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Ageing International

, Volume 44, Issue 1, pp 1–14 | Cite as

Changes in Sarcopenia Stages and Its Related Factors among Community-Dwelling Older Adults in South Korea

  • Min Hye Lee
  • Yeon-Hwan ParkEmail author
Article
  • 133 Downloads

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.

Keywords

Sarcopenia Aged Cohort study 

Notes

Compliance with Ethical Standards

Conflict of Interest

All the authors declare no conflict of interest.

Informed Consent

Informed consent was obtained from all participants included in the study.

Ethical Treatment of Experimental Subjects (Animal and Human)

This article does not contain any studies with human participants or animals performed by any of the authors.

Ethical approval

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.

Funding

This study was supported and funded by College of Medicine, Seoul National University (800–20150098).

References

  1. 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.CrossRefGoogle Scholar
  2. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. Binkley, N., & Buehring, B. (2009). Beyond FRAX: It’s time to consider “sarco-osteopenia”. Journal of Clinical Densitometry, 12(4), 413–416.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. Cesari, M., Ferrini, A., Zamboni, V., & Pahor, M. (2008). Sarcopenia: current clinical and research issues. Open Geriatric Medicine Journal, 1, 14–23.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.Google Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. Li, Z., & Heber, D. (2012). Sarcopenic obesity in the elderly and strategies for weight management. Nutrition Reviews, 70(1), 57–64.CrossRefGoogle Scholar
  26. 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.Google Scholar
  27. Malafarina, V., Úriz-Otano, F., Iniesta, R., & Gil-Guerrero, L. (2012). Sarcopenia in the elderly: diagnosis, physiopathology and treatment. Maturitas, 71(2), 109–114.CrossRefGoogle Scholar
  28. 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.CrossRefGoogle Scholar
  29. 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.CrossRefGoogle Scholar
  30. 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.CrossRefGoogle Scholar
  31. Morley, J. E. (2012). Sarcopenia in the elderly. Family Practice, 29(suppl 1), i44–i48.CrossRefGoogle Scholar
  32. Morley, J., & Makin, M. (1998). The use of methadone in cancer pain poorly responsive to other opioids. Pain Reviews, 5(1), 51.CrossRefGoogle Scholar
  33. 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.CrossRefGoogle Scholar
  34. 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.CrossRefGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. Roubenoff, R. (2004). Sarcopenic obesity: the confluence of two epidemics. Obesity Research, 12(6), 887–888.CrossRefGoogle Scholar
  37. Roubenoff, R., & Hughes, V. A. (2000). Sarcopenia current concepts. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(12), M716–M724.CrossRefGoogle Scholar
  38. 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.CrossRefGoogle Scholar
  39. 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.CrossRefGoogle Scholar
  40. 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.CrossRefGoogle Scholar
  41. 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.CrossRefGoogle Scholar
  42. 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.CrossRefGoogle Scholar
  43. 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.CrossRefGoogle Scholar
  44. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.College of NursingSeoul National UniversitySeoulSouth Korea
  2. 2.College of Nursing, The Research Institute of Nursing ScienceSeoul National UniversitySeoulSouth Korea

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