Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of sarcopenia in association with ADL, nutritional status and depression among community dwelling elderly women

지역사회 거주 여성노인들의 근감소증 실태와 일상생활능력, 영양상태, 및 우울과의 관련성 연구

  • Shin, Yeonghee (College of Nursing & Research Institute of Nursing Science, Keimyung University) ;
  • Hong, Yong Hae (Department of Nursing, ChoonHae College of Health Sciences) ;
  • Kim, Hae-Ok (Department of Nursing, College of Natural Sciences, Kyungnam University)
  • Received : 2015.10.06
  • Accepted : 2016.01.05
  • Published : 2016.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this cross sectional study was to examine the prevalence of sarcopenia in association with ADL, nutritional status and depression among community dwelling elderly women. The study subjects were 90 elderly women, 65 years and over, who were living in the communities of B and D metropolitan cities from May to July, 2014. The measurements were anthropometric measures, The mini-nutritional assessment instrument (MNA), ADL, IADL, MMSE, and SGDS-K were used. The mean age of the subjects was 74.7(8.22), the prevalence of sarcopenia of this population was 37.8%, almost none of them (94.4%) required assistance in ADL, 15.6% had a risk of undernutrition, and 12.2% had the symptom of depression. The sarcopenic subjects were characterized as low income, low education, living alone, and had more co-morbidity than those of the non-sarcopenic subjects. The sarcopenic subjects were undernourished, and had higher depression scores (SGDS-K), but not in the ADL, than those of the non-sarcopenic subjects. The calf and thigh circumferences, and cognitive ability were the best predictors of sarcopenia, In conclusion, low calf and thigh circumferences and low cognitive ability will increase the risk of sarcopenia in those 65 and over in community dwelling facilities and those three predictors will be useful in the early detection of sarcopenia in the future.

본 단면 연구의 조사 목적은 지역사회거주 여성 노인들을 대상으로 근감소증 실태와 일상생활능력, 영양상태, 및 우울과의 관련성을 조사하기 위함이었다. 연구대상자는 2014년 5월~7월 동안 B와 D광역시에 거주하는 65세 이상 여자 노인 90명을 대상으로 하였다. 연구도구는 신체계측(anthropometric measures), Mini-nutritional assessment instrument (MNA). ADL, IADL, MMSE, SGDS-K를 사용하였다. 연구결과. 노인들의 평균 연령은 74.2세이었고, 37.8%가 근감소증이 있었으며, 대부분 도움없이 독립적인 일상생활 능력을 가지고 있었고, 15.6%가 영양부실 위험이 있었으며, 12.2%가 우울증상을 나타내었다. 근감소증이 있는 노인들은 없는 노인들보다 수입과 교육수준이 낮았고, 혼자 사는 노인이 더 많았으며, 동반질환이 더 많은 것으로 나타났다. 근감소증이 있는 노인은 없는 노인들보다 영양상태가 불량하고, 우울점수가 높았으나 일상생활능력에는 차이가 없었다. 근감소증 예측요인은 종아리와 허벅지 둘레, 인지기능이었다. 결론적으로 65세 이상 지역사회거주 여성노인들은 종아리둘레, 허벅지둘레, 및 인지기능이 낮을 때 근감소증 위험이 높을 것이며, 이들 세 요인은 앞으로 근감소증의 조기발견을 위한 간이 지표로서 활용할 수 있을 것이다.

