Sarcopenia and Associated Factors According to the EWGSOP2 Criteria in Older People Living in Nursing Homes: A Cross-Sectional Study

2021 ◽  
Author(s):  
Anna Escribà-Salvans ◽  
Javier Jerez-Roig ◽  
Miriam Molas-Tuneu ◽  
Pau Farrés-Godayol ◽  
Pau Moreno-Martin ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Nursing Homes ◽  
Older People ◽  
Sedentary Behavior ◽  
Associated Factors ◽  
Protective Factor ◽  
Cross Sectional ◽  
European Working ◽  
Original Definition ◽  
Associate Factor

Abstract Background: In 2018, the European Working Group on Sarcopenia in Older People (EWGSOP2) updated the original definition of sarcopenia, establishing new criteria to be used globally. To our knowledge, this is the first study considering it for the diagnosis of sarcopenia in older people living in Nursing Homes.Aim: Verify the prevalence and the degree of severity of sarcopenia according to the new EWSGOP2 criteria and to analyse its associated factors in residents living in nursing homes from Central Catalonia (Spain).Design: A cross-sectional multicenter study was conducted in 4 nursing homes. SARC-F test was applied as the initial screening, muscle strength was measured by a dynamometer, skeletal muscle mass by bioimpedance analysis and physical performance by Gait Speed. Four categories were used: total probable sarcopenia, probable sarcopenia, confirmed sarcopenia and severe sarcopenia.Results: Among the total sample of 104 nursing home residents (mean age 84.6, ± 7.8), and 84.6% women), 85 (81.7%) (95% confidence interval [CI], 73.0-88.0) had total probable sarcopenia, 63 (60.5%) had probable sarcopenia, 19 (18.3%) confirmed sarcopenia and 7 (6.7%) severe sarcopenia. In the bivariate analysis, obesity was negatively associated and total time in sedentary behavior positively associated with all sarcopenia categories. In addition, malnutrition was positively associated with total and probable sarcopenia. Urinary incontinence was a positive associated factor of total and probable sarcopenia. In the multivariate analysis, obesity represented a negative associate factor: OR=0.13 (0.03 - 0.57), p=0.007 and OR=0.14 (0.03 - 0.60), p=0.008 with total and probable sarcopenia, respectively, adjusted by urinary incontinence. For confirmed sarcopenia, obesity also represented a negative associate factor OR=0.06 (0.01 - 0.99), p=0.049 and the total time in sedentary behavior a positive associate factor OR=1.10 (1.00- 1.20), p=0.040. Conclusions: According the EWGSOP2 criteria, high prevalence of sarcopenia was found in institutionalized older people, ranging from 6.7% to 81.7% depending on the category. Malnutrition, urinary incontinence and total time in sedentary behavior were associated with sarcopenia whilst obesity represented a protective factor in this population.

scholarly journals Future Living Arrangement for Aging Parents and Its Associated Factors

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Rahmi Setiyani ◽  
Made Sumarwati ◽  
Dian Ramawati
Keyword(s):  
Older People ◽  
Marital Status ◽  
Associated Factors ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
Family Type ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

scholarly journals Prevalence of small for gestational age newborns and associated factors in a Brazilian Northeast capital

2018 ◽  
Vol 18 (3) ◽  
pp. 539-547
Author(s):  
Micaely Cristina dos Santos Tenório ◽  
Marilene Brandão Tenório ◽  
Raphaela Costa Ferreira ◽  
Carolina Santos Mello ◽  
Alane Cabral Menezes de Oliveira
Keyword(s):  
Birth Weight ◽  
Hierarchical Model ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Associated Factors ◽  
Protective Factor ◽  
Mode Of Delivery ◽  
Low Frequency ◽  
Cross Sectional Study ◽  
Cross Sectional

Abstract Objectives: to analyze the factors associated with the birth of small for gestational age (SGA)infants, in a Northeastern Brazilian capital. Methods: a cross-sectional study was carried out with 331 pregnant women and their newborns attending the public health network in the city of Maceió, in 2014. Maternal antenatal data were collected (socioeconomic, lifestyle, clinical and nutritional) as well as data of the newborns (gestational age, mode of delivery, sex, birth weight and length), after delivery. Birth weight was classified according to the INTERGROWTH-21st curves, being considered SGA those below the 10th percentile according to gestational age and gender. The results were analyzed by Poisson regression using a hierarchical model and were expressed as prevalence ratios (PR) and their respective 95% confidence intervals (CI95%). Results: it was verified that 5.1% of the newborns were SGA. Regarding the associated factors, after adjustment of the hierarchical model, the variable working outside the home was associated with the endpoint studied [PR = 0.14; (CI95% = 0.02-0.75); p=0.022]. Conclusions: it was verified a low frequency of SGA infants in the evaluated population. The fact that the mother works outside the home proved to be a protective factor for this condition.

