Skip to main content
Log in

Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain)

  • Prevalence of Sarcopenia in Healthy Community-Dwelling Elderly in an Urban Area of Barcelona
  • Published:
The journal of nutrition, health & aging

Abstract

Introduction

The purpose of this study was to evaluate the prevalence of sarcopenia in a cohort of healthy community-dwelling elderly in an urban area in Barcelona (Spain) for native benchmarks and compare them with those published in other geographical areas.

Material and methods

We prospectively evaluated a series of 200 healthy elderly in the community with preserved functional capacity and absence of cognitive impairment. We performed a comprehensive geriatric assessment and determined anthropometric data, muscle mass (MM) and the muscle mass index (MMI). Assessment of muscle mass was performed by bioelectrical impedance analysis (BIA). The cut-off point for defining sarcopenia MMI was established as less than 2 SD of the mean of a reference group comprising 220 healthy volunteers (20–42 years) in the same area. Results were compared with studies undertaken in the USA, France and Taiwan.

Results

The cut-off points obtained were 8.31 Kg/m2 for men and 6.68 Kg/m2 for women, being similar to those observed in France and Taiwan but different from the USA. The prevalence of sarcopenia observed was 33% for elderly women and 10% for males. On comparison of the prevalence of sarcopenia in the four populations, we observed some differences, particularly in males.

Conclusions

We have defined reference values for sarcopenia, determined by BIA, in our setting. We also observed a remarkable prevalence of sarcopenia in the healthy elderly community, especially in females, showing some differences from those in other geographical regions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Goodpaster BH, Carlson CL, Visser M, Kelley DE, Scherzinger A, Harris TB et al. (2001) Attenuation of skeletal muscle and strength in the elderly: The Health ABC Study. J Appl Physiol 90:2157–2165

    PubMed  CAS  Google Scholar 

  2. Jansenn I, Heymsfield SB, Wang Z, Ross R. (2000) Skeletal muscle mass and distribution in 468 men and woman aged 18–88 yr. J Appl Physiol 89:81–88

    Google Scholar 

  3. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini Ch, Di Iorio A et al. (2003) Age-related changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol 95:1851–1860

    PubMed  Google Scholar 

  4. Baumgartner RN, Waters DL, Gallagher D, Morley JE, Garry PJ. (1999) Predictors of skeletal muscle mass in elderly men and women. Mech Ageing Dev 107:123–136

    Article  PubMed  CAS  Google Scholar 

  5. Morley JE. (2008) Sarcopenia: diagnosis and treatment. J Nutr Health Aging 12:452–456

    Article  PubMed  CAS  Google Scholar 

  6. Rolland And, Czerwinski S, Van Kan GA, JE Morley, Cesari M, Onder G et al. (2008) Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 12:433–450

    Article  PubMed  CAS  Google Scholar 

  7. Waters DL, Baumgartner RN, Garry PJ. (2000) Sarcopenia: current perspectives. J Nutr Health Aging 4:133–139

    PubMed  CAS  Google Scholar 

  8. Rosenberg I. (1997) Sarcopenia: origins and clinical relevance. J Nutr 127:990S–991S

    PubMed  CAS  Google Scholar 

  9. Roubenoff R. (2000) Sarcopenia: a major modifiable cause of frailty in the elderly. J Nutr Health Aging 4:140–142

    PubMed  CAS  Google Scholar 

  10. Cruz-Jentoft AJ, Landi F, Topinkova E, Michel JP. (2010) Understanding sarcopenia as a geriatric syndrome. Curr Opin Clin Nutr Metab Care 2010; 13:1–7

    Article  Google Scholar 

  11. Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Sreekumaran NK. (2001) Sarcopenia. J Lab Clin Med 137:231–243

    Article  PubMed  CAS  Google Scholar 

  12. Woodrow G. (2009) Body composition analysis techniques in the aged adult: indications and limitations. Curr Opin Clin Nutr Metab Care 12:8–14

    Article  PubMed  Google Scholar 

  13. Proctor DN, O’Brien PC, Atkinson EJ, Nair KS. (1999) Comparison of techniques to estimate total body skeletal muscle mass in people of different age groups. Am J Physiol 277: E489–E495

    PubMed  CAS  Google Scholar 

  14. Kim J, Wang Z, Heymsfield SB, Baumgartner RN, Gallagher D. (2002) Totalbody skeletal muscle mass: estimation by a new dual-energy X-ray absorptiometry method. Am J Clin Nutr 76:378–383

    PubMed  CAS  Google Scholar 

  15. Janssen I, Shepard DS, Katzmarzyk PT Roubenoff R. (2004) The healthcare cost of sarcopenia in the United States. J Am Geriatr Soc 52: 80–85.

    Article  PubMed  Google Scholar 

  16. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross R et al. (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763.

    PubMed  CAS  Google Scholar 

  17. Melton LJ, Khosla S, Riggs BL. (2000) Epidemiology of sarcopenia. Mayo Clin Proc 75S: S10–S13.

    Google Scholar 

  18. Castillo EM, Goodman-Gruen D, Kritz-Silverstein D et al. (2003) Sarcopenia in elderly men and women. The Rancho Bernardo Study. Am J Prev Med 25:226–231.

    Article  PubMed  Google Scholar 

  19. Wright EM, Royston P. (1999) Calculating reference intervals for laboratory measurements. Res Methods Stat 8:93–112.

    Article  CAS  Google Scholar 

  20. Jenne-Steinmetz C, Welleck S. (2005) A New Approach to Sample Size Calculation for reference interval studies. Statist Med 24:3199–3212.

    Article  Google Scholar 

  21. Janssen I, Heymsfield SB, Baumgartner RN, Ross R. (2000) Estimation of muscle mass by skeletal bioelectrical impedance analysis. J Appl Physiol 89:465–471.

    PubMed  CAS  Google Scholar 

  22. Salinari S, Bertuzzi A, Mingrone G, Capristo G, Scarfone A, Greco AV et al. (2003) Bioimpedance analysis: a useful technique for assessing appendicular lean soft tissue mass and distribution. J Appl Physiol 94:1552–1556

    PubMed  Google Scholar 

  23. Grau JM, Masanes F, Pedrol, Casademont J, Fernandez-Sola J, Urbano-Marquez A. (1993). Human immunodeficiency virus tipe1 infection and myopathy: clinical relevante of zidovudine therapy. Ann Neurol 34:206–211.

    Article  PubMed  CAS  Google Scholar 

  24. Tichet J, Vol S, Coxe D, Salle A, Berrut G, Ritz P. (2008) Prevalence of sarcopenia in the senior French population. J Nutr Health Aging 12:202–206.

    Article  PubMed  CAS  Google Scholar 

  25. Chien M, Huang T, Wu Y. (2008) Estimated prevalence of sarcopenia using a bioelectrical impedance analysis prediction equation in community-dwelling elderly people in Taiwan. J Am Geriatr Soc 56:1710–1715.

    Article  PubMed  Google Scholar 

  26. Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al. (2010) Sarcopenia: European consensus on definition and diagnosis. Age Ageing 39:412–423.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ferran Masanes Toran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Masanes Toran, F., Culla, A., Navarro-Gonzalez, M. et al. Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain). J Nutr Health Aging 16, 184–187 (2012). https://doi.org/10.1007/s12603-011-0108-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-011-0108-3

Key words

Navigation