Abstract
This study aimed to investigate risk factors for sarcopenia in community-dwelling older adults visiting regional medical institutions. We retrospectively analyzed medical records of 552 participants (mean age: 74.6 ± 6.7 years, males 31.3%) who underwent body composition evaluation between March 2017 and December 2018 at one of 24 medical institutions belonging to the Kadoma City Medical Association in Japan. We collected the participant’s characteristics and laboratory data. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019. Sarcopenia, including severe sarcopenia, was detected in 22.3% of all participants, 17.3% of men, and 24.5% of women; rates increased with age. Multivariate logistic regression analysis revealed age (odds ratio [OR]: 2.12; 95% confidence interval [CI] 1.20–3.75), obesity (OR: 0.15; 95% CI 0.07–0.32), hypertension (OR: 0.44; 95% CI 0.25–0.76), certification of long term care (OR: 3.32; 95% CI 1.41–7.81), number of daily conversations (OR: 0.44; 95% CI 0.25–0.77), and malnutrition (OR: 2.42; 95% CI 1.04–5.60) as independent predictors of sarcopenia. Receiver operating characteristic curve analysis demonstrated that the cut-off for daily conversations defining sarcopenia was 4.8 persons. The prevalence of sarcopenia in this study was 22.3%. Besides traditional risk factors for sarcopenia, the number of daily conversations was an independent factor.
Highlights
The Asian Working Group for Sarcopenia (AWGS) was established in 2014, and an algorithm for Asians was proposed[7]
This study was conducted in accordance with the Declaration of Helsinki, and all procedures were approved by the Ethical Committee of the Kansai Medical University
The sarcopenia group was significantly older; had higher total cholesterol, high-density lipoprotein (HDL) cholesterol, and low-density lipoprotein (LDL) cholesterol; and higher rates of osteoporosis, dementia, and certification of long-term care than the non-sarcopenia group did
Summary
The Asian Working Group for Sarcopenia (AWGS) was established in 2014, and an algorithm for Asians was proposed[7]. Sarcopenia studies of community-dwelling older adults often include highly motivated and interested groups, and this may not reflect real older adults. Older adults comprise 28.9% of the population in Kadoma City, which exceeds that of Japan and Osaka Prefecture, and the rate is rapidly increasing[15]. There are many older adults living alone in Kadoma City, and ageing policies, including medical care and nursing care, are priorities in the region. Community-dwelling older adults have access to regional medical institutions for medical examination and treatment, including treatment for sarcopenia. There are no multicenter studies on sarcopenia from regional medical institutions, and the relationship between lifestyle and sarcopenia is unclear. The aim of this study was to investigate the characteristics and risk factors for sarcopenia among community-dwelling adults in cooperation with multicenter regional institutions
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
