| Home | E-Submission | Sitemap | Contact Us |  
top_img
J Korean Gerontol Nurs > Volume 16(2):2014 > Article

Original Article

J Korean Gerontol Nurs. 2014 Aug;16(2):170-179. Korean.
Published online Aug 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.2.170
© 2014 Korean Gerontological Nursing Society
Factors Contributing to Sarcopenia among Community-dwelling Older Korean Adults
Hyun Hee Kim,1Jung Soon Kim,*2and Jung Ok Yu3
1Pusan National University Hospital, Busan, Korea.
2College of Nursing, Pusan National University, Yangsan, Korea.
3Daun Elementary School, Ulsan, Korea.

*Corresponding author: Kim, Jung Soon. College of Nursing, Pusan National University, Beomeo-ri, Mulgeum-eup, Yangsan 626-870, Korea. Tel: +82-51-510-8353, Fax: +82-51-510-8308, Email: tomas@pusan.ac.kr
Received October 24, 2013; Revised March 19, 2014; Accepted July 20, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

This study was conducted to estimate the prevalence of sarcopenia and its associated factors in Koreans, who were 65 years of age or older.

Methods

Data were from the Fifth Korea National Health and Nutrition Examination Survey. The appendicular skeletal muscle mass was measured by a dual x-ray absorptiometry in 770 men and 1,000 women. We defined sarcopenia as appendicular skeletal muscle mass/weight*100(%) less than 2 standard deviations below the mean for gender specific young, healthy reference populations. Health and nutritional factors were compared in participants with and without sarcopenia.

Results

The prevalence of sarcopenia was 6.6% for men and 9.4% for women. Multiple logistic regression analysis showed that age, cancer, hypertension, and asthma were significantly associated with sarcopenia in men. However, in women, only one factor, current job, was significantly associated with sarcopenia.

Conclusion

Sarcopenia was significantly associated with age, chronic disease, and current job in Korean elders. These results suggest that chronic disease and limited physical activity should be further investigated for their association with sarcopenia.

Keywords: Aged, Sarcopenia.

Tables


Table 1
Prevalence of Sarcopenia according to Socio-demographics, Health related Characteristics, and Dietary Habits among Elderly Men (N=770)


Table 2
Prevalence of Sarcopenia according to Socio-demographics, Health related Characteristics, and Dietary Habits among Elderly Women (N=1,000)


Table 3
Factors Contributing to Sarcopenia Elderly Men and Women

Notes

This study was supported by the Research Institute of Nursing Science, Pusan National University

