Diabetes Mellitus, ADl Disability and nutrition Intake: Determination Factors of Severe Sarcopenia among Elderly in Urban Nursing Homes Handajani Yvonne Suzy1, Widjaja Nelly Tina1, Turana Yuda2, Tengkawan Jeslyn3 1Department of Public Health, Atma Jaya University, Indonesia 2Department of Neurology, Atma Jaya University, Indonesia 3Center for Health Research, Faculty of Medicine, Atma Jaya University, Indonesia Online published on 3 April, 2018. Abstract Background Since the EWGSOP consensus was established, researchers were easier to create a ‘global map’ of sarcopenia, which revealed prevalence ranging from 5 to 33% in the various regions. Sarcopenia appears to be an age-related phenomenon, exacerbated, by a sedentary lifestyle, nutritional factors, and chronic disease. The objective of this study was to determine the relationship of sarcopenia and multiple factors in elderly. Methods This was a cross-sectional study of 138 subjects aged > 60 years who were recruited from four nursing homes in West Jakarta. Sarcopenia was measured by means of the bioelectrical impedance. The procedures for the measurement of blood pressure were adapted from JNC 7. All subjects underwent a standardized structural clinical evaluation along with routine blood tests. Chi Square and multinomial logistic regression tests were used to find relations between the sarcopenia and the multiple risk factors. Findings The percentages of subjects with mild sarcopenia, severe sarcopenia, non-sarcopenia were 50.7%, 8.0% and 41.3% respectively. After adjusting for confounding factors, gender (OR =12.81, 95% CI: 1.50–109.33), diabetes mellitus (OR= 4.10, 95% CI: 1.04–16.14), ADL-disability (OR= 4.18, 95% CI: 1.07–16.26), carbohydrate and energy intake (OR= 4.43, 95% CI: 1.11–17.71) (OR= 3.87, 95% CI: 1.01–15.28) were associated with sarcopenia, especially severe sarcopenia. Conclusion Sarcopenia is highly prevalent among elderly living in urban nursing homes, 58.7% and 8% who were categorized as having severe sarcopenia. Sarcopenia, especially severe sarcopenia influenced by multiple risk factors such as gender, diabetes mellitus, ADL disability and nutrition intake, mainly for carbohydrate and energy intake. Top Keywords Sarcopenia, risk factors, nursing home, elderly. Top |