농촌지역 주민의 영양결핍 및 사회심리적 요인과 근감소증 가능군과의 관련성
Nutrition and Psychosocial Factors were associated with Possible Sarcopenia in the Rural Elderly
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community. Methods: The study included 1,019 subjects aged 60 and over. “Possible sarcopenia” was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia. Results: MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy. Conclusion: It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises. Finally, it is also necessary to increase regular participation in community social activities.
Abstract
Objective: This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community. Methods: The study included 1,019 subjects aged 60 and over. “Possible sarcopenia” was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia. Results: MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy. Conclusion: It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises. Finally, it is also necessary to increase regular participation in community social activities.
참고문헌 (37)
- "In Statistics. Korea"[URL]
- Hyoung Moo Park, "Current Status of Sarcopenia in Korea: A Focus on Korean Geripausal Women", Annals of geriatric medicine and research, 22(2), pp.52~61 (2018), 대한노인병학회[DOI]
- Beaudart C, "Development of a self-administrated quality of life questionnaire for sarcopenia in elderly subjects : the SarQoL", Age Ageing, 44(6), pp.960~966 (2015)
- Anker SD, "Welcome to the ICD-10 code for sarcopenia", J Cachexia Sarcopenia Muscle, 7(5), pp.512~514 (2016)
- Falcon LJ, "Sarcopenia and the New ICD-10-CM Code : Screening, Staging, and Diagnosis Considerations", Fed Pract, 34(7), pp.24~32 (2017)
- Cruz-Jentoft AJ, "Sarcopenia : revised European consensus on definition and diagnosis", Age Ageing, 48(1), pp.16~31 (2019)
- Chen LK, "Asian Working Group for Sarcopenia : 2019Consensus Update on Sarcopenia Diagnosis and Treatment", J Am Med Dir Assoc, 21(3), pp.300~307.e2 (2020)
- Yoo JI, "Malnutrition and chronic inflammation as risk factors for sarcopenia in elderly patients with hip fracture", Asia Pac J Clin Nutr, 27, pp.527~532 (2018)[DOI]
- Tieland M, "Skeletal muscle performance and ageing", J Cachexia Sarcopenia Muscle, 9(1), pp.3~19 (2018)[DOI]
- Tani Y, "Eating alone and depression in older men and women by cohabitation status : The JAGES longitudinal survey", Age Ageing, 44(6), pp.1019~1026 (2015)[DOI]
- Boulos C, "Social isolation and risk for malnutrition among older people", Geriatrics & Gerontology International, 17(2), pp.286~294 (2017)
- Vellas B, "Overview of the MNA®-Its History and Challenges", J Nutr Health Aging, 10, pp.456~465 (2006)
- Guigoz Y, "The Mini-Nutritional Assessment(MNA®)Review of the Literature –What does it tell us?", J Nutr Health Aging, 10, pp.466~487 (2006)
- 이진향, "개인수준의 사회적 자본이 우울증에 미치는 영향", 농촌의학.지역보건, 36(2), pp.73~86 (2011), 한국농촌의학.지역보건학회
- Chang HK, "Prevalence of Sarcopenia in Community-Dwelling Older Adults According to Simplified Algorithms for Sarcopenia Consensus Based on Asian Working Group for Sarcopenia", Clin Interv Aging, 15, pp.2291~2299 (2020)
- Kim M, "Prevalence of sarcopenia in community-dwelling older adults using the definition of the European Working Group on Sarcopenia in Older People 2 : findings from the Korean Frailty and Aging Cohort Study", Age Ageing, 48(6), pp.910~916 (2019)
- Yang L, "Comparison of revised EWGSOP criteria and four other diagnostic criteria of sarcopenia in Chinese community-dwelling elderly residents", Exp Gerontol, 130, pp.110798~ (2020)
- Chen Z, "Prevalence, Incidence, and Associated Factors of Possible Sarcopenia in Community-Dwelling Chinese Older Adults : A Population-Based Longitudinal Study", Front Med(Lausanne), 8, pp.769708~ (2022)
- Gao L, "Prevalence of Sarcopenia and Associated Factors in Chinese Community-Dwelling Elderly : Comparison Between Rural and Urban Areas", J Am Med Dir Assoc, 16(11), pp.1003.e1~1003.e1003 (2015)
- Donini LM, "Senile anorexia in different geriatric settings in Italy", J Nutr Health Aging, 15, pp.775~781 (2011)
- Kruizenga H, "Undernutrition screening survey in 564, 063 patients : patients with a positive undernutrition screening score stay in hospital 1. 4 d longer", Am J Clin Nutr, 103, pp.1026~1032 (2016)
- Landi F, "Association of anorexia with sarcopenia in a community dwelling elderly population : results from the ilSIRENTE study", Eur J Nutr, 52, pp.1261~1268 (2013)
- Phillips, S.M, "Protein “requirements” beyond the RDA: implications for optimizing health", Appl Physiol Nutr Metab, 41, pp.565~572 (2016)
- Deer, R.R, "Protein intake and muscle function in older adults", Curr Opin Clin Nutr Metab Care, 18, pp.248~253 (2015)
- Locher JL, "Social isolation, support, and capital and nutritional risk in an older sample : ethnic and gender differences", Social Science &Medicine, 60(4), pp.747~761 (2005)
- Boulos C, "Social isolation and risk for malnutrition among older people", Geriatrics &Gerontology International, 17(2), pp.286~294 (2017)
- Rosengren KS, "Gait adjustments in older adults : activity and efficacy influences", Psychol Aging, 13, pp.375~386 (1998)
- McAuley E, "Physical activity and functional limitations in older women : influence of self-efficacy", J Gerontol B Psychol Sci Soc Sci, 61, pp.270~P277 (2006)
- Cheung C, "Adherence to a yoga program in older women with knee osteoarthritis", J Aging Phys Act, 24, pp.181~188 (2016)
- McAuley E, "Effects of change in physical activity on physical function limitations in older women : mediating roles of physical function performance and self-efficacy", J Am Geriatr Soc, 55, pp.1967~1973 (2007)
- McAuley E, "Self-efficacy determinants and consequences of physical activity", Exerc Sport Sci Rev, 28, pp.85~88 (2000)
- Rejeski WJ, "Treating disability in knee osteoarthritis with exercise therapy : a central role for self-efficacy and pain", Arthritis Care Res, 11, pp.94~101 (1998)
- Li F, "Tai Chi, self-efficacy, and physical function in the elderly", Prev Sci, 2, pp.229~239 (2001)
- Cumming RG, "Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission", J Gerontol A Biol Sci Med Sci, 55, pp.M299~M305 (2000)
- Brouwer B, "Physical function and health status among seniors with and without a fear of falling", Gerontology, 50, pp.135~141 (2004)
- Jefferis BJ, "How are falls and fear of falling associated with objectively measured physical activity in a cohort of community-dwelling older men?", BMC Geriatr, 14, pp.114~ (2014)
- Stenholm S, "Association of physical activity history with physical function and mortality in old age", J Gerontol A Biol Sci Med Sci, 71, pp.496~501 (2016)