Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition
Abstract Background There is an increasingly strong association between sarcopenia and malnutrition in research findings. We aimed to determine the prevalence and factors associated with sarcopenia in community-dwelling older adults (≥ 65 years) at risk of malnutrition based on Malnutrition Universa...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03704-1 |
| _version_ | 1797977246443503616 |
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| author | Samuel Teong Huang Chew Siew Ling Tey Menaka Yalawar Zhongyuan Liu Geraldine Baggs Choon How How Magdalin Cheong Wai Leng Chow Yen Ling Low Dieu Thi Thu Huynh Ngiap Chuan Tan |
| author_facet | Samuel Teong Huang Chew Siew Ling Tey Menaka Yalawar Zhongyuan Liu Geraldine Baggs Choon How How Magdalin Cheong Wai Leng Chow Yen Ling Low Dieu Thi Thu Huynh Ngiap Chuan Tan |
| author_sort | Samuel Teong Huang Chew |
| collection | DOAJ |
| description | Abstract Background There is an increasingly strong association between sarcopenia and malnutrition in research findings. We aimed to determine the prevalence and factors associated with sarcopenia in community-dwelling older adults (≥ 65 years) at risk of malnutrition based on Malnutrition Universal Screening Tool (MUST). Methods This was a cross-sectional study of 811 participants. Participants were recruited from the general population, community centers, senior activity centers, polyclinics, and hospital. Community-dwelling older adults at risk of malnutrition participated in the study. Participants’ data and measurements were collected at the baseline visit. Data included socio-demographic information, anthropometric measurements, body composition, dietary intakes, and functional assessments. Sarcopenia was defined using the Asian Working Group for Sarcopenia 2019 consensus. Results Of the 694 participants with complete datasets, overall prevalence of sarcopenia was 76% (n = 530); 57% (n = 393) had severe sarcopenia. In the overall cohort, compared to participants without sarcopenia, those with sarcopenia were older, had lower physical activity scale for the elderly score, leg strength, handgrip endurance, mid-upper arm circumference, calf circumference, and bone mass, and had lower dietary protein intake and poorer nutritional status (all p ≤ 0.015). After adjusting for confounders, sarcopenia was significantly associated with older age, male gender, higher risk of malnutrition, lower calf circumference, and lower bone mass (all p ≤ 0.044). Conclusions In community-dwelling older adults at risk of malnutrition, there is a high prevalence of sarcopenia and severe sarcopenia. As such, screening positive for either malnutrition risk or sarcopenia in older adults should prompt screening for the other risk factor, to allow early institution of disease modifying interventions to forestall adverse outcomes for both malnutrition and sarcopenia. Trial registration The study was registered at clinicaltrials.gov as NCT03245047 . |
| first_indexed | 2024-04-11T05:03:55Z |
| format | Article |
| id | doaj.art-2bc9a1b8ec7446199e1a06a1406ec17f |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T05:03:55Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-2bc9a1b8ec7446199e1a06a1406ec17f2022-12-25T12:28:33ZengBMCBMC Geriatrics1471-23182022-12-0122111510.1186/s12877-022-03704-1Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutritionSamuel Teong Huang Chew0Siew Ling Tey1Menaka Yalawar2Zhongyuan Liu3Geraldine Baggs4Choon How How5Magdalin Cheong6Wai Leng Chow7Yen Ling Low8Dieu Thi Thu Huynh9Ngiap Chuan Tan10Department of Geriatric Medicine, Changi General HospitalAbbott Nutrition Research and Development, Asia-Pacific CenterStatistical Services, Cognizant Technologies Solution Pvt. Ltd.Abbott Nutrition Research and Development, Asia-Pacific CenterAbbott Nutrition Research and DevelopmentCare and Health Integration, Changi General HospitalDepartment of Dietetic & Food Services, Changi General HospitalHealth Services Research, Changi General HospitalAbbott Nutrition Research and Development, Asia-Pacific CenterAbbott Nutrition Research and Development, Asia-Pacific CenterSingHealth-Duke NUS Family Medicine Academic Clinical ProgramAbstract Background There is an increasingly strong association between sarcopenia and malnutrition in research findings. We aimed to determine the prevalence and factors associated with sarcopenia in community-dwelling older adults (≥ 65 years) at risk of malnutrition based on Malnutrition Universal Screening Tool (MUST). Methods This was a cross-sectional study of 811 participants. Participants were recruited from the general population, community centers, senior activity centers, polyclinics, and hospital. Community-dwelling older adults at risk of malnutrition participated in the study. Participants’ data and measurements were collected at the baseline visit. Data included socio-demographic information, anthropometric measurements, body composition, dietary intakes, and functional assessments. Sarcopenia was defined using the Asian Working Group for Sarcopenia 2019 consensus. Results Of the 694 participants with complete datasets, overall prevalence of sarcopenia was 76% (n = 530); 57% (n = 393) had severe sarcopenia. In the overall cohort, compared to participants without sarcopenia, those with sarcopenia were older, had lower physical activity scale for the elderly score, leg strength, handgrip endurance, mid-upper arm circumference, calf circumference, and bone mass, and had lower dietary protein intake and poorer nutritional status (all p ≤ 0.015). After adjusting for confounders, sarcopenia was significantly associated with older age, male gender, higher risk of malnutrition, lower calf circumference, and lower bone mass (all p ≤ 0.044). Conclusions In community-dwelling older adults at risk of malnutrition, there is a high prevalence of sarcopenia and severe sarcopenia. As such, screening positive for either malnutrition risk or sarcopenia in older adults should prompt screening for the other risk factor, to allow early institution of disease modifying interventions to forestall adverse outcomes for both malnutrition and sarcopenia. Trial registration The study was registered at clinicaltrials.gov as NCT03245047 .https://doi.org/10.1186/s12877-022-03704-1SarcopeniaMalnutritionOlder adultsCommunity-dwellingPrevalence |
| spellingShingle | Samuel Teong Huang Chew Siew Ling Tey Menaka Yalawar Zhongyuan Liu Geraldine Baggs Choon How How Magdalin Cheong Wai Leng Chow Yen Ling Low Dieu Thi Thu Huynh Ngiap Chuan Tan Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition BMC Geriatrics Sarcopenia Malnutrition Older adults Community-dwelling Prevalence |
| title | Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition |
| title_full | Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition |
| title_fullStr | Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition |
| title_full_unstemmed | Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition |
| title_short | Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition |
| title_sort | prevalence and associated factors of sarcopenia in community dwelling older adults at risk of malnutrition |
| topic | Sarcopenia Malnutrition Older adults Community-dwelling Prevalence |
| url | https://doi.org/10.1186/s12877-022-03704-1 |
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