Browse > Article
http://dx.doi.org/10.5393/JAMCH.2022.47.2.090

Nutrition and Psychosocial Factors were associated with Possible Sarcopenia in the Rural Elderly  

Kim, Bokyoung (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Lee, Gyeong-Ye (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Seo, Ae-Rim (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Kim, Mi-Ji (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Seo, Sung-Hyo (Center for Farmer's Safety and Health, Gyeongsang National University Hospital)
Park, Ki-Soo (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
Publication Information
Journal of agricultural medicine and community health / v.47, no.2, 2022 , pp. 90-98 More about this Journal
Abstract
Objective: This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community. Methods: The study included 1,019 subjects aged 60 and over. "Possible sarcopenia" was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia. Results: MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy. Conclusion: It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises. Finally, it is also necessary to increase regular participation in community social activities.
Keywords
sarcopenia; nutritional status; psychosocial factor;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 McAuley E, Morris KS, Doerksen SE, Motl RW, Liang H, White SM, et al. Effects of change in physical activity on physical function limitations in older women: mediating roles of physical function performance and self-efficacy. J Am Geriatr Soc 2007;55:1967-1973   DOI
2 In Statistics. Korea. available from http://kosis.kr/search/search.do?query=%EB%85%B8%EC%9D%B8%EC%9D%B8%EA%B5%AC#
3 Park HM. Current Status of Sarcopenia in Korea: A Focus on Korean Geripausal Women. Ann Geriatr Med Res. 2018;22: 52-61. doi:10.4235/agmr.2018.22.2.52   DOI
4 Beaudart C, Biver E, Reginster J-Y, et al. Development of a self-administrated quality of life questionnaire for sarcopenia in elderly subjects: the SarQoL. Age Ageing. 2015;44(6):960-966   DOI
5 Boulos C, Salameh P, Barberger-Gateau P. Social isolation and risk for malnutrition among older people. Geriatrics & Gerontology International. 2017; 17(2):286-294   DOI
6 Lee JH, Park KS, Kim RB, Kim BJ, Chun JH. The Influence of Individual-Level Social Capitalon Depression. J Agric Med Community Health 2011;36(2):73-86 (Korean)   DOI
7 Yang L, Yao X, Shen J, et al. Comparison of revised EWGSOP criteria and four other diagnostic criteria of sarcopenia in Chinese community-dwelling elderly residents. Exp Gerontol. 2020;130:110798   DOI
8 Chen Z, Ho M, Chau PH. Prevalence, Incidence, and Associated Factors of Possible Sarcopenia in Community-Dwelling Chinese Older Adults: A Population-Based Longitudinal Study. Front Med (Lausanne). 2022;8:769708   DOI
9 Gao L, Jiang J, Yang M, Hao Q, Luo L, Dong B. Prevalence of Sarcopenia and Associated Factors in Chinese Community-Dwelling Elderly: Comparison Between Rural and Urban Areas. J Am Med Dir Assoc. 2015;16(11):1003.e1-1003.e10036   DOI
10 Donini LM, Dominguez LJ, Barbagallo M, Savina C, Castellaneta E, Cucinotta D, et al. Senile anorexia in different geriatric settings in Italy. J Nutr Health Aging 2011;15:775-781   DOI
11 Kruizenga H, van Keeken S, Weijs P, Bastiaanse L, Beijer S, Huisman-de Waal G, et al. Undernutrition screening survey in 564,063 patients: patients with a positive undernutrition screening score stay in hospital 1.4 d longer. Am J Clin Nutr 2016;103:1026-1032   DOI
12 Kim M, Won CW. Prevalence of sarcopenia in community-dwelling older adults using the definition of the European Working Group on Sarcopenia in Older People 2: findings from the Korean Frailty and Aging Cohort Study. Age Ageing. 2019;48(6):910-916   DOI
13 Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle. 2016;7(5):512-514   DOI
