Probability of sarcopenia associated with functionality parameters and risk of falls in a population of older adults in Colombia
DOI:
https://doi.org/10.47197/retos.v63.100622Keywords:
Keywords: sarcopenia, functional status, falls, walking, older adultsAbstract
Objective. To evaluate the association between the probability of sarcopenia with functionality and the risk of falls among older adults in Colombia.
Materials and methods. A total of 224 Colombian men and women, over 60 years of age, were evaluated, categorizing their probability of sarcopenia from the Ishii´s Score into low, medium, and high. Surveys, functionality scales, anthropometric measurements, and gait kinematics were carried out.
Results. 22% of the population had between the medium and high probability of presenting sarcopenia, results comparable with previous studies in the Colombian population. In bivariate analyses, the probability of having sarcopenia was significantly associated with age, gender, and fear of falling as measured by the FES-I, stride length, percentage duration of the single-leg stance phase, waist circumference, elaborate steps, and functional balance. The latter three remained significant in multivariate logistic regression analysis.
Conclusion. The influence of sarcopenia on the functionality of older adults including gait is corroborated. Likewise, the possibility of using the Ishii´s Score in the Latin American population is evidenced.
References
Ariza Galindo, C. J., Venegas, L. C., Martínez, M. T., & Serrano, P. A. (2022). Osteosarcopenia en adultos mayores. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 9(3). https://doi.org/10.53853/encr.9.3.732
Bohannon, Richard W. PT, EdD, NCS, FAPTA, FAHA. Reference Values for the Timed Up and Go Test: A Descriptive Meta-Analysis. Journal of Geriatric Physical Therapy 29(2): p 64-68, August 2006. https://doi.org/10.1519/00139143-200608000-00004
Camargos, F. F., Dias, R. C., Dias, J., & Freire, M. T. (2010). Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Brazilian Journal of Physical Therapy, 14, 237-243. https://doi.org/10.1590/S1413-35552010000300010
Carrillo Arango, H. A., Atencio Osorio, M. A., & Samboni Martinez, B. (2024). Condición física y riesgo de caídas en un grupo de personas mayores del servicio médico de una uni-versidad pública (Physical condition and risk of falls in a group of elderly people from the medical service of a public university). Retos, 55, 461–467. https://doi.org/10.47197/retos.v55.101378
Chen, L., Woo, J., Assantachai, P., Auyeung, T., Chou, M., Iijima, K., Jang, H. C., Kang, L., Kim, M., Kim, S., Kojima, T., Kuzuya, M., Lee, J. S., Lee, S. Y., Lee, W., Lee, Y., Liang, C., Lim, J., Lim, W. S., . . . Arai, H. (2020). Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diag-nosis and Treatment. Journal of the American Medical Directors Association, 21(3), 300-307.e2. https://doi.org/10.1016/j.jamda.2019.12.012
Chen, X., Hou, L., Zhang, Y. et al. The accuracy of the Ishii score chart in predicting sarcopenia in the elderly community in Chengdu. BMC Geriatr, 21, 296 (2021). https://doi.org/10.1186/s12877-021-02244-4
Chumlea, W. M. C., Cesari, M., Evans, W. J., Ferrucci, L., Fielding, R. A., Pahor, M., ... & MEMBERS, T. T. F. (2011). Sarcopenia: designing phase IIb trials: international working group on sarcopenia. The journal of nutrition, health & aging, 15(6), 450-455. https://doi.org/10.1007/s12603-011-0092-7
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., ... & Zamboni, M. (2019). Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing, 48(1), 16-31. https://doi.org/10.1093/ageing/afz046
De Loureiro, V. a. F. B., Gomes, M. I. B., & Alves, A. R. (2021). Medo de cair e a capacidade funcional de idosos a viver na comunidade (Fear of falling and physical fitness in community-dwelling older adults) (Miedo a caer y capacidad funcional de mayores a vivir en la comunidad). Retos, 43, 495–502. https://doi.org/10.47197/retos.v43i0.88588
Eraso-Checa, F., Rosero, R., González, C., Cortés, D., Hernández, E., Polanco, J., & Díaz-Tribaldos, C. (2023). Modelos de composición corporal basados en antropometría: revisión sistemática de li-teratura. Nutrición Hospitalaria, 40(5), 1068-1079.https://doi.org/10.20960/nh.04377
Fan, Y., Zhang, B., Huang, G., Zhang, G., Ding, Z., Li, Z., ... & Fan, Y. (2022). Sarcopenia: Body composi-tion and gait analysis. Frontiers in aging neuroscience, 14. https://doi.org/10.3389/fnagi.2022.909551
Giraudo, C., Cavaliere, A., Lupi, A., Guglielmi, G., & Quaia, E. (2020). Established paths and new ave-nues: a review of the main radiological techniques for investigating sarcopenia. Quantitative imaging in medicine and surgery, 10(8), 1602. http://dx.doi.org/10.21037/qims.2019.12.15
Gómez-Vélez, D. F., Leal-Terranova, O. E., & Arias-Moreno, P. (2014). Síntomas osteomusculares en docentes: Una revisión de la literatura. Revista Colombiana de Salud Ocupacional, 4(2), 24-29. https://doi.org/10.18041/2322-634X/rcso.2.2014.4911
Hopewell, S., Copsey, B., Nicolson, P., Adedire, B., Boniface, G., & Lamb, S. (2020). Multifactorial inter-ventions for preventing falls in older people living in the community: a systematic review and meta-analysis of 41 trials and almost 20 000 participants. British journal of sports medicine, 54(22), 1340-1350. https://doi.org/10.1136/bjsports-2019-100732
Ishii, S., Tanaka, T., Shibasaki, K., Ouchi, Y., Kikutani, T., Higashiguchi, T., ... & Iijima, K. (2014). Devel-opment of a simple screening test for sarcopenia in older adults. Geriatrics & gerontology in-ternational, 14, 93-101. https://doi.org/10.1111/ggi.12197
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.
Ling, C. H., Meskers, C. G., & Maier, A. B. (2021). Can anthropometric measures be used as proxies for body composition and physical function in geriatric outpatients?. Archives of Gerontology and Geriatrics, 94, 104379. https://doi.org/10.1016/j.archger.2021.104379
Locquet, M., Beaudart, C., Reginster, J., Petermans, J., & Bruyère, O. (2017). Comparison of the perfor-mance of five screening methods for sarcopenia. Clinical Epidemiology, 10, 71–82. https://doi.org/10.2147/clep.s148638
Loyola, W. a. S., Corrales, G. a. L., Ganz, F., Caro, H. G., & Probst, V. S. (2020). Sarcopenia, definición y diagnóstico: ¿Necesitamos valores de referencia para adultos mayores de Latinoamérica? Re-vista Chilena De Terapia Ocupacional, 20(2), 259–267. https://doi.org/10.5354/0719-5346.2020.53583
Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: the Barthel Index: a simple index of in-dependence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland state medical journal, 14, 61–65. https://pubmed.ncbi.nlm.nih.gov/14258950/
Meaza, H., Temesgen, M. H., Redae, G., Hailemariam, T. T., & Alamer, A. (2020). Prevalence of musculo-skeletal pain among academic staff of Mekelle University, Ethiopia. Clinical Medicine Insights Arthritis and Musculoskeletal Disorders, 13, 117954412097467. https://doi.org/10.1177/1179544120974671
Mesquita, A. F., Da Silva, E. C., Eickemberg, M., Roriz, A. K. C., Barreto-Medeiros, J. M., & Ramos, L. B. (2017). Factors associated with sarcopenia in institutionalized elderly. Nutricion hospitalaria, 34(2), 345-351. https://doi.org/10.20960/nh.427
Messina, C., Albano, D., Gitto, S., Tofanelli, L., Bazzocchi, A., Ulivieri, F. M., ... & Sconfienza, L. M. (2020). Body composition with dual energy X-ray absorptiometry: from basics to new tools. Quantita-tive imaging in medicine and surgery, 10(8), 1687. https://doi.org/10.21037/qims.2020.03.02
Miranda, K. A., Gouveia, Élvio R., Gouveia, B., Marques, A., Campos, P., Tinôco, A., Jurema, J., Kliegel, M., & Ihle, A. (2022). La sarcopenia y la actividad física predicen caídas en adultos mayores de Amazonas, Brasil (Sarcopenia and Physical Activity Predict Falls in Older Adults from Amazo-nas, Brazil): Sarcopenia and Physical Activity Predict Falls in Older Adults from Amazonas, Brazil. Retos, 43, 215–222. https://doi.org/10.47197/retos.v43i0.88526
Morales Paredes, A. N., Rivarola Monzon, D. G., Romero Mansilla3, M., Cartagena Ochavano, R. E., Me-neses Espejo, Y., & Prado Boza, A. A. (2024). Actividad física en el hogar para mejorar la fuerza y equilibrio en el adulto mayor para prevenir el riesgo de caídas. Revisión Bibliográfica (Physi-cal activity at home to improve strength and balance in the elderly to prevent the risk of falls. Bibliographic Review). Retos, 53, 305–315. https://doi.org/10.47197/retos.v53.99567
Mori, K., Murata, S., Goda, A., Kikuchi, Y., Shiraiwa, K., Horie, J., & Nakano, H. (2022). Gait Characteris-tics of Dynapenia, Sarcopenia, and Presarcopenia in Community-Dwelling Japanese Older Women: A Cross-Sectional Study. Healthcare, 10(10), 1905. https://doi.org/10.3390/healthcare10101905
Navalón Alcañiz, R., & Martínez González-Moro, I. (2020). Valoración del grado de deterioro funcional y fragilidad en adultos mayores activos (Assessment of the degree of functional impairment and fragility in active elderly). Retos, 38, 576–581. https://doi.org/10.47197/retos.v38i38.78252
Nishikawa, H., Fukunishi, S., Asai, A., Yokohama, K., Nishiguchi, S., & Higuchi, K. (2021). Pathophysiol-ogy and mechanisms of primary sarcopenia (Review). International Journal of Molecular Medi-cine, 48, 156. https://doi.org/10.3892/ijmm.2021.4989
Osoba, M. Y., Rao, A. K., Agrawal, S. K., & Lalwani, A. K. (2019). Balance and gait in the elderly: A con-temporary review. Laryngoscope investigative otolaryngology, 4(1), 143-153. https://doi.org/10.1002/lio2.252
