Sarcopenia and Frailty Profile in the Elderly Community of Surabaya: A Descriptive Study
Abstract
Background: sarcopenia and frailty cause immobility, disability, neuromuscular disorders, and homeostatic balance failure syndrome, characterized by gait and balance abnormalities in the elderly, and an increasing prevalence worldwide. This further contributes to the elevated incidence of falls and fractures, hospitalization, immobilization, and even mortality, hence, a national-level study was conducted on the prevalence rates of sarcopenia and frailty in the elderly. Methods: this descriptive study used primary data of elderly people (n = 308) in Surabaya, Indonesia. Furthermore, the biopsychosocial data, weight loss, fatigue, and physical activity measurements were obtained through interviews, while handgrip strength, muscle mass, and physical performance (walking speed) were evaluated using instruments. Results: the median age of the subjects was 63 years (60–100 years), and 230 (74.7%) were women. In addition the prevalence rate of sarcopenia was 41.8% (in 86 [27.9%] women), while the prevalence rate of frailty was 36.7% (in 16 [5.2%] men and 97 [31.5%] women). Conclusion: the prevalence of sarcopenia and frailty in the elderly is significantly high, thus, it is expected that this study results are used as a basis for subsequent research, especially to determine the sarcopenia cut-off, in accordance with Indonesian sociodemography.
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References
Bauer JM, Sieber CC. Sarcopenia and frailty: a clinician’s controversial point of view. Exp Gerontol. 2008;43(7):674-8. doi: 10.1016/j.exger.2008.03.007. PMID 18440743.
Vetta F, Ronzoni S, Taglieri G, et al. The impact of malnutrition on the quality of life in the elderly. Clin Nutr. 1999;18(5):259-67. doi: 10.1054/clnu.1999.0060. PMID 10601532.
Dutta C. Significance of sarcopenia in the elderly. J Nutr. 1997;127(5 Suppl.):992S-3S. doi: 10.1093/jn/127.5.992S. PMID 9164281.
Fried LP, Tangen CM, Walston J, et al. Cardiovascular health study Collaborative Research Group: frailty in older adults. J Gerontol A. 2001;56(3):M146-57. doi: 10.1093/gerona/56.3.M146.
Moulias R, Meaume S, Raynaud-Simon A. Sarcopenia, hypermetabolism, and aging. Z Gerontol Geriatr. 1999;32(6):425-32. doi: 10.1007/s003910050140. PMID 10654381.
Vanitallie TB. Frailty in the elderly: contributions of sarcopenia and visceral protein depletion. Metabolism. 2003;52(10 Suppl.):22-6. doi: 10.1016/s0026-0495(03)00297-x. PMID 14577059.
Vitriana, Defi IR, Irawan GN, et al. Prevalensi sarkopenia pada lansia di Komunitas (Community Dwelling) berdasarkan dua nilai cut-off parameter diagnosis. mkb. 2016;48(3):164-70. doi: 10.15395/mkb.v48n3.417.
Fried LP, Walston J. Frailty and failure to thrive. In: Hazzard WR, Blass JP, Ettinger WH Jr, Halter JB, Ouslander J, editors. Principles of geriatric medicine and gerontology. 5th Ed. Vol. 1. New York: McGraw-Hill; 2003. p. 1487-502.
Setiati S, Seto E, Sumantri S. Frailty profile of elderly outpatient in Cipto Mangunkusumo Hospital, Jakarta. 2013
Morley JE, von Haehling S, Anker SD, Vellas B. From sarcopenia to frailty: a road less traveled. J Cachexia Sarcopenia Muscle. 2014;5(1):5-8. doi: 10.1007/s13539-014-0132-3. PMID 24526568.
Ogawa S, Yakabe M, Akishita M. Age related sarkopenia and its pathophysiological bases. Inflam Regen. 2016;36:17. doi: 10.1186/s41232-016-0022-5. PMID 29259690.
