Studi korelasi antara sarkopenia dengan nilai bone mineral density (BMD) pada populasi geriatri di Desa Adat Kapal
DOI:
https://doi.org/10.36216/jpd.v4i1.93Keywords:
Sarcopenia, BMD, osteoporosis, geriatricAbstract
Background: Sarcopenia is a common condition in geriatric population. Prior studies suggest its relationship with decreased bone mineral density (BMD) level.
Objective: To determine the correlation between sarcopenia and bone mineral density among geriatric population.
Methods: This cross-sectional study employed random sampling method to select for participants. Study were invited to attend for assessments including bioelectrical impedance analysis (BIA) and digital handgrip dynamometer from which muscle mass and power were determined respectively, whilst bone mineral density was assessed using quantitative ultrasound densitometry (QUS). Data analysis was performed using SPSS 16.
Results: Sixty-six samples aged 60 to 77 years contributed data to the analysis in which 22.73% was sarcopenic. Abnormal BMD level (53%), low muscle mass (38%), low muscle power (28%), and low physical performance (29%) were assessed accordingly. Data analysis revealed correlation between BMD with muscle mass (r=0.282; p=0.023), age (r=-0.131; p=0.298), physical performance (r=-0.578; p=0.000), and handgrip (r=0.434; p=0.000). Comparative test yielded mean BMD level of -2,37 and -1,59 in sarcopenic and non-sarcopenic study respectively (p=0.003). There was positive correlation between sarcopenia and BMD level (r=0.373; p= 0.002).
Conclusion: Sarcopenia prevalence is relatively high in geriatric population. Lower BMD level is observed in sarcopenic population. There is strong positive correlation between sarcopenia and BMD level, thus reflecting lower level of BMD in sarcopenic patient. Factors associated with BMD level according to the strength of correlation are physical performance, muscle power, muscle mass, and age.
Downloads
References
2. Pagotto V and Silveira EA. Methods, diagnostic criteria, cutoff points and prevalence of sarcopenia among older people. The Scientific world of Journal 2014; 1-11
3. Cooper C, Fielding R, Visser M, Loon JV, Rolland Y, Orwoll E, et al. Tools in assessment of sarcopenia. Calcif Tissue Int 2013; 93: 201-10.
4. Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS et al. Sarcopenia in Asia : Consensus report of the Asian working for sarcopenia. Jamda 2014; 15: 95-101.
5. Rolland Y, Cserwinski S, Kan GAV, Morley JE, Cesari M, Onder G et al. Sarcopenia : Its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 2008; 12(7): 433-50.
6. Verschueren S, Gielen E, O’Neill TW, Pye SR, Adams JE, Ward KA et al. Osteoporosis Int 2013; 24: 87-98.
7. Pereira FB, Leite AF and Paula AP. Relationship between pre-sarcopenia, sarcopenia and bone mineral density in elderly men. Arch Endocrinol Metab 2015; 59.
8. Lee JE, Lee SR and Song HK. Muscle mass is a strong correlation factor of total hip BMD among Korean premenopausal woman. Osteoporosis and Sarcopenia 2016; 99-102.
9. Khazzani H, Allali F, Bennani L, Ichchou L, Mansouri LE, Abourazzak FE et al. The relationship between physical performance measures, bone mineral density, falls and the risk of peripheral fracture : a cross-sectional analysis. BMC Public Health 2009; 9: 297.
10. Lima RM, Bezerra LMA, Rabelo HT, Silva MAF, Silva AJR, Bottaro M et al. Fat-free mass, strength and sarcopenia are related to bone mineral density in older woman. Journal of Clinical Densitometry : Assessment of Skeletal Health 2009; 12(1): 35-41.
11. Taie WAMA and Rasheed AM. The correlation of body mass index, age, gender with bone mineral density in osteopenia osteoporosis : a study in the United Arab Emirates. Clinical Medicine and Diagnostics 2014; 4(3): 42-54.
Published
How to Cite
Issue
Section
Copyright (c) 2021 Jurnal Penyakit Dalam Udayana

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright Notice
The copyright to this article is transferred to JPD (including without limitation, the right to publish the work in whole or in part in any and all forms of media, now or hereafter known) effective if and when the article is accepted for publication thus granting JPD all rights for the work so that both parties may be protected from the consequences of unauthorized use.
The copyright transfer covers the exclusive right to reproduce and distribute the article, including reprints, translations, photographic reproductions, microform, electronic form (offline,online) or any other reproductions of similar nature.
The authors warrant that their contribution is an original work not published elsewhere, that they have the full power to make this grant and that the article contains no matter unlawful or which invades the right to privacy or infringes any proprietary right.