Otzen, T., & Manterola, C. (2017). Sampling techniques on a population study. International journal of morphology, 35(1), 227-232. http://dx.doi.org/10.4067/S0717-95022017000100037
Perez‐Sousa, M. A., Venegas‐Sanabria, L. C., Chavarro‐Carvajal, D. A., Cano‐Gutierrez, C. A., Izquierdo, M., Correa‐Bautista, J. E., & Ramírez‐Vélez, R. (2019). Gait speed as a mediator of the effect of sarcopenia on dependency in activities of daily living. Journal of cachexia, sarcopenia and mus-cle, 10(5), 1009-1015. https://doi.org/10.1002/jcsm.12444
Petermann‐Rocha, F., Balntzi, V., Gray, S. R., Lara, J., Ho, F. K., Pell, J. P., & Celis‐Morales, C. (2022). Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta‐analysis. Journal of cachexia, sarcopenia and muscle, 13(1), 86-99. https://doi.org/10.1002/jcsm.12783
Shimizu, A., Maeda, K., Ueshima, J., Inoue, T., Murotani, K., Ohno, T., ... & Fujishima, I. (2022). Preva-lence of sarcopenic obesity based on newly proposed diagnostic criteria and functional out-comes in older adults undergoing rehabilitation. Mechanisms of ageing and development, 208, 111728. https://doi.org/10.1016/j.mad.2022.111728
Sossai, M. I., Conceição, L. R., Canciglieri, P. H., & Breda, L. (2020). Efeitos fisiológicos e hormonais do treinamento concorrente na diminuição da sarcopenia em idosos–uma revisão de literatura. Revista Saúde & Diversidade, 4(2), 59-64. https://doi.org/10.18227/hd.v4i2.7533
Sullivan, K. M., Dean, A., & Soe, M. M. (2009). On academics: OpenEpi: a web-based epidemiologic and statistical calculator for public health. Public health reports, 124(3), 471-474. https://doi.org/10.1177/003335490912400320
Venturelli, M., Reggiani, C., & Schena, F. (2022). Beyond the current knowledge on sarcopenia: new insight on neuromuscular factors. Aging Clinical and Experimental Research, 34(5), 1183-1185. https://doi.org/10.1007/s40520-022-02082-3
Vidal-Cuellar, C. L., Mas, G., Ayamamani-Torres, P., Yazawa, T., Rosas-Carrasco, O., & Tello, T. (2022). Identification of Probable sarcopenia based on SARC-F and SARC-CalF in older adults from a low-resource setting. Journal of Frailty, Sarcopenia and Falls, 7(4), 222-230. https://doi.org/10.22540/jfsf-07-222
Wallengren, O., Bosaeus, I., Frändin, K., Lissner, L., Falk Erhag, H., Wetterberg, H., ... & Skoog, I. (2021). Comparison of the 2010 and 2019 diagnostic criteria for sarcopenia by the European Working Group on Sarcopenia in Older People (EWGSOP) in two cohorts of Swedish older adults. BMC geriatrics, 21, 1-12. https://doi.org/10.1186/s12877-021-02533-y
Westbury, L. D., Beaudart, C., Bruyère, O., Cauley, J. A., Cawthon, P., Cruz‐Jentoft, A. J., ... & International Musculoskeletal Ageing Network. (2023). Recent sarcopenia definitions—prevalence, agree-ment and mortality associations among men: Findings from population‐based cohorts. Journal of cachexia, sarcopenia and muscle, 14(1), 565-575. https://doi.org/10.1002/jcsm.13160
Yeung, S. S., Reijnierse, E. M., Pham, V. K., Trappenburg, M. C., Lim, W. K., Meskers, C. G., & Maier, A. B. (2019). Sarcopenia and its association with falls and fractures in older adults: a systematic re-view and meta‐analysis. Journal of cachexia, sarcopenia and muscle, 10(3), 485-500. https://doi.org/10.1002/jcsm.12411
Yingyongyudha, A., Saengsirisuwan, V., Panichaporn, W., & Boonsinsukh, R. (2016). The Mini-Balance Evaluation Systems Test (Mini-BESTest) demonstrates higher accuracy in identifying older adult participants with history of falls than do the BESTest, Berg Balance Scale, or Timed Up and Go Test. Journal of geriatric physical therapy, 39(2), 64-70. https://doi.org/10.1519/jpt.0000000000000050
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