Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care
Objectives: Sarcopenia is a prevalent systemic skeletal muscle disease common among older adults and those with chronicdiseases. It is associated with poor health outcomes and economic implications, including higher healthcare costs, increased need for long-term care, and reduced productivity. There...
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Brazilian Society of Geriatrics and Gerontology
2025-06-01
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| Series: | Geriatrics, Gerontology and Aging |
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| Online Access: | https://cdn.publisher.gn1.link/ggaging.com/pdf/v19e0000231.pdf |
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| author | Hérika Maria Silveira Ruas Luciana Mara Barbosa Pereira Carla Dayane Durães Abreu Yara Cristina de Paiva Maia Eli Carlos Pereira de Jesus Luciana Colares Maia Renato Sobral Monteiro-Junior Sérgio Henrique Sousa Santos Desirée Sant'Ana Haikal Alfredo Maurício Batista de Paula |
| author_facet | Hérika Maria Silveira Ruas Luciana Mara Barbosa Pereira Carla Dayane Durães Abreu Yara Cristina de Paiva Maia Eli Carlos Pereira de Jesus Luciana Colares Maia Renato Sobral Monteiro-Junior Sérgio Henrique Sousa Santos Desirée Sant'Ana Haikal Alfredo Maurício Batista de Paula |
| author_sort | Hérika Maria Silveira Ruas |
| collection | DOAJ |
| description | Objectives: Sarcopenia is a prevalent systemic skeletal muscle disease common among older adults and those with chronicdiseases. It is associated with poor health outcomes and economic implications, including higher healthcare costs, increased need for long-term care, and reduced productivity. Therefore, a rapid identification of older adults at high risk for sarcopenia may be a priority in all public healthcare settings. This study investigated predictive factors for probable sarcopenia and sarcopenia in older adults in outpatient care. Methods: This cross-sectional study analyzed 511 Brazilian older adults (mean age=75.9±8.0 years, male-to-female ratio=1:1.62) followed at a public outpatient geriatrics clinic. Probable sarcopenia was defined by low skeletal muscle strength (SMS) as measured with a handgrip strength test. A diagnosis of sarcopenia was established when both SMS and calf circumference measurements were reduced. Variables were grouped according to demographic, body and appendicular anthropometric measurements, clinical, nutritional, and oral health status. Multinomial logistic regression analysis examined the relationship between independent variables and outcomes. Results: Probable sarcopenia was predicted by higher height (OR 1.06, 95%CI 1.03–1.08), lower mid-upper arm bone-free muscle area (OR 1.74, 95%CI 1.04–2.89), and diagnosis of edentulism (OR 2.03, 95%CI 1.32–3.14). In turn, sarcopenia diagnosis was predicted by lower mid-upper arm muscle circumference (OR 0.69, 95%CI 0.58–0.81), malnutrition (OR 3.24, 95%CI 1.25–8.40), and risk of sarcopenia (OR 7.98, 95%CI 3.04–20.99), and a reduced number of functional tooth units (OR 0.92, 95%CI 0.86–0.99). Advancing age predicted both probable sarcopenia (OR 1.05, 95%CI 1.02–1.08) and sarcopenia (OR 1.05, 95%CI 1.01–1.11). Conclusion: Appendicular anthropometric measurements and nutritional and oral health exams using reliable, low-cost, and easy-to-apply assessment methods emerged as accessible predictors of both probable sarcopenia and sarcopenia. |
| format | Article |
| id | doaj-art-ae60e3cb81f641f1b0f4e808ced3eb05 |
| institution | OA Journals |
| issn | 2447-2123 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Brazilian Society of Geriatrics and Gerontology |
| record_format | Article |
| series | Geriatrics, Gerontology and Aging |
