Association between the Yubi-wakka (Finger-ring) test and indications of sarcopenia risk among older adults at Primary Care facilities in the PhraPhutthabat District, Saraburi Province
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Abstract
BACKGROUND Measuring muscle mass for diagnosing sarcopenia has several limitations, such as a lack of equipment and high costs, which make proactive screening difficult.
OBJECTIVE To study the association between the Yubi-wakka test and the risk of sarcopenia in older adults and to examine factors associated with the risk of sarcopenia at Primary care facilities in Phra Phutthabat District, Saraburi Province.
METHODS This cross-sectional descriptive study was conducted among 492 individuals aged 60 years and older. Data were collected through interviews and the Yubi-wakka test between March 1, 2024, and September 25, 2024. The association was analyzed using multiple logistic regression, and the results were presented as adjusted odds ratios
with 95% confidence intervals.
RESULTS Univariate analysis of the smaller group from the Yubi-wakka test indicated an increased risk of sarcopenia in older adults compared to the bigger group (Crude OR 2.20, 95% CI 1.32–3.67; p=0.002). However, after conducting multivariable analysis, the smaller group was no longer significantly associated with risk of sarcopenia (aOR 1.58, 95% CI 0.88–2.84; p=0.123). In contrast, factors that remained significantly associated with risk of sarcopenia in older adults (p<0.050) included BMI under 18.5 kg/m² (aOR 3.13, 95% CI 1.20–8.15; p=0.019) Hypertension (aOR 1.87, 95% CI 1.12–3.10; p=0.016).
CONCLUSIONS AND RECOMMENDATIONS Older adults with hypertension, low BMI should undergo screening and assessment for sarcopenia. Additionally, they should receive appropriate nutrition, exercise, and lifestyle modifications to aid in the prevention and treatment of this condition. Meanwhile, the Yubi-wakka test should be used solely as a supplementary self-assessment tool, which is expected to enhance awareness and promote the prevention of sarcopenia.
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