ارتباط بین وضعیت تغذیه و سارکوپنی زنان مسن ساکن در مراکز نگهداری سالمندان شهر قزوین
کلمات کلیدی:
وضعیت تغذیه ای, زنان سالمند, سارکوپنیچکیده
هدف: سارکوپنی به عنوان یک بیماری با طیف وسیعی از سندرم های سالمندی و پیامدهای منفی سلامتی مرتبط است. هدف مطالعه حاضر تعیین وضعیت تغذیه و ارتباط با علائم سارکوپنی در زنان سالمند خانه سالمندان شهر قزوین بود. روشناسی : این مطالعه مقطعی و از نوع توصیفی تحلیلی است که بر روی زنان سالمند ساکن در خانه های سالمندان بخش دولتی شهر قزوین انجام شد. با استفاده از پرسشنامه های اطلاعات جمعیت شناختی، پرسشنامه تغذیه ای(MNA)، آزمون تشخیص سارکوپنی (ارزیابی قدرت عضلانی، دور ساق پا و عملکرد فیزیکی) و انجام تن سنجی از سوی محقق، اطلاعات 120 زن سالمند جمع آوری شد. آمار توصیفی و آزمون استباطی پیرسون برای تحلیل داده ها در سطح معناداری 05/0 استفاده شد. یافته ها : از نظر وضعیت تغذیه ای %33/28 افراد موردپژوهش دچار سوءتغذیه، %50 درخطر ابتلا به سوءتغذیه و %66/21 درصد از وضع تغذیه مطلوبی داشتند. همبستگی معنی داری بین وضعیت تغذیه مطلوب با قدرت عضلانی (04/0P=)، توده عضلانی (01/0P=) و عملکرد فیزیکی(03/0P=) وجود دارد. همچنین همبستگی معنی داری بین در معرض سو تغذیه بودن با قدرت عضلانی (001/0P=)، توده عضلانی (001/0P=) و عملکرد فیزیکی(001/0P=) مشاهده شد. وضعیت سوتغذیه ارتباط معنی داری با قدرت عضلانی (001/0P=)، توده عضلانی (01/0P=) و عملکرد فیزیکی(002/0P=) داشت.
نتیجه گیری: وضعیت تغذیه تعداد كمی از افراد، در سطح مطلوب قرار داشت. وضعیت تغذیه زنان سالمند با استانداردهای قابل قبول فاصله زیادی داشت. حفظ وضعیت تغذیه مناسب برای حفظ قدرت و توده عضلانی و عملکرد فیزیکی برای ارتقای کیفیت زندگی در بین زنان مسن مفید است.
دانلودها
مراجع
1. Mesinovic J, Rodriguez AJ, Cervo MM, Gandham A, Xu CLH, Glavas C, et al.
Vitamin D supplementation and exercise for improving physical function, body composition
and metabolic health in overweight or obese older adults with vitamin D deficiency: a pilot
randomized, double-blind, placebo-controlled trial. European Journal of Nutrition.
2023;62(2):951-64.
2. Partridge L, Deelen J, Slagboom PE. Facing up to the global challenges of ageing.
Nature. 2018;561(7721):45-56.
3. Dehdari T, Delvarinzadeh M, Araeian N, Khosravi F, Aisa B. Association of
Demographic and Some Age Related With Nutritional Status in Elderly in Nurs-ing Home
in Semnan. Iranian Journal of Ageing. 2018.
4. Shamsi A, Morandini MK, Ebadi A, Mousavi SQ. Trend of risk factors changes for
cardiovascular diseases in the elderly population in Iran. Galen Medical Journal.
2017;6(3):240-8.
5. Oh SK, Kim H, Kim YS, Lee CH, Oh JS, Kwon DH. The effect of newly designed
dual-channel elastomeric pump for intravenous patient-controlled analgesia after total
laparoscopic hysterectomy: a randomized, double-blind, prospective study. Perioperative
Medicine. 2022;11(1):52.
6. Guaitoli PR, Jansma EP, de Vet HC. Nutrition screening tools: does one size fit all?
A systematic review of screening tools for the hospital setting. Clinical nutrition.
