Current Status of Sarcopenia in the Disabled Elderly of Chinese Communities in Shanghai: Based on the Updated EWGSOP Consensus for Sarcopenia

Frontiers in Medicine

article

Qing Fang¹  Dongping Huang¹  Jingmin Liu²  Guoying Zhu¹  Jianwei Huang¹  Shayi Pan¹  Minyan Fang¹  Qiuting Li¹  Qin Yin³  Xiaoqing Liu³  Qingya Tang⁴ 

[1] Department of Clinical Nutrition, People's Hospital of Shanghai Putuo District;Division of Sports Science and Physical Education, Research Center of Sports and Health Science, Tsinghua University;Department of Nursing, People's Hospital of Shanghai Putuo District;Department of Clinical Nutrition, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

关键词: sarcopenia;    disability;    elderly;    handgrip strength;    China;   

DOI  :  10.3389/fmed.2020.552415

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Our study aimed to investigate the prevalence and associated factors of sarcopenia in the disabled elderly in communities in Shanghai, China. A cross-sectional study was conducted in 2018. Five hundred and seventy two participants (≥60 years) were recruited through cluster sampling from Putuo District of Shanghai. Sarcopenia was defined according to the updated consensus of the European Sarcoma Working Group in 2019. The sarcopenia, depression, and nutrition status were assessed by using SARC-F, the Short Version of the Center for Epidemiological Studies Depression Scale (CES-D-10), and the Mini Nutritional Assessment-Short form (MNA-SF), respectively Physical activity was also assessed. Our results showed the prevalence of sarcopenia was 0.5%, but the prevalence of low handgrip strength was 37.2% (male, 5.5%; female, 39.1%). The modified Poisson regression model was used to evaluate the relationship among related variables and low handgrip strength. The risk for low handgrip strength was higher in the physically disabled subjects than in the visually disabled ones (aPR: 1.69, 95% CI: 1.88-2.42). Depressive symptoms (aPR: 1.31, 95% CI: 1.04-1.62) and PASE score (aPR: 0.99, 95% CI: 0.99-1.00) were independently associated with low handgrip strength. In summary, the prevalence of EWGSOP2-defined sarcopenia is low and the prevalence of declined muscle strength is high in the disabled elderly. The elderly participants with a physical disability had a higher prevalence of low hand handgrip strength than those with a visual disability. More studies with a larger sample size and longitudinal follow-up are needed to confirm our findings.

【 授权许可】

CC BY