| spelling | doaj-art-ae60e3cb81f641f1b0f4e808ced3eb052025-08-20T02:07:41ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232025-06-011911110.53886/gga.e0000231_ENPredictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric careHérika Maria Silveira Ruas0https://orcid.org/0009-0002-7401-8871Luciana Mara Barbosa Pereira1https://orcid.org/0000-0003-1752-7581Carla Dayane Durães Abreu2https://orcid.org/0000-0003-2477-146XYara Cristina de Paiva Maia3https://orcid.org/0000-0001-9169-5028Eli Carlos Pereira de Jesus4https://orcid.org/0000-0003-2071-6287Luciana Colares Maia5https://orcid.org/0000-0001-6359-3593Renato Sobral Monteiro-Junior6https://orcid.org/0000-0002-8472-262XSérgio Henrique Sousa Santos7https://orcid.org/0000-0002-7788-5447Desirée Sant'Ana Haikal8https://orcid.org/0000-0002-0331-0747Alfredo Maurício Batista de Paula9https://orcid.org/0000-0002-8715-0030Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Instituto Nacional de Ciência e Tecnologia, Universidade Federal de Uberlândia – Uberlândia (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Objectives: Sarcopenia is a prevalent systemic skeletal muscle disease common among older adults and those with chronicdiseases. It is associated with poor health outcomes and economic implications, including higher healthcare costs, increased need for long-term care, and reduced productivity. Therefore, a rapid identification of older adults at high risk for sarcopenia may be a priority in all public healthcare settings. This study investigated predictive factors for probable sarcopenia and sarcopenia in older adults in outpatient care. Methods: This cross-sectional study analyzed 511 Brazilian older adults (mean age=75.9±8.0 years, male-to-female ratio=1:1.62) followed at a public outpatient geriatrics clinic. Probable sarcopenia was defined by low skeletal muscle strength (SMS) as measured with a handgrip strength test. A diagnosis of sarcopenia was established when both SMS and calf circumference measurements were reduced. Variables were grouped according to demographic, body and appendicular anthropometric measurements, clinical, nutritional, and oral health status. Multinomial logistic regression analysis examined the relationship between independent variables and outcomes. Results: Probable sarcopenia was predicted by higher height (OR 1.06, 95%CI 1.03–1.08), lower mid-upper arm bone-free muscle area (OR 1.74, 95%CI 1.04–2.89), and diagnosis of edentulism (OR 2.03, 95%CI 1.32–3.14). In turn, sarcopenia diagnosis was predicted by lower mid-upper arm muscle circumference (OR 0.69, 95%CI 0.58–0.81), malnutrition (OR 3.24, 95%CI 1.25–8.40), and risk of sarcopenia (OR 7.98, 95%CI 3.04–20.99), and a reduced number of functional tooth units (OR 0.92, 95%CI 0.86–0.99). Advancing age predicted both probable sarcopenia (OR 1.05, 95%CI 1.02–1.08) and sarcopenia (OR 1.05, 95%CI 1.01–1.11). Conclusion: Appendicular anthropometric measurements and nutritional and oral health exams using reliable, low-cost, and easy-to-apply assessment methods emerged as accessible predictors of both probable sarcopenia and sarcopenia.https://cdn.publisher.gn1.link/ggaging.com/pdf/v19e0000231.pdfhealth services for older adultsnutritional statusdental health surveyssarcopenia |
| spellingShingle | Hérika Maria Silveira Ruas Luciana Mara Barbosa Pereira Carla Dayane Durães Abreu Yara Cristina de Paiva Maia Eli Carlos Pereira de Jesus Luciana Colares Maia Renato Sobral Monteiro-Junior Sérgio Henrique Sousa Santos Desirée Sant'Ana Haikal Alfredo Maurício Batista de Paula Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care Geriatrics, Gerontology and Aging health services for older adults nutritional status dental health surveys sarcopenia |
| title | Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| title_full | Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| title_fullStr | Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| title_full_unstemmed | Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| title_short | Predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| title_sort | predictors of probable sarcopenia and sarcopenia in older adults under outpatient geriatric care |
| topic | health services for older adults nutritional status dental health surveys sarcopenia |
| url | https://cdn.publisher.gn1.link/ggaging.com/pdf/v19e0000231.pdf |
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