Factores asociados con Sarcopenia en ancianos de la comunidad
DOI:
https://doi.org/10.1590/1809-2950/20002828022021Palabras clave:
Sarcopenia, Anciano, EnvejecimientoResumen
El objetivo de este estudio fue identificar los factores asociados a la sarcopenia en ancianos de la
comunidad Se trata de un estudio correlacional, transversal con abordaje cuantitativo, realizado con 234 ancianos de la comunidad. Para evaluar la sarcopenia se utilizaron los criterios del European working group on sarcopenia in older people (EWGSOP2), y para la recolección de datos se utilizaron: cuestionario sociodemográfico y de salud para caracterizar a los ancianos; escala de depresión geriátrica, Addenbrooke’s cognitive examination-revised, international physical activity
questionnaire, versión larga, y el medical outcomes study 36-item short-form health survey. Hubo un predominio de mujeres (n=151; 68,30%), blancas (n=163; el 73,80%), con sobrepeso, de acuerdo con el Índice de Masa Corporal (IMC) (n=124; 56,10%) y
24,90% (n=55) de los participantes presentaron la sarcopenia, de acuerdo a los criterios del consenso europeo. Los siguientes factores se asociaron a la sarcopenia: edad (OR=1,06; p=0,010),
IMC<22kg/m2 (OR=5,82; p=0,003), estar insuficientemente activo físicamente (OR=3,29; p=0,002) y la presencia de caídas (OR=2,20; p=0,033). Los ancianos con edad avanzada, con bajo peso, insuficientemente activos físicamente y que han sufrido caídas tienen más probabilidades de padecer sarcopenia.
Descargas
Referencias
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412-23. doi: 10.1093/
ageing/afq034.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. doi:
1093/ageing/afy169.
Dupuy C, Lauwers-Cances V, Guyonnet S, Gentil C, Van Kan GA, Beauchet O, et al. Searching for a relevant definition of sarcopenia: results from the cross-sectional EPIDOS study. J
Cachexia Sarcopenia Muscle. 2015;6(2):144-54. doi: 10.1002/jcsm.12021.
Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle 2016;7(5):512-4. doi: 10.1002/jcsm.12147.
Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta-analysis of general population studies. J Diabetes
Metab Disord. 2017;16(1):21. doi: 10.1186/s40200-017-0302-x.
Martone AM, Bianchi L, Abete P, Bellelli G, Bo M, Cherubini A, et al. The incidence of sarcopenia among hospitalized older patients: Results from the Glisten study. J Cachexia Sarcopenia
Muscle. 2017;8(6):907-14. doi: 10.1002/jcsm.12224.
Buckinx F, Reginster JY, Brunois T, Lenaerts C, Beaudart C, Croisier JL, et al. Prevalence of sarcopenia in a population of nursing home residents according to their frailty status:
Results of the SENIOR cohort. J Musculoskelet Neuronal Interact [Internet]. 2017;17(3):209-17. [cited 2021 Jul 28]. Available from: https://bit.ly/3ALhCpf
Bianchi L, Ferrucci L, Cherubini A, Maggio M, Bandinelli S, Savino E, et al. The Predictive Value of the EWGSOP Definition of Sarcopenia: Results From the InCHIANTI Study. J Gerontol
A Biol Sci Med Sci. 2016;71(2):259-64. doi: 10.1093/gerona/glv129.
Bischoff-Ferrari HA, Orav JE, Kanis JA, Rizzoli R, Schlögl M, Staehelin HB, et al. Comparative performance of current definitions of sarcopenia against the prospective incidence
of falls among community-dwelling seniors age 65 and older. Osteoporos Int. 2015;26:2793-802. doi: 10.1007/s00198-015-3194-y.
Schaap LA, van Schoor NM, Lips P, Visser M. Associations of sarcopenia definitions, and their components, with the incidence of recurrent falling and fractures: the longitudinal
aging study Amsterdam. J Gerontol A Biol Sci Med Sci. 2018;73(9):1199-204. doi: 10.1093/gerona/glx245.
Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia
Muscle. 2016;7(1):28-36. doi: 10.1002/jcsm.12048.
Bahat G, Ilhan B. Sarcopenia and the cardiometabolic syndrome: a narrative review. Eur Geriatr Med. 2016;7(3):220-23. doi: 10.1016/j.eurger.2015.12.012.
Bone AE, Hepgul N, Kon S, Maddocks M. Sarcopenia and frailty in chronic respiratory disease. Chron Respir Dis. 2017;14(1):85-99. doi: 10.1177/1479972316679664.
