Correlation of sarcopenia with orthopedic disorders, history of falls, and polypharmacy among community-dwelling older adults

DOI Open Access
  • MAIZAKO Hyuma
    School of Health Sciences, Faculty of Medicine, Kagoshima University
  • SHIRATSUCHI Daijo
    Graduate School of Health Sciences, Kagoshima University Department of Rehabilitation, Japan Community Health Care Organization Kumamoto General Hospital
  • SHIIBA Ryuhei
    Graduate School of Health Sciences, Kagoshima University Department of Rehabilitation, Tarumizu Municipal Medical Center Tarumizu Chuo Hospital
  • TANIGUCHI Yoshiaki
    Graduate School of Health Sciences, Kagoshima University Department of Physical Therapy, Kagoshima Medical Professional College
  • KUBOZONO Takuro
    Graduate School of Medical and Dental Sciences, Kagoshima University
  • OHISHI Mitsuru
    Graduate School of Medical and Dental Sciences, Kagoshima University

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Other Title
  • 地域在住高齢者における運動器疾患，転倒歴および多剤併用と サルコペニアとの関連

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<p>Objective: This study aimed to examine the correlation of sarcopenia with orthopedic disorders, history of falls, and polypharmacy among community-dwelling older adults.</p><p>Methods: Data from 905 older adults who participated in community-based health check-up were analyzed. Participants were asked to provide their history of orthopedic disorders, number of prescription medicines, and experience of fall during the past year. Sarcopenia was assessed based on the AWGS2019 criteria.</p><p>Results: The prevalence rate of sarcopenia was 18.3 % (n = 166). Although participants with osteoporosis showed a higher prevalence rate, there were no associations of sarcopenia with osteoarthritis and spinal disease. In the logistic regression analyses, there was no significant association between orthopedic disorders and sarcopenia, whereas history of falls (odds ratio = 1.65) and polypharmacy (≥6) (odds ratio = 1.56) were significantly associated with sarcopenia.</p><p>Conclusions: A higher prevalence rate of sarcopenia was observed in older adults with osteoporosis. However, there was no significant association found between sarcopenia and orthopedic disorders, including osteoporosis in the multivariate analysis, whereas history of falls and polypharmacy were determined as associated factors with sarcopenia among community-dwelling older adults.</p>

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