Sarcopenia and fall-related injury among older adults in five low- and middle-income countries.

Journal: Experimental gerontology

Volume: 147

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy. Electronic address: nicola.veronese@unipa.it. The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB PT, UK. Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy. Department of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, Canada; Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada. Exercise & Mental Health Laboratory, Institute of Mental Health, School of Psychology, Shenzhen University, , China. Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain.

Abstract summary 

Sarcopenia is a common condition in older people and increasing evidence suggests that it can be considered as a potential risk factor for falls and fractures. However, no studies on this topic from low- and middle-income countries (LMICs) are available. Thus, we assessed this association among older adults from five LMICs (China, India, Ghana, Mexico, and Russia). Community-based, nationally representative, cross-sectional data of the Study on Global Aging and Adult Health were analyzed. Sarcopenia was defined as the presence of low skeletal muscle mass based on indirect population formula, and either slow gait or low handgrip strength. The presence of fall-related injury was ascertained through self-reported information. Multivariable logistic regression analysis and meta-analysis were conducted. The sample consisted of 13,101 individuals aged ≥65 years (mean (SD) age 72.6 (11.3) years; 45% males). The prevalence of fall-related injury was higher among those with sarcopenia than in those without this condition (e.g., Mexico 9.8% vs. 2.7%). Adjusted analyses showed that sarcopenia was associated with a 1.85 (95%CI = 1.24-2.77) times higher odds for fall-related injury, with a low level of between-country heterogeneity. Future studies of longitudinal design may shed light on whether sarcopenia in LMICs may be considered as a risk factor for falls.

Authors & Co-authors:  Veronese Nicola N Smith Lee L Barbagallo Mario M Yang Lin L Zou Liye L Haro Josep Maria JM Koyanagi Ai A

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.exger.2021.111262
SSN : 1873-6815
Study Population
Male,Female
Mesh Terms
Accidental Falls
Other Terms
Falls;Low- and middle-income countries;Older people;Sarcopenia
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
England