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Original Study| Volume 22, ISSUE 4, P859-864.e1, April 2021

High Prevalence of Probable Sarcopenia in a Representative Sample From Colombia: Implications for Geriatrics in Latin America

  • Miguel Ángel Pérez-Sousa
    Affiliations
    Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain

    Epidemiology of Physical Activity and Fitness Across Lifespan research group, University of Seville, Seville, Spain
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  • Jesús del Pozo-Cruz
    Affiliations
    Epidemiology of Physical Activity and Fitness Across Lifespan research group, University of Seville, Seville, Spain

    Department of Physical Education and Sport, University of Seville, Seville, Spain
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  • Carlos A. Cano-Gutiérrez
    Affiliations
    Hospital Universitario San Ignacio, Aging Institute, Pontificia Universidad Javeriana, Bogotá, Colombia
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  • Mikel Izquierdo
    Correspondence
    Address correspondence to Mikel Izquierdo, PhD, Department of Health Sciences, Public University of Navarra, Av De Barañain s/n 31008, Pamplona, Navarra, Spain.
    Affiliations
    Navarrabiomed-Universidad Pública de Navarra (UPNA), Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain

    CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Pamplona, Navarra, Spain
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  • Robinson Ramírez-Vélez
    Affiliations
    Navarrabiomed-Universidad Pública de Navarra (UPNA), Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain

    CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Pamplona, Navarra, Spain
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Published:November 13, 2020DOI:https://doi.org/10.1016/j.jamda.2020.10.021

      Abstract

      Objectives

      The European Working Group on Sarcopenia in Older People 2 (EWGSOP2) recently defined the new concept of probable sarcopenia to help improve screening and prevent future sarcopenia. We investigated the prevalence of probable sarcopenia, defined as weak grip strength, in community-dwelling older Colombian adults, and examined the long-term associated conditions.

      Design

      Cross-sectional study.

      Setting

      Urban and rural Colombian older adults from the “Estudio Nacional de Salud, Bienestar y Envejecimiento (SABE) study”.

      Participants

      5237 Colombian older adults aged ≥60 years.

      Measurements

      Probable sarcopenia was assessed following the cut-off points for weak grip strength recommended by EWGSOP2 guidelines. Odds ratios (ORs) of the relationship between long-term conditions and probable sarcopenia were determined using logistic regression.

      Results

      The prevalence of probable sarcopenia defined as weak grip strength was 46.5% [95% confidence interval (CI), 45.1-47.8]. Physical inactivity “proxy” (OR 1.35, 95% CI 1.14-1.59); diabetes (OR 1.32, 95% CI 1.11-1.56); and arthritis, osteoarthritis, and rheumatism (OR 1.44, 95% CI 1.25-1.67) were independently associated with probable sarcopenia.

      Conclusions and Implications

      We found that almost half of all the Colombian older adults in our sample had probable sarcopenia. Individuals with physical inactivity, diabetes, arthritis, or osteoarthritis and rheumatism had a higher prevalence of probable sarcopenia. Probable sarcopenia is clinically highly relevant, and several of the factors associated with this condition are potentially preventable, treatable, and reversible.

      Keywords

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