Anthropometric indicators as a screening tool for sarcopenia in older adults from Florianópolis, Santa Catarina: EpiFloripa Ageing study
Palabras clave:
Aged, Anthropometry, Hand strength, ROC curve, SarcopeniaResumen
Objective
This cross-sectional population-based study aimed to determine the cutoff points of anthropometric indicators to screen for sarcopenia and the association between sarcopenia and these indicators.
Methods
The sample consisted of 601 older adults. Sarcopenia was detected by appendicular skeletal muscle index. The receiver operating characteristic curve identified the cutoff points for body mass index, waist-to-height ratio, waist circumference, and handgrip strength to screen for sarcopenia. Based on the cut-off points, principal component analysis determined which indicators had a better fit as discriminants to compose an indicator. Finally, logistic regression analysis was performed with this indicator as the main independent variable.
Results
The results showed that all anthropometric indicators and handgrip strength were capable of discriminating sarcopenia; however, body mass index, waist circumference, and waist-to-height ratio were the best discriminants in principal components analysis, composing the new indicator. Adjusted logistic regression analysis showed that sarcopenia was associated with the indicator in both sexes.
Conclusion
The concomitant presence of low body mass index, low waist circumference, and low waist-to-height ratio may help to discriminate sarcopenia.
Citas
Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147(8):755-63. https://doi.org/10.1093/oxfordjournals.aje.a009520
Landi F, Liperoti R, Russo A, Giovannini S, Tosato M, Capoluongo E, et al. Sarcopenia as a risk factor for falls in elderly individuals: Results from the ilSIRENTE study. Clin Nutr. 2012;31(5):652-8. https://doi.org/10.1016/j.clnu.2012.02.007
Alexandre TS, Duarte YDO, Santos JF, Wong R, Lebrão M. Sarcopenia according to the European Working Group on Sarcopenia in Older People (EWGSOP) versus dynapenia as a risk factor for disability in the elderly. J Nutr Health Aging. 2014;18(5):547-53. https://doi.org/10.1007/s12603-013-0424-x
Alexandre TdS, Duarte YDO, Santos JF, Wong R, Lebrão M. Sarcopenia according to the European Working Group on Sarcopenia in Older People (EWGSOP) versus dynapenia as a risk factor for mortality in the elderly. J Nutr Health Aging. 2014;18(8):751-6. https://doi.org/10.1007/s12603-014-0450-3
Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780-91. https://doi.org/10.1111/j.1532-5415.2007.01156.x
Diz JBM, Leopoldino AAO, Moreira BS, Henschke N, Dias RC, Pereira LSM, et al. Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis. Geriatr Gerontol Int. 2016. https://doi.org/10.1111/ggi.12720
Iannuzzi-Sucich M, Prestwood KM, Kenny AM. Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women. J Gerontol A Biol Sci Med Sci. 2002;57(12):M772-7. https://doi.org/10.1093/gerona/57.12.M772
Figueiredo C, Domiciano D, Lopes J, Caparbo V, Scazufca M, Bonfá E, et al. Prevalence of sarcopenia and associated risk factors by two diagnostic criteria in community-dwelling older men: The São Paulo Ageing & Health Study (SPAH). Osteoporos Int. 2014;25(2):589-96. https://doi.org/10.1007/s00198-013-2455-x
Bijlsma A, Meskers C, Ling C, Narici M, Kurrle S, Cameron I, et al. Defining sarcopenia: The impact of different diagnostic criteria on the prevalence of sarcopenia in a large middle aged cohort. Age. 2013;35(3):871-81. https://doi.org/10.1007/s11357-012-9384-z
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. https://doi.org/10.1093/ageing/afq034
Kim TN, Park MS, Ryu JY, Choi HY, Hong HC, Yoo HJ, et al. Impact of visceral fat on skeletal muscle mass and vice versa in a prospective cohort study: The Korean Sarcopenic Obesity Study (KSOS). PLoS One. 2014;9(12):e115407. http://dx.doi.org/10.1371/journal.pone.0115407
Chumlea WC, Guo S, Roche A, Steinbaugh M. Prediction of body weight for the nonambulatory elderly from anthropometry. J Am Diet Assoc. 1988;88(5):564-8.
Callaway CW, Chumlea WC, Bouchard C, Himes JH, Lohman TG, Martin AD, et al. Circumferences. In: Lohman TG, Roche AF, Martorell R, editors. Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1988. p.39-54.