Chang KV, Hsu TH, Wu WT, Huang KC, Han DS. Association between sarcopenia and cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc. 2016;17(12):1164.
e7-e15. doi: 10.1016/j.jamda.2016.09.013.
Beaudart C, Biver E, Reginster JY, Rizzoli R, Rolland Y, Bautmans I, et al. Validation of the SarQoL(R), a specific health-related quality of life questionnaire for Sarcopenia. J Cachexia
Sarcopenia Muscle. 2017;8(2):238-44.
Beaudart C, Zaaria M, Pasleau F, Reginster JY, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. 2017;12(1):e0169548. doi: 10.1002/jcsm.12149.
Vyas L, Nagrale AV. Impact of sarcopenia on quality of life in an elderly population. J hysiother. 2019;1:35-42.
Dos Santos L, Cyrino ES, Antunes M, Santos DA, Sardinha LB. Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle
function. J Cachexia Sarcopenia Muscle. 2017;8(2):245-50. doi: 10.1002/jcsm.12160.
Akune T, Muraki S, Oka H, Tanaka S, Kawaguchi H, Tokimura F, et al. Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese
population-based cohorts: the ROAD study. Geriatr Gerontol Int. 2014;14(3):695-701. doi:10.1111/ggi.12155.
Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. Relationship between sarcopenia and physical activity in older people: a systematic review and meta-analysis.
Clin Interv Aging. 2017;12:835-45. doi: 10.2147/CIA.S132940.
De Buyser SL, Petrovic M, Taes YE, Toye KRC, Kaufman JM, Lapauw B, et al. Validation of the FNIH sarcopenia criteria and SOF frailty index as predictor of long-term mortality in
ambulatory older men. Age Ageing. 2016;45(5):602-8. doi: 10.1093/ageing/afw071.
Cawthon PM, Lui LY, Taylor BC, McCulloch CE, Cauley JA, et al. Clinical definitions of sarcopenia and risk of hospitalization in community-dwelling older men: the osteoporotic fractures in
men study. J Gerontol A Biol Sci Med Sci. 2017;72(10):1383-89. doi: 10.1093/gerona/glw327.
Antunes AC, Araújo DA, Veríssimo MT, Amaral TF. Sarcopenia and hospitalisation costs in older adults: a cross-sectional study. Nutr Diet. 2017;74(1):46-50. doi: 10.1111/1747-0080.12287.
Steffl M, Sima J, Shiells K, Holmerova I. The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE). Clin Interv Aging. 2017;12:2003-7. doi: 10.2147/CIA.S150826
Sousa AS, Guerra RS, Fonseca I, Pichel F, Ferreira S, Amaral TF. Financial impact of sarcopenia on hospitalization costs. Eur J Clin Nutr. 2016;70:1046-51.
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuropsiquiatr. 1999;57(2B):421-6. doi: 10.1038/ejcn.2016.73.
Carvalho VA, Caramelli P. Brazilian adaptation of the Addenbrooke’s Cognitive Examination-Revised (ACE-R). Dement Neuropsychol. 2007;1(2):212-6. doi: 10.1590/
s1980-57642008dn10200015.
Benedetti TB, Mazo GZ, Barros MV. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente
e reprodutibilidade teste/reteste. Rev Bras Cien Mov. 2004;12(1):25-33. doi: 10.18511/rbcm.v12i1.538.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol [Internet]. 1999;39(3):143-50. [cited 2021 Jul. 28]. Available from: https://bit.ly/3jWqsJO
Alexandre NMC, Gallasch CH, Lima MHM, Rodrigues RCM. A confiabilidade no desenvolvimento e avaliação de instrumentos de medida na área da saúde. Rev Eletr Enferm. 2013;15(3):800-7. doi: 10.5216/ree.v15i3.20776
Alexandre TS, Duarte YAO, Santos JLF, Wong R, Lebrão ML. Prevalence and associated factors of sarcopenia among elderly in Brazil: Findings from the SABE study. J Nutr Health Aging.
;18:284-90. doi: 10.1590/1980-549720180009.supl.2.
Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Delineando a pesquisa clínica: uma abordagem epidemiológica. 3rd ed. Porto Alegre: Artmed; 2008.
Pelegrini A, Mazo GZ, Pinto AA, Benedetti TRB, Silva DAS, Petroski EL. Sarcopenia: prevalence and associated factors among elderly from a Brazilian capital. Fisioter Mov.
;31:e003102. doi: 10.1590/1980-5918.031.ao02.