2014;33(1):39-58.
7. Brunner S, Mayer H, Qin H, Breidert M, Dietrich M, Müller Staub M. Interventions
to optimise nutrition in older people in hospitals and long‐term care: Umbrella review.
Scandinavian journal of caring sciences. 2022;36(3):579-98.
8. Chwesiuk M, Małgorzewicz S. Analysis of NRS-2002 and SNAQ results of patients
in selected wards of a clinical hospital. Postępy Żywienia Klinicznego. 2024;19:13-9.
9. Barlow R, Price P, Reid TD, Hunt S, Clark GW, Havard TJ, et al. Prospective
multicentre randomised controlled trial of early enteral nutrition for patients undergoing
major upper gastrointestinal surgical resection. Clinical Nutrition. 2011;30(5):560-6.
10. Sieber CC. Malnutrition and sarcopenia. Aging clinical and experimental research.
2019;31:793-8.
11. Dent E, Hoogendijk E, Visvanathan R, Wright O. Malnutrition screening and
assessment in hospitalised older people: a review. The Journal of nutrition, health and aging.
2019;23(5):431-41.
12. Cho M-R, Lee S, Song S-K. A review of sarcopenia pathophysiology, diagnosis,
treatment and future direction. Journal of Korean Medical Science. 2022;37(18).
https://sport.bcnf.ir 17 صفحه
13. Papadopoulou SK. Sarcopenia: A contemporary health problem among older adult
populations. Nutrients. 2020;12(5):1293.
14. Nachvak SM, Abdollahzad H, Mostafai R, Moradi S, Pasdar Y, Rezaei M, et al.
Dietary diversity score and its related factors among employees of Kermanshah University
of Medical Sciences. Clinical nutrition research. 2017;6(4):247-55.
15. Beaudart C, Sanchez-Rodriguez D, Locquet M, Reginster J-Y, Lengelé L, Bruyère
O. Malnutrition as a Strong Predictor of the Onset of Sarcopenia. Nutrients.
2019;11(12):2883.
16. Chen L-K, Woo J, Assantachai P, Auyeung T-W, Chou M-Y, Iijima K, et al. Asian
Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and
treatment. Journal of the American Medical Directors Association. 2020;21(3):300-7. e2.
17. Petermann-Rocha F, Balntzi V, Gray S, Lara J, Ho F, Pell J, et al. Global prevalence
of sarcopenia and severe sarcopenia: a systematic review and meta-analysis. J Cachexia
Sarcopenia Muscle 13: 86–99. 2022.
18. Lim H-S. Association of dietary variety status and sarcopenia in Korean elderly.
Journal of Bone Metabolism. 2020;27(2):143.
19. Xie W-Q, Xiao G-L, Hu P-W, He Y-Q, Lv S, Xiao W-F. Possible sarcopenia: early
screening and intervention-narrative review. Annals of Palliative Medicine.
2020;9(6):4283293-4293.
20. Dent E, Morley J, Cruz-Jentoft A, Arai H, Kritchevsky S, Guralnik J, et al.
International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and
management. The journal of nutrition, health & aging. 2018;22:1148-61.
21. Jang E-H, Han Y-J, Jang S-E, Lee S. Association between diet quality and sarcopenia
in older adults: Systematic review of prospective cohort studies. Life. 2021;11(8):811.
22. Bagheri A, Soltani S, Hashemi R, Heshmat R, Motlagh AD, Esmaillzadeh A.
Inflammatory potential of the diet and risk of sarcopenia and its components. Nutrition
journal. 2020;19(1):1-8.
23. Bloom I, Shand C, Cooper C, Robinson S, Baird J. Diet quality and sarcopenia in
older adults: a systematic review. Nutrients. 2018;10(3):308.
24. Zhang J, Zhao A. Dietary diversity and healthy aging: A prospective study. Nutrients.
2021;13(6):1787.
25. Du Q, Lu Y, Hu F, Feng X, Zhang Y, Li S, et al. Dietary diversity and possible
sarcopenia among older people in China: a nationwide population-based study. Frontiers in
Nutrition. 2023;10.
26. Farajzadeh M, Gheshlagh RG, Sayehmiri K. Health related quality of life in iranian
elderly citizens: A systematic review and meta-analysis. International journal of community
based nursing and midwifery. 2017;5(2):100.
27. Tayeri S, Jafari M, Mohammadzadeh KA, Hosseini SM, Shahanaghi K.
Prioritization of the Criteria Affecting the Health of Elderly Women in Iran by Analytical
Hierarchy Process (AHP). Salmand: Iranian Journal of Ageing. 2022;17(1):76-95.
28. Liu J, Zhu Y, Tan JK, Ismail AH, Ibrahim R, Hassan NH. Factors Associated with
Sarcopenia among Elderly Individuals Residing in Community and Nursing Home Settings:
A Systematic Review with a Meta-Analysis. Nutrients. 2023;15(20):4335.
29. Dehdari T, Delvarianzadeh M, Ariaeean N, Khosravi F, Bahar A. Nutritional Status
and its Related Factors in Older People Residing in Nursing Homes in Semnan Province,
Iran, 2017. Salmand: Iranian Journal of Ageing. 2019;14(2):224-35.
30. Edington J, Barnes R, Bryan F, Dupree E, Frost G, Hickson M, et al. A prospective
randomised controlled trial of nutritional supplementation in malnourished elderly in the
community: clinical and health economic outcomes. Clinical nutrition. 2004;23(2):195-204.
31. Saeidlou SN, Merdol TK, Mikaili P, Bektaş Y. Assessment of the nutritional status
and affecting factors of elderly people living at six nursing home in Urmia, Iran.
International Journal of Academic Research. 2011;3(1).
32. Nuzzo JL. Narrative review of sex differences in muscle strength, endurance,
activation, size, fiber type, and strength training participation rates, preferences, motivations,
injuries, and neuromuscular adaptations. The Journal of Strength & Conditioning Research.
2022:10.1519.
33. Tan J-Y, Zeng Q-L, Ni M, Zhang Y-X, Qiu T. Association among calf
circumference, physical performance, and depression in the elderly Chinese population: a
cross-sectional study. BMC psychiatry. 2022;22(1):278.
34. Shafiee G, Ostovar A, Maleki Birjandi S, Nabipour I, Larijani B, Heshmat R.
Development of a simple and practical screening tool for detection of sarcopenia in older
people: The Bushehr Elderly Health Program. Frontiers in medicine. 2021;8:655759.
35. Du Q, Lu Y, Hu F, Feng X, Zhang Y, Li S, et al. Dietary diversity and possible
sarcopenia among older people in China: a nationwide population-based study. Frontiers in
Nutrition. 2023;10:1218453.
36. O'shea E, Trawley S, Manning E, Barrett A, Browne V, Timmons S. Malnutrition in
hospitalised older adults: a multicentre observational study of prevalence, associations and
outcomes. The Journal of nutrition, health and aging. 2017;21(7):830-6.
37. Zhang X, Edwards BJ. Malnutrition in older adults with cancer. Current oncology
reports. 2019;21:1-12.
38. Takhsha N, Shahraki Jazinaki M, Gheflati A, Rahbarinejad P, Jafarzadeh Esfehani
A, Norouzy A. Nutritional Status and Its Related Factors among Elderly Nursing Home
Residents. International Journal of Nutrition Sciences. 2024;9(3):210-6.
39. Hua N, Zhang Y, Tan X, Liu L, Mo Y, Yao X, et al. Nutritional status and sarcopenia
in nursing home residents: A cross-sectional study. International Journal of Environmental
Research and Public Health. 2022;19(24):17013.
40. Aliabadi M, kimiagar M, Ghayour-Mobarhan M, Shakeri M, Nemary M, Ilaty A.
Prevalence of malnutrition in free living elderly people in Iran: A cross-sectional study. Asia
Pacific Journal Of Clinical Nutrition. 2008;17(2):285-9.
41. Lashkarboloki F, Aryaei M, Djazayery A, Eftekhar-Ardebily H, Minaei M.
Association of demographic, socio-economic features and some health problems with
nutritional status in elderly. Iranian Journal of Nutrition Sciences and Food Technology.
