The impact of sarcopenia on health-related quality of life in elderly people: Korean National Health and Nutrition Examination Survey
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Background/Aims: The purpose of the study is to investigate the associations between sarcopenia and health-related quality of life in elderly men and women in Korea. Methods: In a cross-sectional study using data from 2008 to 2011 Korean National Health and Nutrition Examination Survey, 4,937 adults aged 60 years and older who underwent a dual-energy X-ray absorptiometry scan were included in the study. Sarcopenia is defined as an appendicular skeletal muscle index of two standard deviations or more below the mean for young, healthy reference populations. The health-related quality of life was measured using the EuroQol-5 dimension questionnaire. Results: The overall prevalence of sarcopenia was 6.6% in these Korean people over the age of 60 years: 11.1% for men and 3.2% for women. Sarcopenic men tended to have lower income, lower physical activity, lower body mass index, and smaller waist circumference compared with nonsarcopenic men. Sarcopenic women tended to have higher body mass index and larger waist circumference compared with nonsarcopenic women. Sarcopenic men showed higher impairments in mobility, self-care, usual activities, and pain/discomfort compared with nonsarcopenic men. Women with sarcopenia also showed higher impairments in mobility, self-care, usual activities, and anxiety/depression compared with nonsarcopenic women. Sarcopenia showed an association with impairments in selfcare for men, and with impairments in self-care, usual activities, and anxiety/ depression for women, after adjusting for other confounding factors. Conclusions: There is a significant association between sarcopenia and impaired health-related quality of life in this elderly Korean population, and these results differ between men and women.
Abstract
Background/Aims: The purpose of the study is to investigate the associations between sarcopenia and health-related quality of life in elderly men and women in Korea. Methods: In a cross-sectional study using data from 2008 to 2011 Korean National Health and Nutrition Examination Survey, 4,937 adults aged 60 years and older who underwent a dual-energy X-ray absorptiometry scan were included in the study. Sarcopenia is defined as an appendicular skeletal muscle index of two standard deviations or more below the mean for young, healthy reference populations. The health-related quality of life was measured using the EuroQol-5 dimension questionnaire. Results: The overall prevalence of sarcopenia was 6.6% in these Korean people over the age of 60 years: 11.1% for men and 3.2% for women. Sarcopenic men tended to have lower income, lower physical activity, lower body mass index, and smaller waist circumference compared with nonsarcopenic men. Sarcopenic women tended to have higher body mass index and larger waist circumference compared with nonsarcopenic women. Sarcopenic men showed higher impairments in mobility, self-care, usual activities, and pain/discomfort compared with nonsarcopenic men. Women with sarcopenia also showed higher impairments in mobility, self-care, usual activities, and anxiety/depression compared with nonsarcopenic women. Sarcopenia showed an association with impairments in selfcare for men, and with impairments in self-care, usual activities, and anxiety/ depression for women, after adjusting for other confounding factors. Conclusions: There is a significant association between sarcopenia and impaired health-related quality of life in this elderly Korean population, and these results differ between men and women.
참고문헌 (20)
- What quality of life? The WHOQOL group, "World Health Organization Quality of Life Assessment", World Health Forum, 17, pp.354~356 (1996)
- Zamboni M, "Body composition changes in stable-weight elderly subjects : the effect of sex", Aging Clin Exp Res, 15, pp.321~327 (2003)
- Cruz-Jentoft AJ, "Sarcopenia : European consensus on definition and diagnosis : report of the European Working Group on sarcopenia in older people", Age Ageing, 39, pp.412~423 (2010)
- Morley JE, "Prevalence, incidence, and clinical impact of sarcopenia : facts, numbers, and epidemiology-update 2014", J Cachexia Sarcopenia Muscle, 5, pp.253~259 (2014)
- Baumgartner RN, "Epidemiology of sarcopenia among the elderly in New Mexico", Am J Epidemiol, 147, pp.755~763 (1998)
- Beaudart C, "Sarcopenia : burden and challenges for public health", Arch Public Health, 72, pp.45~ (2014)
- Guralnik JM, "Lower extremity function and subsequent disability : consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery", J Gerontol A Biol Sci Med Sci, 55, pp.M221~M231 (2000)
- "Korean National Health and Nutrition Examination Survey" (2015)[URL]
- Rabin R, "EQ-5D : a measure of health status from the EuroQol Group", Ann Med, 33, pp.337~343 (2001)
- Kim MH, "Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases", Qual Life Res, 14, pp.1401~1406 (2005)
- Kim TN, "Prevalence of sarcopenia and sarcopenic obesity in Korean adults : the Korean sarcopenic obesity study", Int J Obes(Lond), 33, pp.885~892 (2009)
- Kim YS, "Prevalence of sarcopenia and sarcopenic obesity in the Korean population based on the Fourth Korean National Health and Nutritional Examination Surveys", J Gerontol A Biol Sci Med Sci, 67, pp.1107~1113 (2012)
- Brown JC, "Sarcopenia and mortality among a population-based sample of community-dwelling older adults", J Cachexia Sarcopenia Muscle, 7, pp.290~298 (2016)
- Koo HK, "Conflicting role of sarcopenia and obesity in male patients with chronic obstructive pulmonary disease : Korean National Health and Nutrition Examination Survey", PLoS One, 9, pp.e110448~ (2014)
- Cho Y, "Sarcopenic obesity is associated with lower indicators of psychological health and quality of life in Koreans", Nutr Res, 35, pp.384~392 (2015)
- Adams KF, "Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old", N Engl J Med, 355, pp.763~778 (2006)
- Osher E, "Obesity in elderly subjects: in sheep’s clothing perhaps, but still a wolf!", Diabetes Care, (32Suppl 2), pp.S398~S402 (2009)
- Zamboni M, "Sarcopenic obesity : a new category of obesity in the elderly", Nutr Metab Cardiovasc Dis, 18, pp.388~395 (2008)
- Kyung Mook Choi, "Sarcopenia and sarcopenic obesity", The Korean Journal of Internal Medicine, 31(6), pp.1054~1060 (2016), 대한내과학회[DOI]
- Fielding RA, "Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia", J Am Med Dir Assoc, 12, pp.249~256 (2011)