Abstract
This is a prospective study with 1 year follow up to identify changes in sarcopenia stages and its related factors among community-dwelling older adults in South Korea. A total of 241 older adults (≥70 years old) were assessed 2 times during 1 year follow up. Sarcopenia was defined based on the Asian Working Group of Sarcopenia recommendations. As a result, 34 participants (14.1%) experienced deterioration into worse stage of sarcopenia, whereas 7.9% of the older adults experienced improvement into better stage of sarcopenia for 1 year. A slower gait speed, poorer nutritional status, and little aerobic exercise using machine were predictive factors of deterioration in sarcopenia stage. Participants who did more exercise during a week and had lower body mass index tended to be improved in their sarcopenia stages. This study revealed that sarcopenia is reversible condition among community-dwelling older adults. There were differences in factors associated with deterioration and improvement in sarcopenia stages during short period. Therefore, different approach is needed to develop intervention for preventing and delaying deterioration or reversing sarcopenia status.
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Barbosa-Silva, M. (2008). Subjective and objective nutritional assessment methods: what do they really assess? Current Opinion in Clinical Nutrition and Metabolic Care, 11(3), 248–254.
Baumgartner, R. N., Koehler, K. M., Gallagher, D., Romero, L., Heymsfield, S. B., Ross, R. R., et al. (1998). Epidemiology of sarcopenia among the elderly in New Mexico. American Journal of Epidemiology, 147(8), 755–763.
Beaudart, C., Rizzoli, R., Bruyère, O., Reginster, J. Y., & Biver, E. (2014). Sarcopenia: burden and challenges for public health. Archives of Public Health, 72(1), 1–8.
Beaudart, C., Reginster, J. Y., Slomian, J., Buckinx, F., Dardenne, N., Quabron, A., et al. (2015). Estimation of sarcopenia prevalence using various assessment tools. Experimental Gerontology, 61, 31–37.
Beavers, K. M., Beavers, D. P., Houston, D. K., Harris, T. B., Hue, T. F., Koster, A., et al. (2013). Associations between body composition and gait-speed decline: results from the health, aging, and body composition study. The American Journal of Clinical Nutrition, 97(3), 552–560.
Bijlsma, A., Meskers, C., Ling, C., Narici, M., Kurrle, S., Cameron, I., et al. (2013). Defining sarcopenia: the impact of different diagnostic criteria on the prevalence of sarcopenia in a large middle aged cohort. Age, 35(3), 871–881.
Binkley, N., & Buehring, B. (2009). Beyond FRAX: It’s time to consider “sarco-osteopenia”. Journal of Clinical Densitometry, 12(4), 413–416.
Castillo, E. M., Goodman-Gruen, D., Kritz-Silverstein, D., Morton, D. J., Wingard, D. L., & Barrett-Connor, E. (2003). Sarcopenia in elderly men and women: the rancho Bernardo study. American Journal of Preventive Medicine, 25(3), 226–231.
Cesari, M., Kritchevsky, S. B., Penninx, B. W., Nicklas, B. J., Simonsick, E. M., Newman, A. B., et al. (2005). Prognostic value of usual gait speed in well-functioning older people—results from the health, aging and body composition study. Journal of the American Geriatrics Society, 53(10), 1675–1680.
Cesari, M., Ferrini, A., Zamboni, V., & Pahor, M. (2008). Sarcopenia: current clinical and research issues. Open Geriatric Medicine Journal, 1, 14–23.
Chen, L. K., Liu, L. K., Woo, J., Assantachai, P., Auyeung, T. W., Bahyah, K. S., et al. (2014). Sarcopenia in Asia: consensus report of the Asian working Group for Sarcopenia. Journal of the American Medical Directors Association, 15(2), 95–101.
Cruz-Jentoft, A. J., Landi, F., Topinkova, E., & Michel, J. P. (2010). Understanding sarcopenia as a geriatric syndrome. Current Opinion in Clinical Nutrition and Metabolic Care, 13(1), 1–7.
