Prevalence and related factors of possible sarcopenia among Thai community-dwelling older adults 10.55131/jphd/2023/210113

Main Article Content

Pariyakorn Sanguankittiphan
Kavin Thinkhamrop
Panita Limpawattana
Matthew Kelly

Abstract

Sarcopenia is a geriatric syndrome that increases the risk of fall-related injury. Low muscle strength with or without reduced physical performance is used to identify possible sarcopenia, or those at risk of sarcopenia. To date, there is limited evidence available regarding the situation of sarcopenia risk among Thai older adults. Our study evaluated the prevalence of possible sarcopenia and determined the related factors among Thai community-dwelling older adults.  Information about socio-demography, chewing difficulty, and food consumption was collected by interview as well as anthropometric measurements. Possible sarcopenia was defined using the recommendation of the 2019 Asian Working Group for Sarcopenia (AWGS) consensus. Factors that were related to possible sarcopenia were examined using multiple logistic regression, presented as adjusted odds ratios (AOR) and their 95% confidence intervals (CI). Participants were randomly selected using multi-stage sampling from population registers provided by local village health staff in selected sub-districts of Khon Kaen province. Among 510 older adults, the mean age was 69.1 (SD = 6.7) years, 67.3% were women, and 29.2% of them had chewing difficulty. The overall prevalence of possible sarcopenia was 32.2%. Women with high waist circumference (WC) had a higher rate of possible sarcopenia than men (25.9% and 10.5%, respectively). Factors relating to possible sarcopenia were chewing difficulty (AOR = 2.10; 95% CI: 1.36-3.22; p-value = 0.001), low mid-upper arm circumference or MUAC (AOR = 6.51; 95% CI: 3.40-12.47; p-value < 0.001), and normal waist circumference or WC (AOR = 2.14; 95% CI: 1.35-3.39; p-value = 0.001). Possible sarcopenia was prevalent among Thai community-dwelling older adults. Chewing difficulty, low MUAC, and normal WC were related to possible sarcopenia. Dietary and exercise modifications in this population are therefore a good target for lessening the occurrence of possible sarcopenia.

Article Details

How to Cite
1.
Sanguankittiphan P, Thinkhamrop K, Limpawattana P, Kelly M. Prevalence and related factors of possible sarcopenia among Thai community-dwelling older adults: 10.55131/jphd/2023/210113. J Public Hlth Dev [Internet]. 2022 Dec. 24 [cited 2024 Apr. 21];21(1):174-87. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/260613
Section
Original Articles
Author Biographies

Pariyakorn Sanguankittiphan, Department of Health Promotion, Faculty of Physical Therapy, Srinakharinwirot University, Nakhon Nayok, Thailand

Department of Health Promotion, Faculty of Physical Therapy, Srinakharinwirot University, Nakhon Nayok, Thailand

Health and Epidemiology Geoinformatics Research (HEGER), Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Kavin Thinkhamrop, Health and Epidemiology Geoinformatics Research (HEGER), Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Health and Epidemiology Geoinformatics Research (HEGER), Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Panita Limpawattana, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Matthew Kelly, Department of Global Health, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia

Department of Global Health, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia

References

Bauer JM, Sieber CC. Sarcopenia and frailty: a clinician's controversial point of view. Exp Gerontol. 2008;43(7):674-8.

Patel H, Dennison E, Westbury L, Sayer A, Cooper C. 28 Sarcopenia and Bone Health in Community Dwelling Older Adults: Findings from the Hertfordshire Sarcopenia Study (HSS). Age and Ageing. 2017;46ii8-ii.

Xie WQ, Xiao GL, Hu PW, He YQ, Lv S, Xiao WF. Possible sarcopenia: early screening and intervention-narrative review. Ann Palliat Med. 2020;9(6):4283-93.

Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020;21(3):300-7 e2.

Malmstrom TK, Morley JE. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013;14(8):531-2.

Lim WS, Chew J, Lim JP, Tay L, Hafizah N, Ding YY. Letter to the editor: Case for validated instead of standard cut-offs for SARC-CalF. J Nutr Health Aging. 2019;23(4):393-5.

Abe T, Tominaga K, Ando Y, Toyama Y, Takeda M, Yamasaki M, et al. Number of teeth and masticatory function are associated with sarcopenia and diabetes mellitus status among community-dwelling older adults: A Shimane CoHRE study. PLOS ONE. 2021;16(6):e0252625.

Kim M, Won CW. Sarcopenia in Korean Community-Dwelling Adults Aged 70 Years and Older: Application of Screening and Diagnostic Tools From the Asian Working Group for Sarcopenia 2019 Update. J Am Med Dir Assoc. 2020;21(6):752-8. doi: 10.1016/ j.jamda.2020.03.018

Kurose S, Nishikawa S, Nagaoka T, Kusaka M, Kawamura J, Nishioka Y, et al. Prevalence and risk factors of sarcopenia in community-dwelling older adults visiting regional medical institutions from the Kadoma Sarcopenia Study. Sci Rep. 2020;10(1): 19129.

Wu X, Li X, Xu M, Zhang Z, He L, Li Y. Sarcopenia prevalence and associated factors among older Chinese population: Findings from the China Health and Retirement Longitudinal Study. PLOS ONE. 2021;16(3): e0247617.

Therakomen V, Petchlorlian A, Lakananurak N. Prevalence and risk factors of primary sarcopenia in community-dwelling outpatient elderly: a cross-sectional study. Sci Rep. 2020;10(1):19551.

Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Statistics in medicine. 1998; 17(14):1623-34.

Weisell RC. Body mass index as an indicator of obesity. Asia Pacific journal of clinical nutrition. 2002;11: S681-S4.