14 Falcon LJ, Harris-Love MO. Sarcopenia and the New ICD-10-CM Code: Screening, Staging, and Diagnosis Considerations. Fed Pract. 2017;34(7):24-32
15 Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Barillaro C, et al. Association of anorexia with sarcopenia in a community dwelling elderly population: results from the ilSIRENTE study. Eur J Nutr 2013;52:1261-1268   DOI
16 Phillips, S.M., Chevalier, S., and Leidy, H.J. Protein "requirements" beyond the RDA: implications for optimizing health. Appl Physiol Nutr Metab. 2016;41:565-572   DOI
17 Deer, R.R. and Volpi, E. Protein intake and muscle function in older adults. Curr Opin Clin Nutr Metab Care. 2015;18:248-253   DOI
18 Cheung C, Wyman JF, Savik K. Adherence to a yoga program in older women with knee osteoarthritis. J Aging Phys Act 2016;24:181-188   DOI
19 Rosengren KS, McAuley E, Mihalko SL. Gait adjustments in older adults: activity and efficacy influences. Psychol Aging 1998;13:375-386   DOI
20 McAuley E, Konopack JF, Morris KS, Motl RW, Hu L, Doerksen SE, et al. Physical activity and functional limitations in older women: influence of self-efficacy. J Gerontol B Psychol Sci Soc Sci 2006;61:270-P277
21 McAuley E, Blissmer B. Self-efficacy determinants and consequences of physical activity. Exerc Sport Sci Rev 2000;28:85-88
22 Rejeski WJ, Ettinger WH Jr, Martin K, Morgan T. Treating disability in knee osteoarthritis with exercise therapy: a central role for self-efficacy and pain. Arthritis Care Res 1998;11:94-101   DOI
23 Li F, Harmer P, McAuley E, Fisher KJ, Duncan TE, Duncan SC. Tai Chi, self-efficacy, and physical function in the elderly. Prev Sci 2001;2:229-239   DOI
24 Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci 2000;55:M299-M305   DOI
25 Brouwer B, Musselman K, Culham E. Physical function and health status among seniors with and without a fear of falling. Gerontology 2004;50:135-141   DOI
26 Chang HK, Lee JY, Gil CR, Kim MK. Prevalence of Sarcopenia in Community-Dwelling Older Adults According to Simplified Algorithms for Sarcopenia Consensus Based on Asian Working Group for Sarcopenia. Clin Interv Aging. 2020;15:2291-2299   DOI
27 Locher JL, Ritchie CS, Roth DL, Baker PS, Bodner EV, Allman RM. Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Social Science & Medicine. 2005; 60(4):747-761   DOI
28 Boulos C, Salameh P, Barberger-Gateau P. Social isolation and risk for malnutrition among older people. Geriatrics & Gerontology International. 2017; 17(2):286-294   DOI
29 Jefferis BJ, Iliffe S, Kendrick D, Kerse N, Trost S, Lennon LT, et al. How are falls and fear of falling associated with objectively measured physical activity in a cohort of community-dwelling older men? BMC Geriatr 2014;14:114   DOI
30 Stenholm S, Koster A, Valkeinen H, Patel KV, Bandinelli S, Guralnik JM, et al. Association of physical activity history with physical function and mortality in old age. J Gerontol A Biol Sci Med Sci 2016;71:496-501   DOI
31 Tieland M, Trouwborst I, Clark BC. Skeletal muscle performance and ageing. J Cachexia Sarcopenia Muscle. 2018;9(1):3-19. doi:10.1002/jcsm.12238   DOI
32 Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31   DOI
33 Chen LK, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020;21(3):300-307.e2   DOI
34 Yoo JI, Ha YC, Choi H, Kim KH, Lee YK, Koo KH, et al. Malnutrition and chronic inflammation as risk factors for sarcopenia in elderly patients with hip fracture. Asia Pac J Clin Nutr. 2018;27: 527-532. doi:10.6133/apjcn.082017.02   DOI
35 Tani Y, Sasaki Y, Haseda M, Kondo K, Kondo N. Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey. Age Ageing. 2015;44(6):1019-1026. doi:10.1093/ageing/afv145   DOI
36 Vellas B, Villars H, Abellan G, et al. Overview of the MNA® - Its History and Challenges. J Nutr Health Aging. 2006;10:456-465
37 Guigoz Y. The Mini-Nutritional Assessment (MNA®) Review of the Literature - What does it tell us? J Nutr Health Aging. 2006;10:466-487