Hughes, V. A., Frontera, W. R., Roubenoff, R., Evans, W. J., & Singh, M. A. F. (2002). Longitudinal changes in body composition in older men and women: role of body weight change and physical activity. The American Journal of Clinical Nutrition, 76(2), 473–481.
Janssen, I., Heymsfield, S. B., & Ross, R. (2002). Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. Journal of the American Geriatrics Society, 50(5), 889–896.
Judge, J., Underwood, M., & Gennosa, T. (1993). Exercise to improve gait velocity in older persons. Archives of Physical Medicine and Rehabilitation, 74(4), 400–406.
Kim, T. N., & Choi, K. M. (2013). Sarcopenia: definition, epidemiology, and pathophysiology. Journal of Bone Metabolism, 20(1), 1–10. doi:10.11005/jbm.2013.20.1.1.
Kim, T. N., Park, M. S., Yang, S. J., Yoo, H. J., Kang, H. J., Song, W., et al. (2010). Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes the Korean sarcopenic obesity study (KSOS). Diabetes Care, 33(7), 1497–1499.
Kim, J. H., Lim, S., Choi, S. H., Kim, K. M., Yoon, J. W., Kim, K. W., et al. (2014a). Sarcopenia: an independent predictor of mortality in community-dwelling older Korean men. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 69(10), 1244–1252.
Kim, H. H., Kim, J. S., & Yu, J. O. (2014b). Factors contributing to sarcopenia among community-dwelling older Korean adults. Journal of Korean Gerontological Nursing, 16(2), 170–179.
Kortebein, P., Ferrando, A., Lombeida, J., Wolfe, R., & Evans, W. J. (2007). Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA, 297(16), 1769–1774.
Lee, J. S., Auyeung, T. W., Kwok, T., Lau, E. M., Leung, P. C., & Woo, J. (2007). Associated factors and health impact of sarcopenia in older Chinese men and women: a cross-sectional study. Gerontology, 53(6), 404–410.
Lee, S., Kim, T. N., & Kim, S. H. (2012). Sarcopenic obesity is more closely associated with knee osteoarthritis than is nonsarcopenic obesity: a cross-sectional study. Arthritis and Rheumatism, 64(12), 3947–3954.
Lee, S. K., Lee, J. A., Kim, J. Y., Kim, Y. Z., & Park, H. S. (2014). The risk factors of sarcopenia among Korean elderly men: based on 2009 Korean national health and nutrition examination survey data. The Korean Journal of Obesity, 23(1), 23–31.
Lennie, T. A., Moser, D. K., Heo, S., Chung, M. L., & Zambroski, C. H. (2006). Factors influencing food intake in patients with heart failure: a comparison with healthy elders. Journal of Cardiovascular Nursing, 21(2), 123–129.
Li, Z., & Heber, D. (2012). Sarcopenic obesity in the elderly and strategies for weight management. Nutrition Reviews, 70(1), 57–64.
Lopopolo, R. B., Greco, M., Sullivan, D., Craik, R. L., & Mangione, K. K. (2006). Effect of therapeutic exercise on gait speed in community-dwelling elderly people: a meta-analysis. Physical Therapy, 86(4), 520–540.
Malafarina, V., Úriz-Otano, F., Iniesta, R., & Gil-Guerrero, L. (2012). Sarcopenia in the elderly: diagnosis, physiopathology and treatment. Maturitas, 71(2), 109–114.
Marsh, A. P., Wrights, A. P., Haakonssen, E. H., Dobrosielski, M. A., Chmelo, E. A., Barnard, R. T., et al. (2015). The virtual short physical performance battery. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 70(10), 1233–1241.
McIntosh, E. I., Smale, K. B., & Vallis, L. A. (2013). Predicting fat-free mass index and sarcopenia: a pilot study in community-dwelling older adults. Age, 35(6), 2423–2434. doi:10.1007/s11357-012-9505-8.
