Prevalence and associated factors of sarcopenia among elderly in Brazil: Findings from the sabe study

T. Da Silva Alexandre, Y. A.De Oliveira Duarte, J. L.Ferreira Santos, R. Wong, M. L. Lebrão

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    102 Scopus citations

    Abstract

    Objectives: The aim of the present study was to examine the prevalence and factors associated with sarcopenia in older residents in São Paulo, Brazil. Design: Cross-sectional study. Setting: São Paulo, Brazil. Participants: 1,149 older individuals from the second wave of the Saúde, Bem-Estar e Envelhecimento (SABE) study from 2006. Measurements: The definition of sarcopenia was based on the consensus of the European Working Group on Sarcopenia in Older People (EWGSOP), which include three components: low muscle mass, assessed by a skeletal muscle mass index of ≤8.90kg/m2 for men and ≤6.37kg/m2 for women; low muscle strength, assessed by handgrip strength <30kg for men and <20kg for women; and low physical performance, assessed by gait speed <0.8m/s. Diagnosis of sarcopenia required presence of low muscle mass plus low muscle strength or low physical performance. Socio-demographic and behavioral characteristics, medical conditions and nutritional status were considered as independent variables to determine the associated factors using a logistic regression model. Results: The prevalence of sarcopenia was 16.1% in women and 14.4% in men. Advanced age with a dose response effect, cognitive impairment, lower income, smoking, undernutrition and risk for undernutrition (p<0.05) were factors associated with sarcopenia. Conclusions: The EWGSOP algorithm is useful to define sarcopenia. The prevalence of sarcopenia in the Brazilian elderly population is high and several associated factors show that this syndrome is affected by multiple domains. No differences were observed by gender in any age groups.

    Original languageEnglish (US)
    Pages (from-to)284-290
    Number of pages7
    JournalJournal of Nutrition, Health and Aging
    Volume18
    Issue number3
    DOIs
    StatePublished - Mar 2014

    Keywords

    • Elderly
    • Prevalence
    • SABE study
    • Sarcopenia

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Nutrition and Dietetics
    • Geriatrics and Gerontology

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