Keywords

References

  1. D. K. Houston, B. J. Nicklas, C. A. Zizza, "Weighty concerns: the growing prevalence of obesity among older adults" Journal of the American Dietetic Association, 109(11), p. 1886-1895, 2009. DOI: http://dx.doi.org/10.1016/j.jada.2009.08.014
  2. S. Hong, W. H. Choi, "Clinical and physiopathological mechanism of sarcopenia", The Korean Journal of Medicine, 83(4), p. 444-454, 2012. DOI: http://dx.doi.org/10.3904/kjm.2012.83.4.444
  3. H. Shiozu, M. Higashijima, t. Koga, "Association of sarcopenia with swallowing problems, related to nutrition and activities of daily living of elderly individuals", Journal of Physical Therapy Science, 27(2), p. 393, 2015. DOI: http://dx.doi.org/10.1589/jpts.27.393
  4. CDC Center for Biomedical Science, "Risk factors for depression in older Koreans - Community-based Geriatirc Cohort Study 2006-2007", Weekly Health and Disease, 2(40), p. 1-5, 2009.
  5. R. N. Baumgartner, K. M. Koehler D. Gallagher L. Romero, S. B. Heymsfield, R. R. Ross, P. J. Garry, R. D. Lindeman, "Epidemiology of sarcopenia among the elderly in New Mexico", American Journal of Epidemiology, 147(8), p. 755-763, 1998. DOI: http://dx.doi.org/10.1093/oxfordjournals.aje.a009520
  6. Y. Guigoz, B. Vellas, P. J. Garry, "Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation", Nutrition Reviews, 54(1), p. S59, 1996. DOI: http://dx.doi.org/10.1111/j.1753-4887.1996.tb03793.x
  7. J. H. Park, Y. C. Kwon, "Modification of the minimental state examination for use in the elderly in a non-western society. Part 1. Development of korean version of mini-mental state examination", International Journal of Geriatric Psychiatry, 5(6), p. 381-387, 1990. DOI: http://dx.doi.org/10.1002/gps.930050606
  8. S. Katz, A. B. Ford, R. W. Moskowitz, "Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychological function", JAMA, 185, p. 914-919, 1963. DOI: http://dx.doi.org/10.1001/jama.1963.03060120024016
  9. M. J. Cho, J. N. Bae, G. H. Suh, B. J. Hahm, J. K. Kim, D. W. Lee, M. H. Kang, "Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression", Journal of Korean Neuropsychiatric Association, 38(1), p. 48-63, 1999.
  10. S. K. Lee, J. A. Lee, J. Y. Kim, Y. Z. Kim, H. S. Park, "The risk factors of sarcopenia among Korean elderly men: based on 2009 Korean National Health and Nutrition Examination Survey Data", The Korean Journal of Obesity, 23(1), p. 23-31, 2014. DOI: http://dx.doi.org/10.7570/kjo.2014.23.1.23
  11. S. Gillette-Guyonnet, F. Nourhashemi, S. Andrieu, C. Cantet, J. L. Albarede, B. Vellas, H. Grandjean, "Body composition in French women 75+ years of age: the EPIDOS study", Mechanisms of Ageing and Development, 124(3), p. 311-316, 2003. DOI: http://dx.doi.org/10.1016/S0047-6374(02)00198-7
  12. Y. Rolland, V. lauwers-Cances, M. Cournot, F. Nourhashemi, W. Reynish, D. Riviere, B. Vellas, H. Grandjean, "Sarcopenia, Calf Circumference, and Physical Function of Elderly Women: A Cross-Sectional Study", Journal of the American Geriatrics Society, 51(8), p. 1120-1124, 2003. DOI: http://dx.doi.org/10.1046/j.1532-5415.2003.51362.x
  13. R. Kawakami, H. Murakami, K. Sanada, N. Tanaka, S. S. Sawada, I. Tabata, M. Higuchi, M. Miyachi, "Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia in Japanese men and women", Geriatrics & Gerontology International, 2014. DOI: http://dx.doi.org/10.1111/ggi.12377
  14. N. Ahn, K. Kim, "Strengthening exercise for prevention of sarcopenia during the aging process", The Korean Journal of Obesity, 21(4), p. 187-196, 2012. DOI: http://dx.doi.org/10.7570/kjo.2012.21.4.187
  15. C. Y. Huang, A. C. Hwang, L. L. Lui, W. J. Lee, L. Y. Chen, L. N. Peng, M. H. Lin, L. K. Chen, "Association of dynapenia, sarcopenia, and cognitive impairment among community dwelling older Taiwanese", Rejuvenation Research, 2015. Available from http://online.liebertpub.com/doi/pdf/10.1089/rej.2015.1710. (Accessed Dec. 10, 2015)