Lima CT, Freire ACC, Silva APB, Teixeira RM, Farrell M, Prince M. Concurrent and construct validity of the AUDIT in an urban Brazilian sample. Alcohol Alcohol. 2005;40(6):584-9. https://doi.org/10.1093/alcalc/agh202
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
World Health Organization. Global Strategy on diet, physical activity and health. Fifty seventy world health assembly. Geneva: WHO; 2004 [cited 2015 Oct 22]. Available from: http://www.who.int/dietphysicalactivity/strategy/eb11344/en/
Dufour AB, Hannan MT, Murabito JM, Kiel DP, McLean RR. Sarcopenia definitions considering body size and fat mass are associated with mobility limitations: The Framingham Study. J Gerontol A Biol Sci Med Sci. 2013;68(2):168-74. https://doi.org/10.1093/gerona/gls109
Gillette-Guyonnet S, Nourhashemi F, Lauque S, Grandjean H, Vellas B. Body composition and osteoporosis in elderly women. Gerontology. 2000;46(4):189-93. https://doi.org/10.1159/000022158
Rolland Y, Lauwers-Cances V, Cournot M, Nourhashemi F, Reynish W, Riviere D, et al. Sarcopenia, calf circumference, and physical function of elderly women: A cross-sectional study. J Am Geriatr Soc. 2003;51(8):1120-4. https://doi.org/10.1046/j.1532-5415.2003.51362.x
Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: An undiagnosed condition in older adults. Current consensus definition: Prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 011;12(4):249-56. https://doi.org/10.1016/j.jamda.2011.01.003
Morley JE, Anker SD, von Haehling S. Prevalence, incidence, and clinical impact of sarcopenia: Facts, numbers, and epidemiology, update 2014. J Cachexia Sarcopenia Muscle. 2014;5(4):253-9. https://doi.org/10.1007/s13539-014-0161-y
Makanae Y, Fujita S. Role of exercise and nutrition in the prevention of sarcopenia. J Nutr Sci Vitaminol. 2015;61(Suppl.):S125-S7. https://doi.org/10.3177/jnsv.61.S125
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. https://doi.org/10.1093/gerona/glr035
Bastiaanse LP, Hilgenkamp TI, Echteld MA, Evenhuis HM. Prevalence and associated factors of sarcopenia in older adults with intellectual disabilities. Res Dev Disabil. 2012;33(6):2004-12. https://doi.org/10.1016/j.ridd.2012.06.002
Patel HP, Syddall HE, Jameson K, Robinson S, Denison H, Roberts HC, et al. Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: Findings from the Hertfordshire Cohort Study (HCS). Age Ageing. 2013;42(3):378-84. https://doi.org/10.1093/ageing/afs197
Lebrão ML, Duarte YA. Saúde, bem-estar e envelhecimento: o projeto SABE no município de São Paulo: uma abordagem inicial. São Paulo: OPAS; 2003.
Ministério da Saúde (Brasil). Protocolos do Sistema de Vigilância Alimentar e Nutricional (SISVAN) na assistência à saúde. Brasília: Ministério da Saúde; 2008.
World Health Organization. Obesity: Preventing and managing the global epidemic. Geneva: World Health Organization; 2000.
Park SH, Park JH, Park HY, Jang HJ, Kim HK, Park J, et al. Additional role of sarcopenia to waist circumference in predicting the odds of metabolic syndrome. Clin Nutr. 2014;33(4):668-72. https://doi.org/10.1016/j.clnu.2013.08.008
Barbosa AR, Zeni LAZR, Kazapi IAM. Anthropometric indices and nutritional assessments in the elderly: Brazilian perspectives. Handbook of Anthropometry. New York: Springer; 2012. p.1509-26.
Garcia PA, Dias JM, Dias RC, Santos P, Zampa CC. Estudo da relação entre função muscular, mobilidade funcional e nível de atividade física em idosos comunitários. Rev Bras Fisioter. 2011;15(1):15-22. https://doi.org/10.1590/S1413-35552011000100005
Confortin SC, Barbosa AR. Factors associated with muscle strength among rural community-dwelling older women in Southern Brazil. J Geriatr Phys Ther. 2015;38(4):162-8. https://doi.org/10.1519/JPT.0000000000000027
Koster A, Ding J, Stenholm S, Caserotti P, Houston DK, Nicklas BJ, et al. Does the amount of fat mass predict age-related loss of lean mass, muscle strength, and muscle quality in older adults? J Gerontol A Biol Sci Med Sci. 2011;66(8):888-95. https://doi.org/10.1093/gerona/glr070
Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, et al.The FNIH sarcopenia project: Rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci. 2014;69(5):547-58. http://dx. doi.org/10.1093/gerona/glu010
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Derechos de autor 2023 Susana Cararo CONFORTIN, Vandrize MENEGHINI, Lariane Mortean ONO, Ione Jayce Ceola SCHNEIDER, Aline Rodrigues BARBOSA, Eleonora D’ORSI
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
