Frailty and sarcopenia in Bogotá: results from the SABE Bogotá Study

Rafael Samper Ternent, Carlos Reyes-Ortiz, Kenneth Ottenbacher, Carlos A. Cano

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Latin American countries like Colombia are experiencing a unique aging process due to a mixed epidemiological regime of communicable and non-communicable diseases. Aims: To estimate the prevalence of frailty and sarcopenia among older adults in Colombia and identify variables associated with these conditions. Methods: Data come from the “Salud Bienestar y Envejecimiento” (SABE) Bogotá Study, a cross-sectional study conducted in 2012 in Bogotá, Colombia. Sociodemographic, health, cognitive and anthropometric measures were collected from 2000 community-dwelling adults aged 60 years and older. Frailty variable was created using the Fried phenotype and sarcopenia following the European Working Group on Sarcopenia in Older People algorithm. Logistic regression analyses were used to identify factors associated with frailty and sarcopenia. Results: A total of 135 older adults are frail (9.4 %), while 166 have sarcopenia (11.5 %). Older age and female gender have a significant association with both conditions (Frailty: Age OR 1.05, 95 % CI 1.03–1.06, Gender OR 1.44, 95 % CI 1.12–1.84; Sarcopenia: Age 1.04, 95 % CI 1.02–1.07, Gender OR 1.51, 95 % CI 1.05–2.17). Depression was also significantly associated with frailty (OR 1.17, 95 % CI 1.12–1.22), while smoking was significantly associated with sarcopenia (OR 2.38, 95 % CI 1.29–4.37). Finally, higher function, measured by independence in IADL (Instrumental Activities of Daily Living) was significantly associated with less frailty (OR 0.74, 95 % CI 0.64–0.86). Education, higher number of comorbidities, better MMSE score, activities of daily living disability and alcohol consumption were not significantly associated with frailty or sarcopenia. Conclusions: Frailty, sarcopenia and multimorbidity are overlapping, yet distinct conditions in this sample. There are potentially reversible factors that are associated with frailty and sarcopenia in this sample. Future studies need to analyze the best way to prevent these conditions, and examine individuals that have frailty, sarcopenia and comorbidities to design interventions to improve their quality of life.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAging clinical and experimental research
DOIs
StateAccepted/In press - Mar 31 2016

Fingerprint

Sarcopenia
Colombia
Comorbidity
Activities of Daily Living
Independent Living
Frail Elderly
Alcohol Drinking
Cross-Sectional Studies
Logistic Models
Smoking

Keywords

  • Bogotá
  • Colombia
  • Comorbidity
  • Frailty
  • Sarcopenia

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

Frailty and sarcopenia in Bogotá : results from the SABE Bogotá Study. / Samper Ternent, Rafael; Reyes-Ortiz, Carlos; Ottenbacher, Kenneth; Cano, Carlos A.

In: Aging clinical and experimental research, 31.03.2016, p. 1-8.

Research output: Contribution to journalArticle

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title = "Frailty and sarcopenia in Bogot{\'a}: results from the SABE Bogot{\'a} Study",
abstract = "Background: Latin American countries like Colombia are experiencing a unique aging process due to a mixed epidemiological regime of communicable and non-communicable diseases. Aims: To estimate the prevalence of frailty and sarcopenia among older adults in Colombia and identify variables associated with these conditions. Methods: Data come from the “Salud Bienestar y Envejecimiento” (SABE) Bogot{\'a} Study, a cross-sectional study conducted in 2012 in Bogot{\'a}, Colombia. Sociodemographic, health, cognitive and anthropometric measures were collected from 2000 community-dwelling adults aged 60 years and older. Frailty variable was created using the Fried phenotype and sarcopenia following the European Working Group on Sarcopenia in Older People algorithm. Logistic regression analyses were used to identify factors associated with frailty and sarcopenia. Results: A total of 135 older adults are frail (9.4 {\%}), while 166 have sarcopenia (11.5 {\%}). Older age and female gender have a significant association with both conditions (Frailty: Age OR 1.05, 95 {\%} CI 1.03–1.06, Gender OR 1.44, 95 {\%} CI 1.12–1.84; Sarcopenia: Age 1.04, 95 {\%} CI 1.02–1.07, Gender OR 1.51, 95 {\%} CI 1.05–2.17). Depression was also significantly associated with frailty (OR 1.17, 95 {\%} CI 1.12–1.22), while smoking was significantly associated with sarcopenia (OR 2.38, 95 {\%} CI 1.29–4.37). Finally, higher function, measured by independence in IADL (Instrumental Activities of Daily Living) was significantly associated with less frailty (OR 0.74, 95 {\%} CI 0.64–0.86). Education, higher number of comorbidities, better MMSE score, activities of daily living disability and alcohol consumption were not significantly associated with frailty or sarcopenia. Conclusions: Frailty, sarcopenia and multimorbidity are overlapping, yet distinct conditions in this sample. There are potentially reversible factors that are associated with frailty and sarcopenia in this sample. Future studies need to analyze the best way to prevent these conditions, and examine individuals that have frailty, sarcopenia and comorbidities to design interventions to improve their quality of life.",
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AU - Cano, Carlos A.

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N2 - Background: Latin American countries like Colombia are experiencing a unique aging process due to a mixed epidemiological regime of communicable and non-communicable diseases. Aims: To estimate the prevalence of frailty and sarcopenia among older adults in Colombia and identify variables associated with these conditions. Methods: Data come from the “Salud Bienestar y Envejecimiento” (SABE) Bogotá Study, a cross-sectional study conducted in 2012 in Bogotá, Colombia. Sociodemographic, health, cognitive and anthropometric measures were collected from 2000 community-dwelling adults aged 60 years and older. Frailty variable was created using the Fried phenotype and sarcopenia following the European Working Group on Sarcopenia in Older People algorithm. Logistic regression analyses were used to identify factors associated with frailty and sarcopenia. Results: A total of 135 older adults are frail (9.4 %), while 166 have sarcopenia (11.5 %). Older age and female gender have a significant association with both conditions (Frailty: Age OR 1.05, 95 % CI 1.03–1.06, Gender OR 1.44, 95 % CI 1.12–1.84; Sarcopenia: Age 1.04, 95 % CI 1.02–1.07, Gender OR 1.51, 95 % CI 1.05–2.17). Depression was also significantly associated with frailty (OR 1.17, 95 % CI 1.12–1.22), while smoking was significantly associated with sarcopenia (OR 2.38, 95 % CI 1.29–4.37). Finally, higher function, measured by independence in IADL (Instrumental Activities of Daily Living) was significantly associated with less frailty (OR 0.74, 95 % CI 0.64–0.86). Education, higher number of comorbidities, better MMSE score, activities of daily living disability and alcohol consumption were not significantly associated with frailty or sarcopenia. Conclusions: Frailty, sarcopenia and multimorbidity are overlapping, yet distinct conditions in this sample. There are potentially reversible factors that are associated with frailty and sarcopenia in this sample. Future studies need to analyze the best way to prevent these conditions, and examine individuals that have frailty, sarcopenia and comorbidities to design interventions to improve their quality of life.

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