score increased significantly while the prevalence of pre-frailty and falls dropped by half. The risk of social isolation reduced by 25% with significant improvement in perceived health and cognition in the Exercise group. Significant impact on improvement gait speed and SPPB persisted after adjustment for baseline factors.Conclusion: Dual-task exercise program is effective in improving gait speed, SPPB score, and reducing the prevalence of poor HGS with significant improvement in perceived health, cognition, and reduction in falls and frailty. Future prospective randomized control trials are needed to evaluate the effectiveness of dual-task interventions in reversing sarcopenia.

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The “Iron Tale”- iron indices and handgrip strength in community-dwelling adults

Lee

Merchant

2022

Aging Clin Exp Res

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High Prevalence of Probable Sarcopenia in a Representative Sample From Colombia: Implications for Geriatrics in Latin America

Cited by 32 publications

References 35 publications

Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults

Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults

Possible Sarcopenia and Impact of Dual-Task Exercise on Gait Speed, Handgrip Strength, Falls, and Perceived Health

The “Iron Tale”- iron indices and handgrip strength in community-dwelling adults

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