Santos CM, Dias JMD, Samora GAR, Perracini MR, Guerra RO, Dias RC . Prevalence of obesity, sarcopenic obesity and associated factors: A FIBRA Network study. Fisioter Mov.
;30(Suppl 1):161-9. doi: 10.1590/1980-5918.030.s01.ao16.
Sazlina SG, Lee PY, Chan YM, Hamid MSA, Tan NC. The prevalence and factors associated with sarcopenia among community living elderly with type 2 diabetes mellitus in primary care
clinics in Malaysia. PLoS One. 2020;15(5):e0233299. doi: 10.1371/journal.pone.0233299.
Dutra T, Pinheiro PA, Carneiro JAO, Coqueiro RS, Fernandes MH. Prevalence and factors associated with sarcopenia in elderly women living in the community. Rev Bras
Cineantropom Desempenho Hum. 2015;17(4):460-71. doi: 10.5007/1980-0037.2015v17n4p460.
Petermann-Rocha F, Chen M, Gray SR, Ho FK, Pell JP, Celis-Moralesa C. Factors associated with sarcopenia: A cross-sectional analysis using UK Biobank. Maturitas.
;133:60-7. doi: 10.1016/j.maturitas.2020.01.004.
Tramontano A, Veronese N, Sergi G, Manzato E, Rodriguez-Hurtado D, Maggi S, et al. Prevalence of sarcopenia and associated factors in the healthy older adults of the Peruvian
Andes. Arch Gerontol Geriatr. 2017;68:49-54. doi: 10.1016/j.archger.2016.09.002.
Buford TW, Anton SD, Judge AR, Marzetti E, Wohlgemuth SE, Carter CS, et al. Models of accelerated sarcopenia: critical pieces for solving the puzzle of age-related muscle atrophy. Ageing Res Rev. 2010;9(4):369-83. doi: 10.1016/j.arr.2010.04.004.
Evans WJ. Skeletal muscle loss: cachexia, sarcopenia, and inactivity. Am J Clin Nutr. 2010;91(4):1123S-7S. doi: 10.3945/ajcn.2010.28608A.
Yang L, Smith L, Hamer M. Gender-specific risk factors for incident sarcopenia: 8-year follow-up of the English longitudinal study of ageing. J Epidemiol Community Health. 2019;73(1):86-8.
doi: 10.1136/jech-2018-211258.
Yeung SSY, Reijnierse EM, Pham VK, Trappenburg MC, Lim WK, Meskers CGM, et al. Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-
analysis. J Cachexia Sarcopenia Muscle. 2019;10(3):485-500. doi: 10.1002/jcsm.12411.
Chen H, Ma J, Liu A, Cui Y, Ma X. The association between sarcopenia and fracture in middle-aged and elderly people: A systematic review and meta-analysis of cohort studies. Injury.
;51(4):804-11. doi: 10.1016/j.injury.2020.02.072.
Scott D, Hayes A, Sanders KM, Aitken D, Ebeling PR, Jones G. Operational definitions of sarcopenia and their associations with 5-year changes in falls risk in community-dwelling middle-aged and older adults. Osteoporos Int. 2014;25(1):187-93. doi: 10.1007/s00198-013-2431-5.
Aibar-Almazán A, Martínez-Amat A, Cruz-Díaz D, Jiménez-García JD, Achalandabaso A, Sánchez-Montesinos I, et al. Sarcopenia and sarcopenic obesity in Spanish community-dwelling middle-aged and older women: Association with balance confidence, fear of falling and fall risk. Maturitas. 2018;107:26-32. doi: 10.1016/j.maturitas.2017.10.001.
Lim SK, Beom J, Lee SY,Kim BR, Chun SW, Lim JY, et al. Association between sarcopenia and fall characteristics in older adults with fragility hip fracture. Injury. 2020;51(11):2640-7.
doi: 10.1016/j.injury.2020.08.031.
Santos ADA, Pinho CPS, Nascimento ACS, Costa ACO, et al. Sarcopenia en pacientes ancianos atendidos ambulatoriamente: prevalencia y factores asociados. Nutr Hosp. 2016;33(2):255-62.
doi: 10.20960/nh.100.
Mesquita AF, Silva EC, Eickemberg M, Roriz AKC, Barreto-Medeiros JM, Ramos LB. Factors associated with sarcopenia in institutionalized elderly. Nutr Hosp. 2017;34(2):345-51. doi:
20960/nh.427
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2021 Nunes JD, Zacarin JF, Pavarini SCI, Zazzetta MS, Santos-Orlandi AA, Sousa-Orlandi F
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
