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KMID : 1137920220470020090
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Journal of Agricultral Medicine & Community Health
2022 Volume.47 No. 2 p.90 ~ p.98
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Nutrition and Psychosocial Factors were associated with Possible Sarcopenia in the Rural Elderly
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Kim Bo-Kyoung
Lee Gyeong-Ye
Seo Ae-Rim
Kim Mi-Ji
Seo Sung-Hyo
Park Ki-Soo
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Abstract
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Objective: This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community.
Methods: The study included 1,019 subjects aged 60 and over. “Possible sarcopenia” was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia.
Results: MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy.
Conclusion: It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises.
Finally, it is also necessary to increase regular participation in community social activities.
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KEYWORD
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sarcopenia, nutritional status, psychosocial factor
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