Meyer, M. R., Clegg, D. J., Prossnitz, E. R., & Barton, M. (2011). Obesity, insulin resistance and diabetes: sex differences and role of oestrogen receptors. Acta Physiologica, 203(1), 259–269.
Morley, J. E. (2012). Sarcopenia in the elderly. Family Practice, 29(suppl 1), i44–i48.
Morley, J., & Makin, M. (1998). The use of methadone in cancer pain poorly responsive to other opioids. Pain Reviews, 5(1), 51.
Morley, J. E., Baumgartner, R. N., Roubenoff, R., Mayer, J., & Nair, K. S. (2001). Sarcopenia. Journal of Laboratory and Clinical Medicine, 137(4), 231–243.
Murphy, R. A., Ip, E. H., Zhang, Q., Boudreau, R. M., Cawthon, P. M., Newman, A. B., et al. (2013). Transition to sarcopenia and determinants of transitions in older adults: a population-based study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. doi:10.1093/gerona/glt131.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., et al. (2007). Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1094.
Roubenoff, R. (2004). Sarcopenic obesity: the confluence of two epidemics. Obesity Research, 12(6), 887–888.
Roubenoff, R., & Hughes, V. A. (2000). Sarcopenia current concepts. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(12), M716–M724.
Ryu, M., Jo, J., Lee, Y., Chung, Y. S., Kim, K. M., & Baek, W.-C. (2013). Association of physical activity with sarcopenia and sarcopenic obesity in community-dwelling older adults: the fourth Korea national health and nutrition examination survey. Age and Ageing. doi:10.1093/ageing/aft063.
Scott, D., Blizzard, L., Fell, J., Giles, G., & Jones, G. (2010). Associations between dietary nutrient intake and muscle mass and strength in community-dwelling older adults: the Tasmanian older adult cohort study. Journal of the American Geriatrics Society, 58(11), 2129–2134.
Vetrano, D. L., Landi, F., Volpato, S., Corsonello, A., Meloni, E., Bernabei, R., et al. (2014). Association of sarcopenia with short-and long-term mortality in older adults admitted to acute care wards: results from the CRIME study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 69(9), 1154–1161.
Visser, M., Deeg, D. J., & Lips, P. (2003). Low vitamin D and high parathyroid hormone levels as determinants of loss of muscle strength and muscle mass (sarcopenia): the longitudinal aging study Amsterdam. The Journal of Clinical Endocrinology & Metabolism, 88(12), 5766–5772.
Volpato, S., Bianchi, L., Cherubini, A., Landi, F., Maggio, M., Savino, E., et al. (2013). Prevalence and clinical correlates of sarcopenia in community-dwelling older people: application of the EWGSOP definition and diagnostic algorithm. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. doi:10.1093/gerona/glt149.
Wu, C. H., Chen, K. T., Hou, M. T., Chang, Y. F., Chang, C. S., Liu, P. Y., et al. (2014). Prevalence and associated factors of sarcopenia and severe sarcopenia in older Taiwanese living in rural community: the Tianliao old people study 04. Geriatrics & Gerontology International, 14(S1), 69–75.
Yamada, M., Nishiguchi, S., Fukutani, N., Tanigawa, T., Yukutake, T., Kayama, H., et al. (2013). Prevalence of sarcopenia in community-dwelling Japanese older adults. Journal of the American Medical Directors Association, 14(12), 911–915.
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Informed consent was obtained from all participants included in the study.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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This study was conducted after gaining the approval of the Institute Review Board of Seoul National University (E1604/001–005). All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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This study was supported and funded by College of Medicine, Seoul National University (800–20150098).
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Lee, M.H., Park, YH. Changes in Sarcopenia Stages and Its Related Factors among Community-Dwelling Older Adults in South Korea. Ageing Int 44, 1–14 (2019). https://doi.org/10.1007/s12126-017-9280-z
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DOI: https://doi.org/10.1007/s12126-017-9280-z