Jelliffe DB. The assessment of the nutritional status of the community with special reference to field surveys in developing regions of the world: World Health Organization; 1966.

Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006; 23(5):469-80.

Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40(4): 423-9.

Kawakami R, Murakami H, Sanada K, Tanaka N, Sawada SS, Tabata I, et al. Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia in Japanese men and women. Geriatr Gerontol Int. 2015; 15(8):969-76.

Chang CF, Yeh YL, Chang HY, Tsai SH, Wang JY. Prevalence and Risk Factors of Sarcopenia among Older Adults Aged ≥65 Years Admitted to Daycare Centers of Taiwan: Using AWGS 2019 Guidelines. Int J Environ Res Public Health. 2021;18(16).

Wearing J, Konings P, de Bie RA, Stokes M, De Bruin ED. Prevalence of probable sarcopenia in community-dwelling older Swiss people–a cross-sectional study. BMC geriatrics. 2020;20(1):1-8.

Silva AM, Shen W, Heo M, Gallagher D, Wang Z, Sardinha LB, et al. Ethnicity-related skeletal muscle differences across the lifespan. Am J Hum Biol. 2010;22(1):76-82. doi: 10.1002/ajhb.20956

Ritchie H, Roser M. Meat and dairy production. Published online at OurWorldInData. org. 2019.

Carbone JW, Pasiakos SM. Dietary protein and muscle mass: translating science to application and health benefit. Nutrients. 2019;11(5):1136.

Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FA, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr. 2011;30(3):291-304.

Mann T, Heuberger R, Wong H. The association between chewing and swallowing difficulties and nutritional status in older adults. Aust Dent J. 2013;58(2):200-6.

Rondanelli M, Faliva M, Monteferrario F, Peroni G, Repaci E, Allieri F, et al. Novel insights on nutrient management of sarcopenia in elderly. Biomed Res Int. 2015;2015:524948.

Robinson SM, Reginster JY, Rizzoli R, Shaw SC, Kanis JA, Bautmans I, et al. Does nutrition play a role in the prevention and management of sarcopenia? Clin Nutr. 2018;37(4): 1121-32.

Takata Y, Ansai T, Awano S, Hamasaki T, Yoshitake Y, Kimura Y, et al. Relationship of physical fitness to chewing in an 80-year-old population. Oral Dis. 2004;10(1):44-9.

Moriya S, Tei K, Yamazaki Y, Hata H, Shinkai S, Yoshida H, et al. Relationships between perceived chewing ability and muscle strength of the body among the elderly. J Oral Rehabil. 2011;38(9):674-9.

Moriya S, Notani K, Murata A, Inoue N, Miura H. Analysis of moment structures for assessing relationships among perceived chewing ability, dentition status, muscle strength, and balance in community-dwelling older adults. Gerodontology. 2012;31(4): 281-7.

Woo J, Tong C, Yu R. Chewing Difficulty Should be Included as a Geriatric Syndrome. Nutrients. 2018; 10(12).

Lardiés-Sánchez B, Sanz-París A. Sarcopenia and Malnutrition in the Elderly. Frailty and Sarcopenia-Onset, Development and Clinical Challenges. 2017.

Damayanthi HDWT, Moy FM, Abdullah KL, Dharmaratne SD. Handgrip Strength and Its Associated Factors among Community-dwelling Elderly in Sri Lanka: A Cross-sectional Study. Asian Nurs Res (Korean Soc Nurs Sci). 2018;12(3):231-6.

Hu F-J, Liu H, Liu X-L, Jia S-L, Hou L-S, Xia X, et al. Mid-upper arm circumference as an alternative screening instrument to appendicular skeletal muscle mass index for diagnosing sarcopenia. Clin Interv Aging. 2021;16:1095.

Wijnhoven HA, van Bokhorst-de van der Schueren MA, Heymans MW, de Vet HC, Kruizenga HM, Twisk JW, et al. Low mid-upper arm circumference, calf circumference, and body mass index and mortality in older persons. J Gerontol A Biol Sci Med Sci. 2010;65(10):1107-14. doi: 10.1093/ gerona/glq100

Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. 2005;365(9468):1415-28.

Grundy SM, Neeland IJ, Turer AT, Vega GL. Waist circumference as measure of abdominal fat compartments. J Obes. 2013;2013: 454285. doi: 10.1155/2013/454285

Kim TN, Park MS, Ryu JY, Choi HY, Hong HC, Yoo HJ, et al. Impact of visceral fat on skeletal muscle mass and vice versa in a prospective cohort study: the Korean Sarcopenic Obesity Study (KSOS). PLOS ONE. 2014;9(12): e115407.

Lee S, Kim TN, Kim SH. Sarcopenic obesity is more closely associated with knee osteoarthritis than is nonsarcopenic obesity: a cross-sectional study. Arthritis Rheum. 2012; 64(12):3947-54.

Xu J, Pan X, Liang H, Lin Y, Hong Y, Si Q, et al. Association between skeletal muscle mass to visceral fat area ratio and arterial stiffness in Chinese patients with type 2 diabetes mellitus. BMC Cardiovasc Disord. 2018;18(1):89.

Park SH, Park JH, Park HY, Jang HJ, Kim HK, Park J, et al. Additional role of sarcopenia to waist circumference in predicting the odds of metabolic syndrome. Clin Nutr. 2014;33(4):668-72.

Hunter GR, Gower BA, Kane BL. Age Related Shift in Visceral Fat. Int J Body Compos Res. 2010;8(3):103-8.

Rom O, Kaisari S, Aizenbud D, Reznick AZ. Lifestyle and sarcopenia-etiology, prevention, and treatment. Rambam Maimonides Med J. 2012;3(4):e0024.