scholarly journals Factors associated with muscle mass in community-dwelling older people in Singapore: Findings from the SHIELD study

PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0223222 ◽  
Author(s):  
Siew Ling Tey ◽  
Samuel Teong Huang Chew ◽  
Choon How How ◽  
Menaka Yalawar ◽  
Geraldine Baggs ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

scholarly journals Impact of Malnutrition on Low Muscle Mass in Community-Dwelling Older People in Singapore: Findings from the SHIELD study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 80-80
Author(s):  
Siew Ling Tey ◽  
Samuel Teong Huang Chew ◽  
Yatin Berde ◽  
Geraldine Baggs ◽  
Choon How How ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Bone Mass ◽  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Risk Category ◽  
Calf Circumference ◽  
Factors Associated ◽  
Community Dwelling Older People

Abstract Objectives Malnutrition contributes to loss of muscle mass. There is limited information on the prevalence of low muscle mass in community-dwelling older people who are (not) at risk of malnutrition. Factors associated with muscle mass are also not well characterized. This cross-sectional study aimed to determine the prevalence of low appendicular skeletal muscle mass index (ASMI; ASM/height2) in older people with normal nutritional status (Malnutrition Universal Screening Tool, MUST risk category = low) and those at risk of malnutrition (MUST risk category = medium or high), and to determine factors associated with ASMI. Methods Strengthening Health In ELDerly through nutrition (SHIELD) is a study involving 1211 (400 with normal nutritional status and 811 at risk of malnutrition) community-dwelling older people aged ≥65 years in Singapore. Low ASMI was determined by bioelectrical impedance analysis (Asian Working Group for Sarcopenia, 2014). Results One in five (20.6%) nourished participants had low ASMI vs. four in five (81.3%) participants at risk of malnutrition had low ASMI (P < 0.0001). Older people with low ASMI were more likely to be admitted to the hospital, had longer length of stay, 25-hydroxyvitamin D deficiency, and lower education level, compared to those with normal ASMI (all P ≤ 0.0472). In the multiple linear regression model, age (coefficient, b = −0.013 kg/m2; P < 0.001), gender (female: b = −0.963 kg/m2; P < 0.001), calf circumference (b = 0.042 kg/m2; P < 0.001), bone mass (b = 0.593 kg/m2; P < 0.001), BMI (b = 0.129 kg/m2; P < 0.001), and Physical Activity Scale for the Elderly (PASE) score (b = 0.001 kg/m2; P = 0.048) were associated with ASMI. Conclusions Community-dwelling older people at risk of malnutrition had four-fold greater risk of having low ASMI as compared to nourished counterparts. Increasing age was associated with lower ASMI, whereas calf circumference, bone mass, BMI, PASE score, and being male were positively associated with ASMI. These findings highlight the importance of screening for low muscle mass and maintaining muscle health as part of the overall malnutrition management in this population group. Funding Sources The Economic Development Board of Singapore, Abbott Nutrition, and Changi General Hospital funded this study.

SUN-LB650: Prevalence and Factors Associated with Low Muscle Mass in Community-Dwelling Older People in Singapore

2019 ◽  
Vol 38 ◽  
pp. S301
Author(s):  
S.L. Tey ◽  
S.T.H. Chew ◽  
C.H. How ◽  
M. Yalawar ◽  
G. Baggs ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

scholarly journals Predictors of Major Depressive Disorder in Older People

2021 ◽  
Vol 18 (22) ◽  
pp. 11894
Author(s):  
Susana Sousa ◽  
Constança Paúl ◽  
Laetitia Teixeira
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Older People ◽  
Social Factors ◽  
Common Mental Disorders ◽  
Community Dwelling ◽  
Major Depressive ◽  
Factors Associated ◽  
Status Mobility ◽  
Community Dwelling Older People

Major depressive disorder (MDD) is one of the most common mental disorders in older people. There are several biological, psychological, and social factors associated with this disorder. This study aimed to describe the depressive state to identify the associated factors and potential predictors of MDD in a population of community-dwelling older people with probable MDD. The sample consisted of 378 participants with probable dementia, with 47.3% of them presenting MDD. The factors that were found to be associated with MDD were sex, living status, mobility, and nutritional status. Knowing the factors that can predict a condition such as MDD is extremely important, both for prevention and for the customization of interventions.

scholarly journals A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people

2015 ◽  
Vol 27 (7) ◽  
pp. 1071-1087 ◽  
Author(s):  
C. C. Hughes ◽  
I. I. Kneebone ◽  
F. Jones ◽  
B. Brady
Keyword(s):  
Older People ◽  
Psychological Factors ◽  
Community Dwelling ◽  
Activity Level ◽  
Future Research ◽  
Negative Consequences ◽  
Factors Associated ◽  
Moderate Evidence ◽  
Tentative Evidence ◽  
Community Dwelling Older People

