Diabetes mellitus, ADL disability and nutrition intake: determination factors of severe sarcopenia among elderly in urban nursing homes

5/1/2018 12:00:00 AM

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Authors:Yvonne S Handayani, Nelly Tina Widjaja, Yuda Turana

Publication date: 3 April 2018

Indian Journal of Public Health Research and Development

Volume:  9 (3), 69-74

Link: http://www.indianjournals.com/ijor.aspx?target=ijor:ijphrd&volume=9&issue=3&article=014

 

 

AbStrACt

 

Background: Since the EWGSOP consensus was established, researchers were easier to create a ‘global map’ of sarcopenia, which revealed prevalence ranging from 5 to 33% in the various regions. Sarcopenia appears to be an age-related phenomenon, exacerbated, by a sedentary lifestyle, nutritional factors, and chronic disease. The objective of this study was to determine the relationship of sarcopenia and multiple factors in elderly.

 

Methods: This was a cross-sectional study of 138 subjects aged > 60 years who were recruited from four nursing homes in West Jakarta. Sarcopenia was measured by means of the bioelectrical impedance. The procedures for the measurement of blood  pressure  were adapted  from  JNC 7. All subjects underwent a standardized structural clinical evaluation along with routine blood tests. Chi Square and multinomial logistic regression tests were used to find relations between the sarcopenia and the multiple risk factors.

 

Findings: The percentages of subjects with mild sarcopenia, severe sarcopenia, non-sarcopenia were 50.7%, 8.0% and 41.3% respectively. After adjusting for confounding factors, gender (OR =12.81, 95% CI: 1.50-109.33), diabetes mellitus (OR= 4.10, 95% CI: 1.04-16.14), ADL-disability (OR= 4.18, 95% CI: 1.07-16.26), carbohydrate and energy intake (OR= 4.43, 95% CI: 1.11-17.71) (OR= 3.87, 95% CI: 1.01-15.28) were associated  with sarcopenia, especially severe sarcopenia.

 

Conclusion: Sarcopenia is highly prevalent among elderly living in urban nursing homes, 58.7% and 8% who were categorized as having severe sarcopenia. Sarcopenia, especially severe sarcopenia influenced by multiple risk factors such as gender, diabetes mellitus, ADL disability and nutrition intake, mainly for carbohydrate and energy intake.

 

Keywords: Sarcopenia, risk factors, nursing home, elderly