2021, Number 4
Clinical and nutritional behavior of the sarcopenic syndrome in elders integrated to elderly care programs
Language: Spanish
References: 17
Page:
PDF size: 381.32 Kb.
ABSTRACT
Introduction: Sarcopenia is the loss of skeletal muscular mass and of relative functionality due to the age thataffects the functional independence, health and life quality. Presarcopenia is associated to the loss of muscular mass does without affecting strength.Objective: To identify the clinical and nutritional behavior of the sarcopenic syndrome in elders from the Downtown Popular Council of Holguin city, Cuba.
Method: A cross-sectional study was carried out, in which 94 adults over 60 years participated, from both sexes, selected by means of an intentional sampling. Sarcopenia was determined using functional tests, skeletal muscle mass indexes and anthropometric indicators; nutritional mini-surveyswere applied and biochemical tracers were determined. Variance analysis were madeto compare the means of the 3 groups, and in case of p<0,05the multiple comparison of means was made with Benferronitest and T3 Dunett´s method. The Epidat 3.1 statistical program was used.
Results: The prevalence of sarcopenia was 13.8% and of presarcopenia was 35.1%, with a higher prevalence in the male sex (53.84%). Diabetes mellitus was an associated disease in 61.5% of patients and smoking was a risk factor in 18.08%. The means of body mass index, fat percentage and serum cholesterol levels were significantly higher in non-sarcopenic elderly people.
Conclusions: Sarcopenia and presarcopenia predominated in men, and non-sarcopenia prevailed in women. Sarcopenia was not related to either associated diseases or smoking. Patients with sarcopenia had no alterations in insulin resistance. It is recommended to study institutionalized elderly people who do not perform systematic physical activity.
REFERENCES
Dent E, Morley JE, Cruz Jentoft AJ, Arai H, Kritchevsky SB, J Guralnik, et al. International Clinical Practice Guidelines for Sarcopenia (ICFSR): Screening, Diagnosis and Management. J Nutr Health Aging.2018[citado 25/07/2020];22(10): 1148-1161.https://link.springer.com/article/10.1007%2Fs12603-018-1139-9
Barbosa‐Silva TG, Bielemann RM, González MC, Menezes AMB. Prevalence of Sarcopenia among community‐dwellingelderly of a medium‐sized South American city: Results of the COMO VAI? Study. J Cachexia Sarcopenia Muscle. 2016[citado 25/07/2021];7(2): 136-143.Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/jcsm.12049
Espinel Bermúdez MA, Sánchez García S, García Peña C, Trujillo X, Huerta Viera M, Granados García V, et al. Factores asociados a Sarcopenia en adultos mayores mexicanos: Encuesta Nacional de Salud y Nutrición. Rev Med Inst Mex Seguro Soc. 2018[citado 25/07/2020];56(Supl 1):46-53.Disponible en: https://www.medigraphic.com/pdfs/imss/im-2018/ims181g.pdf
Fernández Patty BV, Dominguez Alonso E, Vázquez Izada B, Acosta Cedeño A, Diaz Socorro C, Navarro Despaigne DA. Sarcopenia y factores relacionados en mujeres mayores de 40 años. Rev Cubana Endocrinol. 2020[citado 20/07/2021];31(3):1-11.Disponible en:https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=100636
Sipilä S, Törmäkangas T, Sillanpää E, Aukee P, Kujala UM, Kovanen V, et al. Muscle and bone mass in middle-aged women: role of menopausal status and physical activity. J Cachexia Sarcopenia Muscle. 2020[citado 28/05/2021];11(3):698-709.Disponible en:https://onlinelibrary.wiley.com/doi/10.1002/jcsm.12547