Document Type : Original Article
Authors
- Nasrin Nasimi 1
- Mohammad Hossein Dabbaghmanesgh 2
- Mohammad Fararooei 3
- Amirhossein Asadi 4
- Marzieh Akbarzadeh 5
- Zahra Sohrabi 5
1 Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2 Shiraz Endocrinology and Metabolism Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
4 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
5 Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Background: Sarcopenia, an age-related decline in muscle mass, strength, and function, contributes to various adverse health outcomes and physical impairments. This study aimed to investigate the association between sarcopenia components and health-related quality of life (HRQoL) among communitydwelling older adults.
Methods: In this cross-sectional study, 501 adults aged 65 years or older participated. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia (AWGS) guideline. Muscle mass was measured by bioelectrical impedance analysis (BIA), muscle strength by hand dynamometer, and physical function by 4-m gait speed. The HRQoL was assessed using 12 item shortform healthy survey (SF-12) questionnaire.
Results: There was a significant relationship between the sarcopenia and demographic characteristics (educational levels and smoking habits). After adjustment for age, sex, Body Mass Index, education level, smoking habits, and number of comorbidities, a significant relationship was observed between sarcopenia and physical components of HRQoL. According to multivariate linear regression, low muscle mass was negatively related to physical aspects of HRQoL. Low handgrip strength (HGS) and gait speed (GS) were inversely correlated to both physical and mental components of HRQoL.
Conclusion: Our study highlighted the adverse impact of sarcopenia on HRQoL in elderly population. Reduction in muscle strength and physical performance not only affected physical aspects but also were linked with mental components of HRQoL. Therefore, it seems HGS and GS might be good indicators affecting all aspects of HRQoL in the elderly groups.
Highlights
Nasrin Nasimi (Google Scholar)
Zahra Sohrabi (Google Scholar)
Keywords
- Fuggle N, Shaw S, Dennison E, Cooper C. Sarcopenia. Best Pract Res Clin Rheumatol. 2017. doi: 10.1016/j.berh.2017.11.007. PMID: 29224698; PMCID: PMC5768235.
- Hida T, Harada A, Imagama S, Ishiguro N. Managing sarcopenia and its related-fractures to improve quality of life in geriatric populations. Aging dis. 2014;5(4):226. doi: 10.14336/ad.2014.0500226. PMID: 25110607; PMCID: PMC4113513.
- Beaudart C, Zaaria M, Pasleau F, Reginster J-Y, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. PloS one. 2017;12(1): e0169548. doi: 10.1371/journal.pone.0169548. PMID: 28095426; PMCID: PMC5240970.
- Tokudome S, Hashimoto S, Igata A. Life expectancy and healthy life expectancy of Japan: the fastest graying society in the world. BMC Res Notes. 2016;9(1):482. doi: 10.1186/s13104-016-2281-2. PMID: 27793196; PMCID: PMC5084424.
- Group TW. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46(12):1569-85. doi: 10.1016/s0277-9536(98)00009-4. PMID: 9672396.
- Manrique-Espinoza B, Salinas-Rodríguez A, Rosas-Carrasco O, Gutiérrez-Robledo LM, Avila-Funes JA. Sarcopenia is associated with physical and mental components of health-related quality of life in older adults. J Am Med Dir Assoc. 2017;18(7):636. e1-. e5. doi: 10.1016/j.jamda.2017.04.005. PMID: 28549718.
- Chang K-V, Hsu T-H, Wu W-T, Huang K-C, Han D-S. Association between sarcopenia and cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc. 2016;17(12):1164. e7-. e15. doi: 10.1016/j.jamda.2016.09.013. PMID: 27816484.
- Rizzoli R, Reginster J-Y, Arnal J-F, Bautmans I, Beaudart C, Bischoff-Ferrari H, et al. Quality of life in sarcopenia and frailty. Calcif Tissue Int. 2013;93(2):101-20. doi: 10.1007/s00223-013-9758-y. PMID: 23828275; PMCID: PMC3747610.
