Characteristics of Elderly Patients with Sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital Period 2012–2014
Abstract
Background: Sarcopenia can lead to difficulty in physical activities, therefore, elderly cannot live independently. However, data on sarcopenia are not yet available in Dr. Hasan Sadikin General Hospital. This study was conducted to identify the frequency of occurrence and characteristics of elderly patients with sarcopenia.
Methods: This study used descriptive method and was conducted from May to October 2014. Total sampling method was performed to medical records of elderly patients with sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital during the period 2012–2014. Variables observed were age, gender, body mass index (BMI), activities of daily living (ADL), timed up and go test (TUG), mini nutritional assessment (MNA), disease record, and medication record. Patients with sarcopenia were then grouped based on characteristics of age, gender, BMI, ADL, TUG, MNA, disease record, and medication record.
Results: Out of 255 registered elderly patients, 22(8.63%) were with sarcopenia and one was excluded due to incomplete data. Sarcopenia was most prevalent in patients aged 80 years and older (15.38%), and commonly in men (57.1%). Most patients had hypertension history (66.6%), multiple comorbidities (61.9%), normal BMI (33.3%), normal ADL (85.7%), normal MNA (76.1%), and normal TUG scores (80.9%), and polypharmacy (52.3%) history.
Conclusions: Sarcopenia is prevalent in men aged 80 years and older. Although sarcopenia patients have hypertension history, multiple comorbidities and history of polypharmacy, most patients live with normal daily activities and have good body mass index, however, quality of life of elderlies needs to be improved further.
Keywords
Full Text:
PDFReferences
Chien MY, Kuo HK, Wu YT. Sarcopenia, cardiopulmonary fitness, and physical disability in community-dwelling elderly people. Phys Ther. 2010;90(9):1277–87
Lau EMC, Lynn HSH, Woo JW, Kwok TCY, Melton LJ, III. Prevalence of and risk factors for sarcopenia in elderly Chinese men and women. J Gerontol A Biol Sci Med Sci 2005;60A(2):213–6.
Tanimoto Y, Watanabe M, Sun W, Sugiura Y, Tsuda Y, Kimura M, et al. Association between sarcopenia and higher-level functional capacity in daily living in community-dwelling elderly subjects in Japan. Arch Gerontology Geriatr. 2012;55(2):e9–e13.
Liu LK, Lee WJ, Chen LY, Hwang AC, Lin MH, Peng LN, et al. Sarcopenia, and its association with cardiometabolic and functional characteristics in Taiwan: results from I-Lan Longitudinal Aging Study. Geriatr Gerontol Int. 2014;14(S1):36–45.
von Haehling S, Morley JE, Anker SD. An overview of sarcopenia: facts and numbers on prevalence and clinical impact. J Cachexia Sarcopenic Muscle. 2010;1(2):129–33
Baumgartner RN, Waters DL. Sarcopenia and sarcopenic-obesity. In: Pathy MSJ, Sinclair AJ, Morley JE, editors. Principles and Practice of Geriatric Medicine. 4th ed. Chichester,West Sussex,England: John Wiley & Sons Ltd; 2006. p. 909–47.
Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, Proia A, et al. Prevalence and risk factors of sarcopenia among nursing home older residents. J Gerontol A Biol Sci Med Sci. 2012;67(1):48–55.
Pongchaiyakul C, Limpawattana P, Kotruchin P, Rajatanavin R. Prevalence of sarcopenia and associated factors among Thai population. J Bone Miner Metab. 2013;31(3):346–50.
Falsarella GR, Coimbra IB, Barcelos CC, Iartelli I, Montedori KT, Santos MNJ, et al. Influence of muscle mass and bone mass on the mobility of elderly women: an observational study. BMC Geriatr. 2014;14:13.
Bahat G, Saka B, Tufan F, Akin S, Sivrikaya S, Yucel N, et al. Prevalence of sarcopenia and its association with functional and nutritional status among male residents in a nursing home in Turkey. Aging Male. 2010;13(3):211–4.
Heuberger RA, Caudell K. Polypharmacy and nutritional status in elderlys. Drugs Aging. 2011;28(4):315–23.
Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014;15(2):95–101.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412–23.
Stuart-Hamilton I. The psychology of ageing: An Introduction. 5th ed. London: Jessica Kingsley Publishers; 2012.
Kementrian Kesehatan Republik Indonesia. Indeks massa tubuh. 2014 [cited 2014 February 18]. Available from: http://www.depkes.go.id/index.php?vw=2&id=A-137.
Houlden H, Edwards M, McNeil J, Greenwood R. Use of the barthel index and the functional independence Measure during early inpatient rehabilitation after single incident brain injury. Clin Rehab. 2006;20(2):153–9.
Tsai AC, Hsu HY, Chang TL. The Mini Nutritional Assessment (MNA) is useful for assessing the risk of malnutrition in adults with intellectual disabilities. J Clin Nurs. 2011;20(23-24):3295–303.
Reuben DB, Rosen S. Principles of Geriatric Assessment. In: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S, editors. Hazzard’s geriatric medicine and gerontology. 6th ed. United States: The McGraw-Hill Companies, Inc; 2009. p. 141–5.
Viktil KK, Blix HS, Moger TA, Reikvam A. Polypharmacy as commonly defined is an indicator of limited value in the assessment of drug-related problems. Br J Clin Pharmacol. 2007;63(2):187–95.
Rolland Y, Lauwers-Cances V, Cristini C, van Kan GA, Janssen I, Morley JE, et al. Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women: the EPIDOS (EPIDemiologie de l’OSteoporose) Study. Am J Clin Nutr. 2009;89(6):1895–900.
DOI: https://doi.org/10.15850/amj.v5n4.475
Article Metrics
Abstract view : 795 timesPDF - 407 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats