Journal of Hebei Medical University ›› 2021, Vol. 42 ›› Issue (12): 1421-1425.doi: 10.3969/j.issn.1007-3205.2021.12.012

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Assessment of risk factors associated with sarcopenia under according to Asian Working Group for Sarcopenia 2019 Consensus

  

  1. 1.Department of Urology, the First Affiliated Hospital of Air Force Medical University of Chinese People′s 
    Liberation Army, Shaanxi Province, Xi′an 710032, China; 2.Department of Health Services, Health 
    Logistics Training Base, Air Force Medical University of Chinese People′s Liberation 
    Army, Shaanxi Province, Xi′an 710032, China; 3.Department of Military Health 
    Education and Management, Air Force Medical University of Chinese 
    People′s Liberation Army, Shaanxi Province, Xi′an 710032, China
  • Online:2021-12-25 Published:2021-12-27

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Abstract: Objective  To explore the impact of Asian Working Group for Sarcopenia(AWGS) 2019 Consensus diagnosis on the early diagnosis of sarcopenia, and to screen the risk factors related to sarcopenia, so as to promote early intervention. 
Methods  From June to September 2019, the convenient sampling method was adopted to select 202 elderly persons from 2 nursing homes in Xi′an as the research subjects. The prevalence of sarcopenia was compared with the old and new consensus on diagnosis. Correlation of different age, body mass index(BMI) with detection rate of sarcopenia was analyzed. Based on AWGS 2019 consensus, the risk factors related to sarcopenia were comprehensively analyzed from the perspectives of basic condition, underlying diseases and nutritional diet, and their relationship with the development and progression of sarcopenia was discussed. 
Results  The prevalence of sarcopenia under the new and old consensus on diagnostic criteria was 30.69% and 22.28% respectively. Meanwhile, the sarcopenia detection rate under the new consensus was significantly higher than that of the old consensus(P=0.042). The results of Logistic multivariate analysis showed that muscle strength, 6-meter walking speed under resting state and movement disorder score were statistically different between non-sarcosis and sarcosis(P＜0.01). Among the groups of pre-sarcopenia, sarcopenia(common type) and severe sarcopenia, significant differences were detected in age, height, weight, muscle mass, 6-meter walking speed under resting state, BMI, and underlying diseases(i.e. hypertension, diabetes and hyperlipemia)(P＜0.05). 
Conclusion  Age and BMI was influencing factors for the detection of sarcopenia. Muscle strength and 6-meter walking speed under resting state are the independent diagnostic factors, and movement disorder is the independent influencing factor.The elderly persons(age≥80) and/or accompanying with hypertension, diabetes and hyperlipidemia are the high-risk population forsarcopenia. 


Key words: sarcopenia, Asian Working Group of Sarcopenia, diagnostic consensus