Category: Clinical Sciences/Health Conditions
Objectives: Aim of this study to find the difference prevalence of sarcopenia between elderly who lived in community dwelling and nursing home.
Design: A cross-sectional study, subjects recruited by convenience sampling from a private hospital, and a nursing home. Diagnosed of Sarcopenia by Cut-off point from Asian Working Group for Sarcopenia (AWGS) for; Appendicular Skeletal Muscle Mass (ASM); Hand Grip Strength (HGS); and Gait Speed (GS) for men and women were; 7 and 5,7 Kg/m2; 26 and 18 Kg; and 0,8 and 0,8 m/s.
Results: There were 183 elderly (47% men) on community dwelling, and 62 elderly (40% men) on nursing home. The value of ASM, HGS, and GS in men from community dwelling were higher 8,8 vs 7,5 Kg/m2 (p< 0,001), 25,9 vs 17,7 Kg (p< 0,001), and 1,5 vs 0,8 m/s (p< 0,001), while the value of GS in women from community dwelling were higher 1,3 vs 0,73 m/s (p=0,008), and similar on ASM and HGS. The percentage of lower ASM, HGS, and GS in men were all higher on elderly from nursing home; 40% vs 3,5% (p< 0,001), 88% vs 49% (p< 0,001), and 44% vs 3,5% (p< 0,001). In women, the ASM were similar 8,1% vs 7,2 % (p=0,86), while the percentage of lower HGS and GS were higher on nursing home; 84% vs 49,5% (p< 0,001), and 65% vs 7,2% (p< 0,001).
Elderly men from nursing home have lower muscle mass and physical performance, while elderly women from nursing home have lower physical performance.
Maria Rachmawati– Lecture, Faculty of Medicine, University of Gunadarma. Indonesian Association of Physical Medicine and Rehabilitation
Siti Nuhonni– Physiatrist (Geriatric Consultant), Indonesian Association of Physical Medicine and Rehabilitation
Magdalena Wartono– Lecture, Faculty of Medicine, University of Trisakti
Dian Mediana– Lecture, Faculty of Medicine, University of Trisakti
Debora Pranata– Member, Indonesian Medical Association