Abstract
Background
Few studies have explored the risk factors of sarcopenia in certain cohorts. The objective of this study was to examine the incidence of sarcopenia and associated factors over a 1-year period in an elderly Chinese suburban population.
Methods
This study was conducted on 356 Chinese suburb-dwelling participants aged ≥60 years, for whom detailed information regarding sociodemographics, behavioral characteristics, and medical conditions had been documented. Sarcopenia was defined according to the Asian Working Group for Sarcopenia (AWGS) criteria. Sarcopenia incidence was documented after one year of follow-up, and correlated with several possible factors.
Results
At baseline, 64 (9.7%) of the initial 657 participants had sarcopenia. The prevalence of sarcopenia was 10.4% after one year. Between baseline and 1-year follow-up, 13 of the participants without sarcopenia at baseline had developed sarcopenia. After multivariate adjustments, it was found that the incidence of sarcopenia increased with age and high body mass index (BMI) is associated with less incidence of sarcopenia. Incidence was also higher among women.
Conclusions
We found sarcopenia incidence increased with age, and women were more likely to have sarcopenia. A higher BMI is also associated with a lower incidence of sarcopenia. Maintaining a healthy weight could be beneficial in the prevention of sarcopenia.
Similar content being viewed by others
References
Delmonico MJ, Harris TB, Visser M, et al. Longitudinal study of muscle strength, quality, and adipose tissue infiltration. Am J Clin Nutr. 2009; 90: 1579–1585.
Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cut points associated with elevated physical disability risk in older men and women. Am J Epidemiol. 2004; 159: 413–421.
Kim H, Suzuki T, Kim M, et al. Incidence and predictors of sarcopenia onset in community-dwelling elderly Japanese women: 4-year follow-up study. J Am Med Dir Assoc. 2015; 16: 85e1–e8.
Chen LK, Liu LK, Woo J, et al. Sarcopenia in Asia: consensus report of the asian working group for sarcopenia. J Am Med Dir Assoc. 2014; 15: 95–101.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010; 39: 412–423.
Arai H, Akishita M, Chen LK. Growing research on sarcopenia in Asia. Geriatr Gerontol Int. 2014; 14 Suppl 1: 1–7.
Figueiredo CP, Domiciano DS, Lopes JB, et al. Prevalence of sarcopenia and associated risk factors by two diagnostic criteria in community-dwelling older men: the Sao Paulo Ageing & Health Study (SPAH). Osteoporos Int. 2014; 25: 589–596.
Lau EM, Lynn HS, Woo JW, Kwok TC, Melton LJ. Prevalence of and risk factors for sarcopenia in elderly Chinese men and women. J Gerontol A Biol Sci Med Sci. 2005; 60: 213–216.
Landi F, Liperoti R, Fusco D, et al. Prevalence and risk factors of sarcopenia among nursing home older residents. J Gerontol A Biol Sci Med Sci. 2012; 67: 48–55.
Alexandre Tda S, Duarte YA, Santos JL, Wong R, Lebrao ML. Prevalence and associated factors of sarcopenia among elderly in Brazil: findings from the SABE study. J Nutr Health Aging. 2014; 18: 284–290.
Han P, Kang L, Guo Q, et al. Prevalence and Factors Associated with Sarcopenia in Suburb-Dwelling Older Chinese using the Asian Working Group for Sarcopenia Definition. J Gerontol A Biol Sci Med Sci. DOI: 10.1093/gerona/glv108.
Yu R, Wong M, Leung J, et al. Incidence, reversibility, risk factors and the protective effect of high body mass index against sarcopenia in community-dwelling older Chinese adults. Geriatr Gerontol Int. 2014; 14 Suppl 1: 15–28.
National Bureau of Statistics of China. Statistical communiqué on the 2012 national economy and social development of People’s Republic of China. China Statistics Press. 2013.
Zhang W, Shen S, Wang W, et al. Poor lower extremity function was associated with pre-diabetes and diabetes in older chinese people. PLoS One. 2014; 9: e115883.
Jiang CQ, Xu L, Lam TH, et al. Effect of physical activity strength on the diabetes mellitus prevalence in the elderly under the influence of International Physical Activity Questionnaire. Zhonghua Liu Xing Bing Xue Za Zhi. 2009; 30: 462–465.
Niino N, Imaizumi T, Kawasaki N. A Japanese translation of the Geriatric Depression Scale. Clin Gerontol. 1991; 10: 85–87.
Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging. 2009; 13: 782–788.
Lee JS, Auyeung TW, Kwok T, et al. Associated factors and health impact of sarcopenia in older chinese men and women: a cross-sectional study. Gerontology. 2007; 53: 404–410.
Volpato S, Bianchi L, Cherubini A, et al. Prevalence and clinical correlates of sarcopenia in community-dwelling older people: application of the EWGSOP definition and diagnostic algorithm. J Gerontol A Biol Sci Med Sci. 2014; 69: 438–446.
Hughes VA, Frontera WR, Roubenoff R, Evans WJ, Singh MA. Longitudinal changes in body composition in older men and women: role of body weight change and physical activity. Am J Clin Nutr. 2002; 76: 473–481.
Patel HP, Syddall HE, Jameson K, et al. Prevalence of sarcopenia in communitydwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS). Age Ageing. 2013; 42: 378–384.
Gariballa S, Alessa A. Sarcopenia: prevalence and prognostic significance in hospitalized patients. Clin Nutr. 2013; 32:772–776.
Binder EF, Yarasheski KE, Steger-May K, et al. Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2005; 60: 1425–1431.
Launer LJ, Harris T, Rumpel C, Madans J. Body mass index, weight change, and risk of mobility disability in middle-aged and older women. The epidemiologic follow-up study of NHANES I. JAMA. 1994; 271: 1093–1098.
Cheng Q, Zhu X, Zhang X, et al. A cross-sectional study of loss of muscle mass corresponding to sarcopenia in healthy Chinese men and women: reference values, prevalence, and association with bone mass. J Bone Miner Metab. 2014; 32: 78–88.
Author information
Authors and Affiliations
Corresponding author
Additional information
This author contributed equally to this work and should be considered co-first author.
Rights and permissions
About this article
Cite this article
Han, P., Zhao, J., Guo, Q. et al. Incidence, risk factors, and the protective effect of high body mass index against sarcopenia in suburb-dwelling elderly Chinese populations. J Nutr Health Aging 20, 1056–1060 (2016). https://doi.org/10.1007/s12603-016-0704-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12603-016-0704-3