지역사회 거주 남녀 노인의 근감소증 관련요인
Factors Contributing to Sarcopenia among Community-dwelling Older Korean Adults
0
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
Purpose: This study was conducted to estimate the prevalence of sarcopenia and its associated factors in Koreans, who were 65 years of age or older. Methods: Data were from the Fifth Korea National Health and Nutrition Examination Survey. The appendicular skeletal muscle mass was measured by a dual x-ray absorptiometry in 770 men and 1,000 women. We defined sarcopenia as appendicular skeletal muscle mass/weight*100(%) less than 2 standard deviations below the mean for gender specific young, healthy reference populations. Health and nutritional factors were compared in participants with and without sarcopenia. Results: The prevalence of sarcopeniawas 6.6% for men and 9.4% for women. Multiple logistic regression analysis showed that age, cancer, hypertension,and asthma were significantly associated with sarcopenia in men. However, in women, only one factor,current job, was significantly associated with sarcopenia. Conclusion: Sarcopenia was significantly associated with age, chronic disease, and current job in Korean elders. These results suggest that chronic disease and limited physical activity should be further investigated for their association with sarcopenia.
Abstract
Purpose: This study was conducted to estimate the prevalence of sarcopenia and its associated factors in Koreans, who were 65 years of age or older. Methods: Data were from the Fifth Korea National Health and Nutrition Examination Survey. The appendicular skeletal muscle mass was measured by a dual x-ray absorptiometry in 770 men and 1,000 women. We defined sarcopenia as appendicular skeletal muscle mass/weight*100(%) less than 2 standard deviations below the mean for gender specific young, healthy reference populations. Health and nutritional factors were compared in participants with and without sarcopenia. Results: The prevalence of sarcopeniawas 6.6% for men and 9.4% for women. Multiple logistic regression analysis showed that age, cancer, hypertension,and asthma were significantly associated with sarcopenia in men. However, in women, only one factor,current job, was significantly associated with sarcopenia. Conclusion: Sarcopenia was significantly associated with age, chronic disease, and current job in Korean elders. These results suggest that chronic disease and limited physical activity should be further investigated for their association with sarcopenia.
참고문헌 (30)
- Baumgartner, R. N., "Epidemiology of sarcopenia among the elderly in New Mexico", American Journal of Epidemiology, 147(8), pp.755~763 (1998)
- Chapman, I. M., "The anorexia of ageing", Biogerontology, 3(1), pp.67~71 (2002)
- Chin, S. O., "Sarcopenia is independently associated with cardiovascular disease in older Korean adults: The Korea National Health and Nutrition Examination Survey (KNHANES) from 2009", PloS One, 8(3), pp.e60119~ (2013)[DOI]
- 고선원, "Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men", Korean Journal of Family Medicine, 34(4), pp.281~288 (2013), 대한가정의학회
- 홍상모, "Sarcopenia의 최신지견: 근감소증", 대한내과학회지, 83(4), pp.444~454 (2012), 대한내과학회[DOI]
- 황병관, "Prevalence Rate and Associated Factors of Sarcopenic Obesity in Korean Elderly Population", Journal of Korean Medical Science, 27(7), pp.748~755 (2012), 대한의학회[DOI]
- Iannuzzi-Sucich, M., "Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women", The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 57(12), pp.772~777 (2002)
- Janssen, I., "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), pp.889~896 (2002)
- Jensen, G. L., "Inflammation : Roles in aging and sarcopenia", Journal of Parenteral and Enteral Nutrition, 32(6), pp.656~659 (2008)
- Kim, S. H., "The relationship of physical activity(PA)and walking with sarcopenia in Korean males aged 60 years and older using the fourth Korean National Health and Nutrition Examination Survey(KNHANES IV-2, 3), 2008-2009", Archives of Gerontology and Geriatrics, 56(3), pp.472~477 (2013)
- Kim, T. N., "Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes : The Korean sarcopenic obesity study(KSOS)", Diabetes Care, 33(7), pp.1497~1499 (2010)
- Kim, Y. S., "Prevalence of sarcopenia and sarcopenic obesity in the Korean population based on the fourth Korean National Health and Nutritional Examination Surveys. The Journals of Gerontology. Series A", Biological Sciences and Medical Sciences, 67(10), pp.1107~1113 (2012)
- "Cause of Death and Life Tables" (2011)[URL]
- Landi, F., "Prevalence and risk factors of sarcopenia among nursing home older residents. The Journals of Gerontology. Series A", Biological Sciences and Medical Sciences, 67(1), pp.48~55 (2012)
- Lee, J. S., "Associated factors and health impact of sarcopenia in older Chinese men and women : A cross-sectional study", Gerontology, 53(6), pp.404~410 (2007)
- "Korea National Health and Nutrition Examination Survey (KNHANES Ⅴ-1)" (2011)[URL]
- "Korea National Health and Nutrition Examination Survey (KNHANES Ⅴ-2)" (2012)[URL]
- Newman, A. B., "Sarcopenia : Alternative definitions and associations with lower extremity function", Journal of the American Geriatrics Society, 51(11), pp.1602~1609 (2003)
- 박석원, "노인의 근감소증", Endocrinology and Metabolism, 22(1), pp.1~7 (2007), 대한내분비학회
- Prado, C. M., "Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts : A population-based study", The Lancet Oncology, 9(7), pp.629~635 (2008)
- Rom, O., "Lifestyle and sarcopenia-etiology, prevention, and treatment", Rambam Maimonides Medical Journal, 3(4), pp.e0024~ (2012)[DOI]
- Rosenberg, I., "Summary comments : Epidemiological and methodological problems in determining nutritional status of older persons", The American Journal of Clinical Nutrition, 50, pp.1231~1233 (1989)
- Scott, D., "Operational definitions of sarcopenia and their associations with 5-year changes in falls risk in community-dwelling middle-aged and older adults", Osteoporosis International, 25(1), pp.187~193 (2014)
- Siparsky, P. N., "Muscle changes in aging : Understanding sarcopenia", Sports Health, 6(1), pp.36~40 (2014)
- "Population projections for Korea: 2010-2060" (2011)[URL]
- Tanimoto, Y., "Association between sarcopenia and higher-level functional capacity in daily living in community- dwelling elderly subjects in Japan", Archives of Gerontology and Geriatrics, 55(2), pp.9~13 (2012)
- Tanimoto, Y., "Association of sarcopenia with functional decline in community-dwelling elderly subjects in Japan", Geriatrics & Gerontology International, 13(4), pp.958~963 (2013)
- Visser, M., "Consequences of sarcopenia", Clinics in Geriatric Medicine, 27(3), pp.387~399 (2011)
- Visvanathan, R., "Preventing sarcopenia in older people", Maturitas, 66(4), pp.383~388 (2010)
- Wen, X., "Are current definitions of sarcopenia applicable for older Chinese adults? The Journal of Nutrition", Health & Aging, 15(10), pp.847~851 (2011)