- Nasimi N, Dabbaghmanesh MH, Sohrabi Z. Nutritional status and body fat mass: Determinants of sarcopenia in community-dwelling older adults. Exp Gerontol. 2019;122:67-73. doi: 10.1016/j.exger.2019.04.009. PMID: 31022445.
- Nasimi N, Sohrabi Z, Dabbaghmanesh MH, Eskandari MH, Bedeltavana A, Famouri M, et al. A novel fortified dairy product and sarcopenia measures in sarcopenic older adults: a double-blind randomized controlled trial. J Am Med Dir Assoc. 2021;22(4):809-15. doi: 10.1016/j.jamda.2020.08.035. PMID: 33067129.
- Montazeri-Najababady N, Dabbaghmanesh MH, Nasimi N, Sohrabi Z, Chatrabnous N. The association between TP53 rs1625895 polymorphism and the risk of sarcopenic obesity in Iranian older adults: a case-control study. BMC Musculoskelet Disord. 2021;22(1):1-9. doi: 10.21203/rs.3.rs-42273/v1. PMID: 33985476; PMCID: PMC8120782.
- Montazeri-Najafabady N, Dabbaghmanesh MH, Nasimi N, Sohrabi Z, Estedlal A, Asmarian N. Importance of TP53 codon 72 and intron 3 duplication 16 bp polymorphisms and their haplotypes in susceptibility to sarcopenia in Iranian older adults. BMC Geriatr. 2022;22(1):1-10. doi: 10.1186/s12877-022-02765-6. PMID: 35123410; PMCID: PMC8818191.
- Jamshidi S, Ahmadi A, Nasimi N, Razmjoui N, Bagheri S, Esmaeilinezhad Z. The Relationship between Serum Vitamin B12 and Glycemic Indices, BMI, and Dietary Components in Elderly. Int J Nutr Sci. 2020;5(4):167-73. doi: 30476/IJNS.2019.83209.1032.
- Chen L-K, Liu L-K, Woo J, Assantachai P, Auyeung T-W, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014;15(2):95-101. doi: 10.1016/j.jamda.2013.11.025. PMID: 24461239.
- Montazeri A, Vahdaninia M, Mousavi SJ, Asadi-Lari M, Omidvari S, Tavousi M. The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran. Health Qual Life Outcomes. 2011;9(1):12. doi: 10.1186/1477-7525-9-12. PMID: 21385359; PMCID: PMC3063185.
- Hashemi R, Shafiee G, Motlagh AD, Pasalar P, Esmailzadeh A, Siassi F, et al. Sarcopenia and its associated factors in Iranian older individuals: Results of SARIR study. Arch Gerontol Geriatr. 2016;66:18-22. doi: 10.1016/j.archger.2016.04.016. PMID: 27176487.
- Kim H, Hirano H, Edahiro A, Ohara Y, Watanabe Y, Kojima N, et al. Sarcopenia: Prevalence and associated factors based on different suggested definitions in community‐dwelling older adults. Geriatr Gerontol Int. 2016;16:110-22. doi: 10.1111/ggi.12723. PMID: 27018289.
- Li C-I, Li T-C, Lin W-Y, Liu C-S, Hsu C-C, Hsiung CA, et al. Combined association of chronic disease and low skeletal muscle mass with physical performance in older adults in the Sarcopenia and Translational Aging Research in Taiwan (START) study. BMC Geriatr. 2015;15(1):11. doi: 10.1186/s12877-015-0011-6. PMID: 25879214; PMCID: PMC4341862.
- Ferraro KF, Shippee TP. Aging and cumulative inequality: How does inequality get under the skin? Gerontologist. 2009;49(3):333-43. doi: 10.1093/geront/gnp034. PMID: 19377044; PMCID: PMC2721665.
- Neves T, Ferriolli E, Lopes MBM, Souza MGC, Fett CA, Fett WCR. Prevalence and factors associated with sarcopenia and dynapenia in elderly people. J Frailty Sarcopenia Falls. 2018;3(4):194. doi: 10.22540/jfsf-03-194. PMID: 32300708; PMCID: PMC7155355.
