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자료유형
학술저널
저자정보
Hsien Xiong Lee (Department of Geriatric Medicine Woodlands Health Campus Singapore) Audrey Yeo (Institute of Geriatrics and Active Ageing Tan Tock Seng Hospital Singapore) Cai Ning Tan (Institute of Geriatrics and Active Ageing Tan Tock Seng Hospital Singapore) Suzanne Yew (Institute of Geriatrics and Active Ageing Tan Tock Seng Hospital Singapore) Laura Tay (Department of Internal Medicine Sengkang Hospital Singapore) Yew Yoong Ding (Institute of Geriatrics and Active Ageing Tan Tock Seng Hospital Singapore) Wee Shiong Lim (Department of Geriatric Medicine Tan Tock Seng Hospital Singapore)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.25 No.3
발행연도
2021.9
수록면
210 - 216 (7page)
DOI
10.4235/agmr.21.0068

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Background: While sarcopenia and frailty independently contribute to functional impairment and disability, the combined impact resulting from their interplay is unclear. We investigated if functional, physical, cognitive, and nutritional measures were more adversely affected in community-dwelling older adults who were screened positive for both frailty and sarcopenia. Methods: Using the FRAIL (≥1) and SARC-F (Strength, Assistance with walking, Rising from a chair, Climbing stairs, and Falls) (≥1) scales for screening, we categorized 200 participants (age, 67.9±7.9 years) as combined (both positive, 12.5%), intermediate (either positive, 25.5%), or robust (both negative, 62%). Results: Comparisons of the three groups showed that the combined group had significantly worse functional ability (Frenchay Activities Index and Modified Barthel Index), physical performance (knee extension, gait speed, and Short Physical Performance Battery score), cognition/mood (Chinese Mini-Mental State Examination [CMMSE] score and Geriatric Depression Scale), and nutrition (Mini Nutritional Assessment [MNA] score) (p<0.05, one-way analysis of variance). Post-hoc comparisons revealed similar findings between the combined and robust groups, except for knee extension and CMMSE scores. Only MNA scores were significantly lower between the intermediate and robust groups. Conclusion: Functional ability, physical performance, and nutrition were more adversely affected in our study population of community-dwelling older adults who screened positive for both frailty and sarcopenia than in those who screened positive for either or neither, supporting the use of community screening for early detection and intervention for both frailty and sarcopenia as opposed to either alone.

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