Prevalence and factors associated with sarcopenia among multi-ethnic ambulatory elderly with cognitive impairment in nursing home residents in Bandung, West Java, Indonesia Maria Jessica Chorman (a), Dr. Med. Sc. Irma Ruslina Defi, dr.,SpKFR (b)
Faculty of Medicine Padjadjaran University (a) Dr. Hasan Sadikin Central General Hospital (b)
Abstract
The aim of study is to determine the prevalence of sarcopenia in ambulatory, eldery with cognitive impairment in elderly nursing home residents. 33 community-dwelling elderly aged 62-89 were participated. The Asian Working Group for Sarcopenia (AWGS) criteria were used to define sarcopenia based on muscle mass, grip strength and muscle performance. The study population is consisted of women (93,9%), Chinese descendant (51,5%), mean age = 77,2 ± SD7.70 years, living in elderly community dwelling. Their BMI was 21,3 ±SD 5,1 Their mean muscle mass was 33,25 ± SD 4,48 kg/m2; mean gait speed was 1.0 ± SD 0.2 m/s, mean grip strength was 25.5 ± SD 8.1 kg. Overall, 39,3% of elderly in this study had sarcopenia. Age and BMI were significantly associated with sarcopenia whereas with underweigth BMI has a stronger relationship with the prevalence of sarcopenia compared with normal BMI. Cognitive impairment is greater in elderly who had sarcopenia than non-sarcopenia elderly. Gender, ethnicity, education were not significantly associated with sarcopenia. Using AWGS criteria to define sarcopenia, we found that 23,1% of older patients with mild cognitive impairment and 15,4% of older patients with moderate cognitive impairment. Keywords: elderly, nursing home, sarcopenia, cognitive impairment
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