ABSTRACTBackground:Four constructs are encompassed by the term “falls-related psychological concerns” (FrPC); “fear of falling” (FOF), “falls-related self-efficacy” (FSe), “balance confidence” (BC) and “outcome expectancy” (OE). FrPC are associated with negative consequences including physical, psychological, and social. Identifying factors associated with FrPC could inform interventions to reduce these concerns.Methods:Sixty-two empirical papers relating to psychological factors associated with FrPC in community-dwelling older people (CDOP) were reviewed. Four levels of evidence were used when evaluating the literature: good, moderate, tentative, and none.Results:Evidence that anxiety predicted FOF, BC, and OE was tentative. Moderate evidence was found for anxiety predicting FSe. Good evidence was found for depression predicting FSe. Moderate evidence was found for depression predicting both FOF and BC. No evidence was found for depression predicting OE. Tentative evidence was found for FSe predicting depression. Good and moderate evidence was found for quality of life (QoL) being predicted by FOF and BC respectively. Tentative evidence was found for FSe predicting QoL. Moderate evidence was found for QoL predicting both FSe and BC. No evidence was found for QoL predicting FOF. Good and moderate evidence was found for activity avoidance/restriction (AA/AR) being predicted by FOF and FSe respectively. Tentative evidence was found for BC and OE predicting AA/AR, as well as for AA/AR predicting FOF. Moderate evidence for activity level (AL) predicting FOF was identified, however the evidence of this predicting FSe and BC was tentative. Evidence for FOF, FSe, and BC predicting AL was tentative as was evidence to suggest FOF predicted coping.Conclusions:Mixed evidence has been found for the association of psychological factors in association with FrPCs. Future research should employ theoretically grounded concepts, use multivariate analysis and longitudinal designs.

Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan

Gerodontology ◽  
2013 ◽  
Vol 33 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Yuki Ohara ◽  
Hirohiko Hirano ◽  
Hideyo Yoshida ◽  
Shuichi Obuchi ◽  
Kazushige Ihara ◽  
...  
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

Femoral muscle mass relates to physical frailty components in community-dwelling older people

2017 ◽  
Author(s):  
Tetsuya Takahashi ◽  
Masamitsu Sugie ◽  
Marina Nara ◽  
Teruyuki Koyama ◽  
Shuichi P Obuchi ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Physical Frailty ◽  
Femoral Muscle ◽  
Community Dwelling Older People

scholarly journals Impact of Low Muscle Mass and Low Muscle Strength According to EWGSOP2 and EWGSOP1 in Community-Dwelling Older People

2020 ◽  
Vol 75 (7) ◽  
pp. 1324-1330 ◽  
Author(s):  
Luisa Costanzo ◽  
Antonio De Vincentis ◽  
Angelo Di Iorio ◽  
Stefania Bandinelli ◽  
Luigi Ferrucci ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Mobility Disability ◽  
European Working ◽  
Normal Mass ◽  
Community Dwelling Older People ◽  
Universal Definition ◽  
Definition Of

Abstract Background A universal definition of sarcopenia is still lacking. Since the European criteria have been recently revised, we aimed at studying prevalence of low muscle strength (LMS) and low muscle mass (LMM), as defined according to the European Working Group of Sarcopenia in Older People (EWGSOP) 2 and 1 definitions, and their individual contribution toward mortality and incident mobility disability in a cohort of community-dwelling older people. Methods Longitudinal analysis of 535 participants of the InCHIANTI study. LMS and LMM were defined according to the criteria indicated in the EWGSOP2 and 1. Cox and log-binomial regressions were used to examine association with mortality and 3-year mobility disability (inability to walk 400 m). Results We observed a lower prevalence of the combination LMM/LMS according to EWGSOP2 compared to EWGSOP1 (3.2% vs 6.2%). Using the new criteria, all sarcopenia components were associated with mortality, although the hazard ratio [HR] for the group LMM/LMS was no longer significant after adjustment for confounders (LMM: HR 2.69, 95% confidence interval [CI] 1.04–6.94; LMS: HR 3.18, 95% CI 1.44–7.01; LMM/LMS: HR 2.95, 95% CI 0.86–10.16). Using EWGSOP1, LMS alone was independently associated with mortality (HR 4.43, 95% CI 1.85–10.57). None of the sarcopenia components conferred a higher risk of mobility disability. Conclusions The EWGSOP2 algorithm leads to a reduction in the estimated prevalence of sarcopenia defined as combination of LMM/LMS. The finding that, independent of the adopted criteria, people with LMS and normal mass have a higher mortality risk compared to robust individuals, confirms that evaluation of muscle strength has a central role for prognosis evaluation.

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