scholarly journals Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

2020 ◽  
Vol 11 ◽  
pp. 215145932090636
Author(s):  
Hatice Caliskan ◽  
Volkan Igdir ◽  
Cemile Ozsurekci ◽  
Emrah Caliskan ◽  
Meltem Halil
Keyword(s):  
Older People ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Frailty Index ◽  
Fracture Prevention ◽  
Cross Sectional Study ◽  
Radius Fracture ◽  
Cross Sectional ◽  
European Working ◽  
Independent Variable

Introduction: Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF. Materials and Methods: This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants. Results: Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( P = .48). Prefrail–frail (nonrobust) phenotype was higher in patients with DRF ( P = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models. Discussion: This study showed that nonrobust phenotype was an independent variable predicting DRF. Conclusion: Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.

scholarly journals Association of dietary approaches to stop hypertension eating style and risk of sarcopenia

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Sanaz Soltani ◽  
Rezvan Hashemi ◽  
Ramin Heshmat ◽  
Ahmadreza Dorosty Motlagh ◽  
Ahmad Esmaillzadeh
Keyword(s):  
Older People ◽  
Population Based ◽  
Community Dwelling ◽  
Muscle Performance ◽  
Limited Attention ◽  
Dash Score ◽  
Cross Sectional ◽  
Dash Diet ◽  
European Working ◽  
Study Participants

Abstract The association between habitual intake of the “dietary approaches to stop hypertension” (DASH) eating plan and sarcopenia has received limited attention. The present study aimed to investigate the association between adherence to DASH dietary pattern and sarcopenia and its components including muscle mass, muscle strength, and muscle performance among community-dwelling older adults population. This population-based cross-sectional study was performed in 2011 among 300 older people (150 men and 150 women) aged ≥ 55 years, who were selected using cluster random sampling method. Dietary intake of study participants were examined by the use of a Block-format 117-item food frequency questionnaire (FFQ). The DASH score was constructed based on eight main foods and nutrients emphasized or minimized in the DASH diet. All components of sarcopenia was measured using standard protocols and sarcopenia was defined based on both former and new European Working Group on Sarcopenia in Older People (EWGSOP) guidelines. Mean age and BMI of study participants were 66.7 ± 7.7 years and 27.3 ± 4.2 kg/m2, respectively. Totally, 31 individuals meet the criteria of EWGSOP2-sarcopenia. We found no significant association between adherence to the DASH diet and EWGSOP2-sarcopenia either before (OR 1.08; 95% CI 0.45–2.54) or after adjustment for potential confounders (OR 1.04; 95% CI 0.39–2.75). The same findings were obtained in the gender-stratified analyses (men: OR 2.29; 95% CI 0.39–13.29 and women: 0.75; 95% CI 0.23–2.45). In conclusion, we found that adherence to the DASH-style diet was not significantly associated with odds of sarcopenia. Future prospective studies are required to confirm these findings.

Urinary Incontinence in Nursing Homes: Incidence, Remission and Associated Factors

1993 ◽  
Vol 41 (10) ◽  
pp. 1083-1089 ◽  
Author(s):  
Joseph G. Ouslander ◽  
Mary H. Palmer ◽  
Barry W. Rovner ◽  
Pearl S. German
Keyword(s):  
Urinary Incontinence ◽  
Nursing Homes ◽  
Associated Factors

scholarly journals The Management of Urinary Incontinence in Residential and Nursing Homes for Older People

1996 ◽  
Vol 25 (2) ◽  
pp. 139-143 ◽  
Author(s):  
S. M. PEET ◽  
C. M. CASTLEDEN ◽  
C. W. MCGROTHER ◽  
H. M. DUFFIN
Keyword(s):  
Urinary Incontinence ◽  
Nursing Homes ◽  
Older People

Continence aids in the management of urinary incontinence

2012 ◽  
Vol 22 (2) ◽  
pp. 85-98 ◽  
Author(s):  
J Browning ◽  
Z Zaheer ◽  
A Orzechowska ◽  
A Mistri
Keyword(s):  
Urinary Incontinence ◽  
Nursing Homes ◽  
Older People ◽  
Urge Incontinence ◽  
Individual Characteristics ◽  
First Line ◽  
Anticholinergic Medications ◽  
Surgical Measures ◽  
The Right

