文章基本信息

标题：Prevalence of Sarcopenia and Fall Risk Factors Among Outpatient Older Women
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作者：Simone Biesek ; Simone Biesek ; Adriane Miró Vianna Benke Pereira 等
期刊名称：Journal of exercise physiology online
印刷版ISSN：1097-9751
出版年度：2019
卷号：22
期号：4
页码：68-84
语种：English
出版社：American Society of Exercise Physiologists
摘要：Biesek S, Pereira AMVB, Filho JM, Molina GC, Bendhack L, Michalouski RF, Rabito E, Gomes ARS. Prevalence of Sarcopenia and Fall Risk Factors Among Outpatient Older Women. JEPonline 2019;22(4):68-83. The present crosssectional and retrospective cohort study analyzed 122 medical records of older patients (≥65 yrs old) separated into those who have fallen and those who have not. In order to diagnose sarcopenia, we applied the EGWSOP-2010 and EGWSOP2-2019 definitions. To analyze the aspects related to falls, the following parameters were used: history of falls in the previous year; socioeconomic background; clinical history; anthropometric data; and functional status. In order to compare both groups (fallen and not-fallen), we employed Spearman's rank correlation and the Odds Ratio estimate. Pre-sarcopenia was identified in 3.3% of fallen older women and in 1.8% of not-fallen older women. Presarcopenia was not observed based on the EWGSOP-2019 definition. Sarcopenia was not identified in fallenolder women based on both EWGSOP definitions. However, in not-fallen older women, theprevalence of sarcopenia was 7.1% (EWGSOP-2010) and 1.8% (EWGSOP-2019). Weidentified a similar result in both adopted definitions regarding the diagnosis of severesarcopenia among fallen older women, yet among not-fallen older women, the prevalencewas found to be 5.4% larger when following the EGWSOP-2010 than when compared toEWGSOP-2019. The prevalence of falls was 35%. The major factors related to the falls werefound to be: sedentary lifestyle; decrease in handgrip strength (HGS); slower gait speed(GS); and amount of medicines taken daily. We verified an association between falls and GS(ρ = -0.316; P=0.002), HGS (ρ = -0.256; P=0.013), amount of medicines (r = 0.199; P=0.034),and daily activities (Lawton Scale, ρ = 0.189; P=0.037). Decrease in GS was the only reliablevariable to predict falls (OR = 3.36; P=0.010; 95% CI = 1.33-8.49). Outpatient older womenwith slower gait speed were 3.36 times more likely to fall.
关键词：Accidental fall;Aging;Sarcopenia