References
1. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 1998;147(8):755–763.
2. Chapman IM, MacIntosh CG, Morley JE, Horowitz M. The anorexia of ageing. Biogerontology 2002;3(1-2):67–71.
3. Chin SO, Rhee SY, Chon S, Hwang YC, Jeong IK, Oh S, et al. Sarcopenia is independently associated with cardiovascular disease in older Korean adults: The Korea National Health and Nutrition Examination Survey (KNHANES) from 2009. PLoS One 2013 Mar 22;8(3):e60119.
Retrieved from http://dx.doi.org/10.1371/journal.pone.0060119
4. Go SW, Cha YH, Lee JA, Park HS. Association between sarcopenia, bone density, and health-related quality of life in Korean men. Korean J Fam Med 2013;34(4):281–288.
5. Hong S, Choi WH. Clinical and physiopathological mechanism of sarcopenia. Korean J Med 2012;83(4):444–454.
6. Hwang B, Lim JY, Lee J, Choi NK, Ahn YO, Park BJ. Prevalence rate and associated factors of sarcopenic obesity in Korean elderly population. J Korean Med Sci 2012;27(7):748–755.
7. Iannuzzi-Sucich M, Prestwood KM, Kenny AM. Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women. J Gerontol A Biol Sci Med Sci 2002;57(12):M772–M777.
8. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 2002;50(5):889–896.
9. Jensen GL. Inflammation: Roles in aging and sarcopenia. JPEN J Parenter Enteral Nutr 2008;32(6):656–659.
10. Kim SH, Kim TH, Hwang HJ. The relationship of physical activity (PA) and walking with sarcopenia in Korean males aged 60 years and older using the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-2, 3), 2008-2009. Arch Gerontol Geriatr 2013;56(3):472–477.
11. Kim TN, Park MS, Yang SJ, Yoo HJ, Kang HJ, Song W, et al. Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes: The Korean sarcopenic obesity study (KSOS). Diabetes Care 2010;33(7):1497–1499.
12. Kim YS, Lee Y, Chung YS, Lee DJ, Joo NS, Hong D, et al. Prevalence of sarcopenia and sarcopenic obesity in the Korean population based on the fourth Korean National Health and Nutritional Examination Surveys. J Gerontol A Biol Sci Med Sci 2012;67(10):1107–1113.
13. Korean Statistical Information Service. Cause of Death and Life Tables. 2011 Dec;Retrieved August 21, 2013
from http://kosis.kr/statisticsList/statisticsList_01List.jsp
14. Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, Proia A, et al. Prevalence and risk factors of sarcopenia among nursing home older residents. J Gerontol A Biol Sci Med Sci 2012;67(1):48–55.
15. Lee JS, Auyeung TW, Kwok T, Lau EM, Leung PC, Woo J. Associated factors and health impact of sarcopenia in older Chinese men and women: A cross-sectional study. Gerontology 2007;53(6):404–410.
16. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey (KNHANES V-1) [Data file]. 2011
Available from https://knhanes.cdc.go.kr/knhanes/index.do
17. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey (KNHANES V-2) [Data file]. 2012
Available from https://knhanes.cdc.go.kr/knhanes/index.do
18. Newman AB, Kupelian V, Visser M, Simonsick E, Goodpaster B, Nevitt M, et al. Sarcopenia: Alternative definitions and associations with lower extremity function. J Am Geriatr Soc 2003;51(11):1602–1609.
19. Park SW. Sarcopenia of the old age. J Korean Endocr Soc 2007;22(1):1–7.
20. Prado CM, Lieffers JR, McCargar LJ, Reiman T, Sawyer MB, Martin L, et al. Prevalence and clinical implications of sarcopenic obesity in patients with solid tumoursof the respiratory and gastrointestinal tracts: A population-based study. Lancet Oncol 2008;9(7):629–635.
21. Rom O, Kaisari S, Aizenbud D, Reznick AZ. Lifestyle and sarcopenia-etiology, prevention, and treatment. Rambam Maimonides Med J 2012;3(4):e0024.
Retrieved from http://dx.doi.org/10.5041/RMMJ.10091
22. Rosenberg I. Summary comments: Epidemiological and methodological problems in determining nutritional status of older persons. Am J Clin Nutr 1989;50:1231–1233.
23. Scott D, Hayes A, Sanders KM, Aitken D, Ebeling PR, Jones G. Operational definitions of sarcopenia andtheir associations with 5-year changes in falls risk in community-dwelling middle-aged and older adults. Osteoporos Int 2014;25(1):187–193.
24. Siparsky PN, Kirkendall DT, Garrett WE. Muscle changes in aging: Understanding sarcopenia. Sports Health 2014;6(1):36–40.
25. Statistics Korea. Population projections for Korea: 2010-2060. 2011 Dec 07;Retrieved from August 13, 2013
from http://kostat.go.kr/portal/english/news/1/9/index.board?bmode=read&aSeq=253456
26. Tanimoto Y, Watanabe M, Sun W, Sugiura Y, Tsuda Y, Kimura M, et al. Association between sarcopenia andhigher-level functional capacity in daily living in community-dwelling elderly subjects in Japan. Arch Gerontol Geriatr 2012;55(2):e9–e13.
27. Tanimoto Y, Watanabe M, Sun W, Tanimoto K, Shishikura K, Sugiura Y, et al. Association of sarcopenia with functional decline in community-dwelling elderly subjectsin Japan. Geriatr Gerontol Int 2013;13(4):958–963.
28. Visser M, Schaap LA. Consequences of sarcopenia. Clin Geriatr Med 2011;27(3):387–399.
29. Visvanathan R, Chapman I. Preventing sarcopenia in older people. Maturitas 2010;66(4):383–388.
30. Wen X, Wang M, Jiang CM, Zhang YM. Are current definitions of sarcopenia applicable for older Chinese adults?. J Nutr Health Aging 2011;15(10):847–851.
Editorial Office
College of Nursing, Korea University
145 Anam-ro, Sungbuk-gu, Seoul 136-713, Republic of Korea
Tel : +82-41-550-0403   Fax : +82-41-550-2314   E-mail: mossjon78@hanmail.net
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © by The Korean Gerontological Nursing Society. All rights reserved.     powerd by m2community