SummaryUrinary incontinence is a common problem, more so in older people and those in residential or nursing homes. Guidelines promote a structure to the management of incontinence, recommending non-pharmacological measures (including continence aids) as first-line options. Anticholinergic medications are used widely for urge incontinence, and surgical measures employed in selective cases.Whilst other treatments are being tried, or where incontinence is refractory to treatment (about 30% of cases), it is important to promote continence or contain incontinence with continence aids in order to minimize psychological complications. What can be a bewildering array of aids is available and choosing the right type of aid requires knowledge of these. Here, we suggest a classification of continence aids, describing individual characteristics and appropriate situations for use.

scholarly journals Cortisol levels among older people with and without depression and dementia

2018 ◽  
Vol 31 (04) ◽  
pp. 597-601 ◽  
Author(s):  
Maria Lage Barca ◽  
Rannveig S. Eldholm ◽  
Karin Persson ◽  
Guro Hanevold Bjørkløf ◽  
Tom Borza ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Reference Group ◽  
Mmse Score ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
People With Dementia ◽  
Specialized Care ◽  
Cortisol Levels ◽  
Cortisol Ratio

ABSTRACTCortisol dysregulation has been reported in dementia and depression. Cortisol levels and its associates were investigated among older people living at home and in nursing homes, in a cross-sectional study. A sample of 650 older people, from the community (home and nursing homes) and specialized care (memory clinics and old age psychiatry wards), mean age 76.8 (SD = 10.3) (dementia n = 319, depression, n = 154, dementia plus depression n = 53, and reference group n = 124), was included. Assessment included the Mini Mental State Examination (MMSE), Cornell scale for depression in dementia, activities of daily living scales, and salivary cortisol. Number of drugs was registered. The results showed that the cortisol ratio was highest among patients with dementia and co-morbid depression in comparison to those with either depression or dementia and the reference group. Characteristics significantly associated with cortisol levels were higher MMSE score (in patients with dementia and co-morbid depression), male gender (in people with dementia), and number of medications (in the reference group). We conclude that the cortisol ratio was highest among patients with dementia and co-morbid depression in comparison to those with either depression or dementia and the reference group. The association of cortisol level with MMSE score among patients with dementia and depression could further indicate that increased stress is related to cognitive function.

Effects of sedentary behavior and physical activity on sleep quality in older people: A cross‐sectional study

2019 ◽  
Vol 22 (1) ◽  
pp. 64-71 ◽  
Author(s):  
Jaehoon Seol ◽  
Takumi Abe ◽  
Yuya Fujii ◽  
Kaya Joho ◽  
Tomohiro Okura
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Older People ◽  
Sedentary Behavior ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Prevalence of Anemia and its Associated Factors among Chinese 9-, 12-, and 14-Year-Old Children: Results from 2014 Chinese National Survey on Students Constitution and Health

2020 ◽  
Vol 17 (5) ◽  
pp. 1474
Author(s):  
Zhaogeng Yang ◽  
Yanhui Li ◽  
Peijin Hu ◽  
Jun Ma ◽  
Yi Song
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Lower Risk ◽  
Associated Factors ◽  
Protective Factor ◽  
Mixed Effects ◽  
Daily Consumption ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Background: Anemia has been one of the main nutritional challenges around the world. Not enough attention has been paid to this issue in children and adolescents in China. In this study, we aimed to estimate the prevalence of anemia among 9-, 12-, and 14-year old Chinese children and investigate the associated factors of anemia. Methods: Data come from a cross-sectional survey conducted in 26 provinces and 4 municipalities in mainland China. A total of 48,537 children aged 9, 12, and 14 years old were included in data analyses. Anthropometric measurements were conducted to obtain information about height and weight. Capillary blood was collected from the fingertip, and hemoglobin concentration was tested by HemoCue201+. Information about sleep duration, daily consumption of eggs, milk, and breakfast were obtained from a self-administrated questionnaire. The mixed-effects logistic regression model was applied to estimate the association between selected variables and risk of anemia. Results: A total of 8.4% of participants were identified as being anemic; and the prevalence was higher in girls and rural children. Mixed-effects logistic regression analysis showed that children who were overweight, obese, and consumed eggs and milk every day had a lower risk of anemia. Spermarche, overweight/obesity, and having milk every day were associated with lower risk of anemia in boys, while menarche was found to be a risk factor and eating eggs every day to be a protective factor of anemia in girls. Conclusions: Anemia among 9-, 12-, and 14-year-old children is still high. Intervention programs of adding egg and milk into school daily diet might contribute to reducing anemia in Chinese school aged children, especially for those living in rural areas or girls with menarche.

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