- da Silva Alexandre T, de Oliveira Duarte Y, Santos JF, Wong R, Lebrão M. Prevalence and associated factors of sarcopenia among elderly in Brazil: findings from the SABE study. J Nutr Health Aging. 2014;18(3):284-90. doi: 10.1007/s12603-013-0413-0. PMID: 24626756.
- Neto LSS, Karnikowski MG, Osório NB, Pereira LC, Mendes MB, Galato D, et al. Association between sarcopenia and quality of life in quilombola elderly in Brazil. Int J Gen Med. 2016;9:89. doi: 10.2147/ijgm.s92404. PMID: 27143952; PMCID: PMC4846046.
- Verlaan S, Aspray TJ, Bauer JM, Cederholm T, Hemsworth J, Hill TR, et al. Nutritional status, body composition, and quality of life in community-dwelling sarcopenic and non-sarcopenic older adults: A case-control study. Clin Nutr. 2017;36(1):267-74. doi: 10.1016/j.clnu.2015.11.013. PMID: 26689868.
- Sun DS, Lee H, Yim HW, Won HS, Ko YH. The impact of sarcopenia on health-related quality of life in elderly people: Korean National Health and Nutrition Examination Survey. Korean J Intern Med 2017. doi: 10.3904/kjim.2017.182. PMID: 29172406; PMCID: PMC6610192.
- Meng Y, Wu H, Yang Y, Du H, Xia Y, Guo X, et al. Relationship of anabolic and catabolic biomarkers with muscle strength and physical performance in older adults: a population-based cross-sectional study. BMC Musculoskelet Disord. 2015;16(1):202. doi: 10.1186/s12891-015-0654-7. PMID: 26286594; PMCID: PMC4545782.
- Kull M, Kallikorm R, Lember M. Impact of a new sarco-osteopenia definition on health-related quality of life in a population-based cohort in Northern Europe. J Clin Densitom. 2012;15(1):32-8. doi: 10.1016/j.jocd.2011.08.007. PMID: 22071030.
- Bekfani T, Pellicori P, Morris DA, Ebner N, Valentova M, Steinbeck L, et al. Sarcopenia in patients with heart failure with preserved ejection fraction: impact on muscle strength, exercise capacity and quality of life. Int J Cardiol. 2016;222:41-6. doi: 10.1016/j.ijcard.2016.07.135. PMID: 27454614.
- Barbat-Artigas S, Rolland Y, Cesari M, Abellan van Kan G, Vellas B, Aubertin-Leheudre M. Clinical relevance of different muscle strength indexes and functional impairment in women aged 75 years and older. J Gerontol a Biol Sci Med Sci. 2012;68(7):811-9. doi: 10.1093/gerona/gls254. PMID: 23262030.
- Sugiura Y, Tanimoto Y, Watanabe M, Tsuda Y, Kimura M, Kusabiraki T, et al. Handgrip strength as a predictor of higher-level competence decline among community-dwelling Japanese elderly in an urban area during a 4-year follow-up. Arch Gerontol Geriatr. 2013;57(3):319-24. doi: 10.1016/j.archger.2013.06.006. PMID: 23830293.
- Woo T, Yu S, Visvanathan R. Systematic Literature Review on the Relationship Between Biomarkers of Sarcopenia and Quality of Life in Older People. J Frailty Aging. 2016;5(2):88-99. doi: 10.14283/jfa.2016.93. PMID: 27224499.
- Cawthon PM, Lui L-Y, McCulloch CE, Cauley JA, Paudel ML, Taylor B, et al. Sarcopenia and health care utilization in older women. J Gerontol a Biol Sci Med Sci. A: Biomedical Sciences and Medical Sciences. 2016;72(1):95-101. doi: 10.1093/gerona/glw118. PMID: 27402050; PMCID: PMC5155659.
- Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. JAMA. 2011;305(1):50-8. doi: 10.1001/jama.2010.1923. PMID: 21205966; PMCID: PMC3080184.