Prevalence and risk factor of sarcopenia among Thai community-dwelling elderly

Authors

Keywords:

community-dwelling, elderly, prevalence, sarcopenia, The Asian Working Group for Sarcopenia

Abstract

Background: Sarcopenia is defined as loss of muscle mass, muscle strength and/or performance with age-related. However, the prevalence of sarcopenia showed vary depending on population and definition used.

Objective: This study aimed to determine the prevalence of sarcopenia in Thai community-dwelling elderly according to the diagnostic criteria of AWGS2019.

Materials and Methods: This cross-sectional study was conducted in elderly aged ≥ 60 years living in four communities at Nakhon Pathom province. Participants were screened by the SARC-F questionnaire, muscle strength by dynamometer, walking performances by the 6-meter gait speed, and muscle mass by bioelectrical impedance analysis (BIA). The chi-square test was used for data analysis.

Results: 160 community-dwelling elderly participated with mean age 68.9 ± 6.1 years and 75% female. The overall prevalence rate of sarcopenia was 63% (101/160). There were 29.4% (47/160) was defined as possible sarcopenia while 23.1% (37/160) was sarcopenia and 10.6% (17/160) severe sarcopenia. The results demonstrated that BMI and educational level were significantly associated with sarcopenia (p<0.05), while age, gender, and community living show no significant association with sarcopenia.

Conclusion: High prevalence rate of sarcopenia in community-dwelling elderly. Low BMI and lower education levels are associated with an increased risk of sarcopenia. Therefore, early identify this condition can be beneficial for prevention adverse outcomes related sarcopenia.

References

United Nations. World Population Ageing 2019 Highlights. New York: United Nations; 2019.

Department of Older Persons. Older statistics [Internet]. Thailand; 2022 [updated 2022 Mar 6; cited 2022 May 1]. Available from: https://www.dop.go.th/th/know/side/1/1/1159

Emerson NS, Stout JR, Fukuda DH, Robinson EH, McCormack WP, Scanlon TC, et al. Resistance training improves capacity to delay neuromuscular fatigue in older adults. Arch Gerontol Geriatr. 2015;61(1):27–32.

Siparsky PN, Kirkendall DT, Garrett WE Jr. Muscle changes in aging: understanding sarcopenia. Sports Health. 2014;6(1):36–40.

Rosenberg IH. Summary comments. Am J Clin Nutr. 1989;50(5):1231–3.

Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, 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.

Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2020;21(3):300–7.

McCormick R, Vasilaki A. Age-related changes in skeletal muscle: changes to lifestyle as a therapy. Biogerontology. 2018;19(6):519–36.

Beaudart C, Zaaria M, Pasleau F, Reginster JY, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. PLoS One. 2017;12(1):e0169548.

Petermann-Rocha F, Balntzi V, Gray SR, Lara J, Ho FK, Pell JP, et al. Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2022;13(1):86–99.

Simsek H, Meseri R, Sahin S, Kilavuz A, Bicakli DH, Uyar M, et al. Prevalence of sarcopenia and related factors in community-dwelling elderly individuals. Saudi Med J. 2019;40(6):568–74.

Malmstrom TK, Morley JE. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013;14(8):531–2.

Yuenyongchaiwat K, Boonsinsukh R. Type 2 diabetes mellitus related to decreased peripheral and respiratory muscle strength in sarcopenic Thai elderly. Curr Aging Sci. 2021;14(3):235–41.

Therakomen V, Petchlorlian A, Lakananurak N. Prevalence and risk factors of primary sarcopenia in community-dwelling outpatient elderly: a cross-sectional study. Sci Rep. 2020;10(1):19551.

Zhang G, Kang J, Jing S, Chen Y, Deng T, Xu H, et al. Meat, vegetable, and fruit consumption among urban and rural elders aged 60+ years in regional China: a population-level nutritional study. J Nutr Sci. 2023;12:e120.

Bloom I, Shand C, Cooper C, Robinson S, Baird J. Diet quality and sarcopenia in older adults: a systematic review. Nutrients. 2018;10(3):308.

Zhang M, Chen X, Wang Z, Wang L, Jiang Y. Leisure-time physical exercise and sedentary behavior among Chinese elderly, in 2010. Zhonghua Liu Xing Bing Xue Za Zhi. 2014;35(3):242–5.

Weng SE, Huang YW, Tseng YC, Peng HR, Lai HY, Akishita M, et al. The evolving landscape of sarcopenia in Asia: a systematic review and meta-analysis following the

Asian Working Group for Sarcopenia (AWGS) diagnostic criteria. Arch Gerontol Geriatr. 2024;118:105596.

Gao Q, Hu K, Yan C, Zhao B, Mei F, Chen F, et al. Associated factors of sarcopenia in community-dwelling older adults: a systematic review and meta-analysis. Nutrients. 2021;13(12):4291.

Waters DL, Baumgartner RN. Sarcopenia and obesity. Clin Geriatr Med. 2011;27(3):401–21.

Wei S, Nguyen TT, Zhang Y, Ryu D, Gariani K. Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management. Front Endocrinol (Lausanne). 2023;14:1185221.

Liu X, Hao Q, Yue J, Hou L, Xia X, Zhao W, et al. Sarcopenia, obesity and sarcopenia obesity in comparison: prevalence, metabolic profile, and key differences: results from WCHAT study. J Nutr Health Aging. 2020;24(4):429–37.

Raghupathi V, Raghupathi W. The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Arch Public Health. 2020;78(1):20.

Kari JT, Viinikainen J, Böckerman P, Tammelin TH, Pitkänen N, Lehtimäki T, et al. Education leads to a more physically active lifestyle: evidence based on Mendelian randomization. Scand J Med Sci Sports. 2020;30(7):1194–204.

Shatenstein B, Gauvin L, Keller H, Richard L, Gaudreau P, Giroux F, et al. Baseline determinants of global diet quality in older men and women from the NuAge cohort. J Nutr Health Aging. 2013;17(5):419–25.

Landi F, Camprubi-Robles M, Bear DE, Cederholm T, Malafarina V, Welch AA, et al. Muscle loss: the new malnutrition challenge in clinical practice. Clin Nutr. 2019;38(5):2113–20.

Downloads

Published

2025-06-12

How to Cite

1.
Phansiri D, Jalayondeja W, Kraiwong R, Surapongchai J, Jalayondeja C. Prevalence and risk factor of sarcopenia among Thai community-dwelling elderly. Int. Phys. Ther. Res. Symp. 11th [Internet]. 2025 Jun. 12 [cited 2025 Jul. 11];11(1):54-66. Available from: https://conference.in.th/index.php/IPTRS2025/article/view/Phansiri_et_al.2025