Chen LK, Liu LK, Woo J, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014;15(2):95-101. doi: 10.1016/j.jamda.2013.11.025. PMID 24461239.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-23. doi: 10.1093/ageing/afq034. PMID 20392703.
Chien MY, Huang TY, Wu YT. Prevalence of sarcopenia estimated using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan. J Am Geriatr Soc. 2008;56(9):1710-5. doi: 10.1111/j.1532-5415.2008.01854.x. PMID 18691288.
Lau EM, Lynn HS, Woo JW, et al. Prevalence of and risk factors for sarcopenia in elderly Chinese men and women. J Gerontol A Biol Sci Med Sci. 2005;60(2):213-6. doi: 10.1093/gerona/60.2.213. PMID 15814865.
Yamada M, Nishiguchi S, Fukutani N, et al. Prevalence of sarcopenia in community-dwelling Japanese older adults. J Am Med Dir Assoc. 2013;14(12):911-5. doi: 10.1016/j.jamda.2013.08.015. PMID 24094646.
Pongchaiyakul C, Limpawattana P, Kotruchin P, Rajatanavin R. Prevalence of sarcopenia and associated factors among Thai population. J Bone Mineral Metabolism. 2013;31(3):346–50. doi:10.1007/s00774-013-0422-4.
Beaudart C, Sanchez-Rodriguez D, Locquet M, Reginster J-Y, Lengelé L, Bruyère O. Malnutrition as a strong predictor of the onset of sarcopenia. Nutrients. 2019;11(12):2883. doi:10.3390/nu11122883.
Mazocco L, Gonzalez MC, Barbosa-Silva TG, Chagas P. Sarcopenia in Brazilian Rural and Urban elderly Women: Is There Any Difference? Nutrition. 2019;58:120-4. doi:10.1016/j.nut.2018.06.017.
Han P, Kang L, Guo Q, Wang J, Zhang W, Shen S, Niu K. Prevalence and factors associated with sarcopenia in suburb-dwelling older Chinese using the Asian Working Group for Sarcopenia Definition. J Gerontology Series A: Biol Sci Med Sci. 2015;71(4): 529–35. doi:10.1093/gerona/glv108.
Dehghan M, Merchant AT. Is bioelectrical impedance accurate for use in large epidemiological studies? Nutr J. 2008;7(1):26. doi: 10.1186/1475-2891-7-26. PMID 18778488.
Roubenoff R, Hughes VA. Sarcopenia: current concepts. J Gerontol A Biol Sci Med Sci. 2000;55(12):M716-24. doi: 10.1093/gerona/55.12.m716. PMID 11129393.
Nasimi N, Dabbaghmanesh MH, Sohrabi Z. Nutritional status and body fat mass: Determinants of sarcopenia in community-dwelling older adults. Exp Gerontol. 2019;122:67-73. doi:10.1016/j.exger.2019.04.009.
Kuo Y-H, Wang T-F, Liu L-K, Lee W-J, Peng L-N, Chen L-K. Epidemiology of sarcopenia and factors associated with it among community-dwelling older adults in Taiwan. Am J Med Sci. doi:10.1016/j.amjms.2018.11.008.
Hai S, Cao L, Wang H, Zhou J, Liu P, Yang Y, Dong B. Association between sarcopenia and nutritional status and physical activity among community-dwelling Chinese adults aged 60 years and older. Geriatrics Gerontol Int. 2017;17(11):1959–66. doi:10.1111/ggi.13001.
Setiati S, Laksmi PW, Aryana I, et al. Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition. BMC Geriatrics. 2019;19(1). doi:10.1186/s12877-019-1198-8
Vestergaard S, Nayfield SG, Patel KV, et al. Fatigue in a representative population of older persons and its association with functional impairment, functional limitation, and disability. J Gerontol A Biol Sci Med Sci. 2009;64(1):76-82. doi: 10.1093/gerona/gln017. PMID 19176328.
