Association of Physical Activity and Physical Performance with Sarcopenia in Elderly Obese Patient in Community

Abstract

ABSTRACTIntroduction: Sarcopenic obesity (SO) is a condition in which sarcopenia and obesity occur simultaneously. This condition will lead to risk of higher morbidity, mortality, and reduced quality oflife. This study aimed to examine the proportion of SO patients in community and observation the association of physical activity level and physical performance with sarcopenia in elderly obese patientin communityMethods: An analytic observation cross-sectional study with consecutive sampling was carried out. Inclusion criteria included subjects with age ≥ 60 years old, body mass index (BMI) ≥ 25 Kg / m2,able to walk at least 10 meters, and has a good cognitive function. Subjects with pacemaker, using metal implants, history of cancer, acute cardiovascular and respiratory disorders, deformities, or painin extremities and receive regular therapeutic exercise were excluded from this research. Measurement of physical activity level using Physical Activity Scale for Elderly (PASE) questionnaire and physicalperformance using gait speed and timed up and go test (TUG). Sarcopenia is based on criteria from Asian Working Group of Sarcopenia (AWGS) 2019 with body composition assessment using BioelectricImpedance Analysis (BIA)Results: There were 119 subjects in this study. Proportion of sarcopenia obesity in all subjects was 23,5% with 71,4% was female. The results showed that physical activity level and physical performances valuesin SO patients were lower than in obesity patient. There were no significant association on physical activity level (p > 0,05) and significant association on physical performance, both in gait speed and TUGtest (p < 0,05).Conclusion: Physical performance is associated with sarcopenia in elderly obese patient in community. Coexistence between sarcopenia and obesity has a syner gistic impact on functional limitations.Keywords: elderly, obesity, physical activity level, physical performance, sarcopenia