Tolea MI, Costa PT, Terracciano A, et al. Sex-specific correlates of walking speed in a wide age-ranged population. J Gerontol S B Psychol Soc Sci. 2010;65B(2):174-84.
Lenardt MH, Sousa JR, Carneiro NHK, et al. Physical activity of older adults and factors associated with pre-frailty. Acta Paul Enferm. 2013;26(3):269-75. doi: 10.1590/S0103-21002013000300011.
Rensa R, Setiati S, Laksmi PW, Rinaldi I. Factors associated with physical frailty in elderly women with low socioeconomic status in urban communities: a cross-sectional study. Acta Med Indones. 2019;51(3):220-229. PMID: 31699945
Silva TA, Frisoli Junior A, Pinheiro MM, et al. Sarcopenia and aging: etiological aspects and therapeutic options. Rev Bras Reumatol. 2013;46(6):391-7.
Huo YR, Suriyaarachchi P, Gomez F, et al. Comprehensive nutritional status in sarcoosteoporotic older fallers. J Nutr Health Aging. 2015;19(4):474-80. doi: 10.1007/s12603-014-0543-z. PMID 25809813.
Masanes F, Rojano I, Luque X, et al. Cut-off points for muscle mass–not grip strength or gait speed-determine variations in sarcopenia prevalence. J Nutr Health Aging. 2017;21:825-9.
Molina-Garrido MJ, Guillén-Ponce C, Fernández-Félix BM. Relationship between sarcopenia and frailty in a Spanish cancer in the elderly unit: the ONCOSARCO project. J Am Med Dir Assoc. 2016;17(8):760-1. doi: 10.1016/j.jamda.2016.04.025. PMID 27287932.
De Groot CP, Perdigao AL, Deurenberg P. Longitudinal changes in anthropometric characteristics of elderly Europeans. Seneca Investigators. Eur J Clin Nutr. 1996;50;Suppl 2:S9-15. PMID 8841780.
Newman AB, Lee JS, Visser M, et al. Weight change and the conservation of lean mass in old age: the Health, Aging and Body Composition Study. Am J Clin Nutr. 2005;82(4):872-8; quiz 915. doi: 10.1093/ajcn/82.4.872. PMID 16210719.
Costa TB, Neri AL. Indicators of physical activity and frailty in the elderly: data from the FIBRA study in Campinas, São Paulo State, Brazil. Cad Saúde Publ. 2001;27(8):1537-50.
Rodrigues RAP, Scudeller PG, Pedrazzi EC, et al. Morbidity and interference in seniors’ functional ability. Acta Paul Enferm. 2008;21(4):643-8. doi: 10.1590/S0103-21002008000400017.
Pereira JC, Barreto SM, Passos VM. The profile of cardiovascular health of elderly Brazilian people needs to improve: a population-based study. Arq Bras Cardiol. 2008;91(1):1-10. doi: 10.1590/s0066-782x2008001300001. PMID 18660938.
Brigola AG, Rossetti ES, Santos BR. dos Neri AL, Zazzetta MS, Inouye K, Pavarini SCI. Relationship between cognition and frailty in elderly: A systematic review. Dementia Neuropsychol. 2015;9(2):110–9. doi:10.1590/1980-57642015dn92000005.
Sternberg SA, Schwartz AW, Karunananthan S, Bergman H, Mark Clarfield A. The identification of frailty: A systematic literature review. J the American Geriatrics Society. 2011;59(11):2129–38. doi:10.1111/j.1532-5415.2011.03597.
Ávila-Funes JA, Pina-Escudero SD, Aguilar-Navarro S, Gutierrez-Robledo LM, Ruiz-Arregui L, Amieva H. Cognitive impairment and low physical activity are the components of frailty more strongly associated with disability. J Nutr Health Aging. 2011;15(8):683–89. doi:10.1007/s12603-011-0111-8.
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