2015;9(4):27-34.
42. Crichton M, Craven D, Mackay H, Marx W, De Van Der Schueren M, Marshall S.
A systematic review, meta-analysis and meta-regression of the prevalence of protein-energy
malnutrition: associations with geographical region and sex. Age and ageing. 2019;48(1):38-
48.
43. Zhang L, Liao J, Pan X, Liang D, Zeng J, Sun M, et al. How to make more people
adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their
association of community residents in Shenzhen, China. Frontiers in Public Health.
2022;10:900883.
44. Machado RP, Coelho MSC. Risk of malnutrition among Brazilian institutionalized
elderly: a study with the Mini Nutritional Assessment (MNA) questionnaire. The Journal of
nutrition, health and aging. 2011;15(7):532-5.
45. Zgheib E, Ramia E, Hallit S, Boulos C, Salameh P. Factors associated with functional
disability among Lebanese elderly living in rural areas: role of polypharmacy, alcohol
consumption, and nutrition-based on the Aging and Malnutrition in Elderly Lebanese
(AMEL) Study. Journal of epidemiology and global health. 2018;8(1):82-90.
46. Doherty TJ. Invited review: aging and sarcopenia. Journal of applied physiology.
2003;95(4):1717-27.
47. Chang C-F, Yeh Y-L, Chang H-Y, Tsai S-H, Wang J-Y. Prevalence and risk factors
of sarcopenia among older adults aged≥ 65 years admitted to daycare centers of Taiwan:
Using AWGS 2019 guidelines. International journal of environmental research and public
health. 2021;18(16):8299.
48. Benzinger P, Bauer JM, Schwenk M, Grund S, Goisser S. Treatment of sarcopenia
in nursing home residents: a scoping review protocol. BMJ open. 2020;10(8):e037531.
49. Sanchez C, Benavides J, Arias E. Sarcopenia prevalence in a nursing home. MOJ
Gerontol Ger. 2023;8(2):29-32.
50. Ramadas A, Law HH, Krishnamoorthy R, Ku JWS, Mohanty P, Lim MZC, et al.
Diet quality and measures of sarcopenia in developing economies: a systematic review.
Nutrients. 2022;14(4):868.
51. Calcaterra L, van Kan GA, Steinmeyer Z, Angioni D, Proietti M, Sourdet S.
Sarcopenia and poor nutritional status in older adults. Clinical Nutrition. 2024;43(3):701-7.
52. Hu X, Zhang L, Wang H, Hao Q, Dong B, Yang M. Malnutrition-sarcopenia
syndrome predicts mortality in hospitalized older patients. Scientific reports.
2017;7(1):3171.
53. Kim H, Suzuki T, Kim M, Kojima N, Yoshida Y, Hirano H, et al. Incidence and
predictors of sarcopenia onset in community-dwelling elderly Japanese women: 4-year
follow-up study. Journal of the American Medical Directors Association. 2015;16(1):85. e1-
. e8.
54. Alexandre TdS, Duarte YAdO, Santos JLF, Lebrão ML. Prevalence and associated
factors of sarcopenia, dynapenia, and sarcodynapenia in community-dwelling elderly in São
Paulo-SABE Study. Revista Brasileira de Epidemiologia. 2019;21:e180009.
55. Yoshida D, Suzuki T, Shimada H, Park H, Makizako H, Doi T, et al. Using two
different algorithms to determine the prevalence of sarcopenia. Geriatrics & gerontology
international. 2014;14:46-51.
56. Woo J, Leung J, Sham A, Kwok T. Defining sarcopenia in terms of risk of physical
limitations: a 5‐year follow‐up study of 3,153 Chinese men and women. Journal of the
American Geriatrics Society. 2009;57(12):2224-31.
57. Di Monaco M, Castiglioni C, De Toma E, Gardin L, Giordano S, Di Monaco R, et
al. Presarcopenia and sarcopenia in hip-fracture women: prevalence and association with
https://sport.bcnf.ir 20 صفحه
ability to function in activities of daily living. Aging clinical and experimental research.
2015;27:465-72.
58. Moreira MA, Zunzunegui MV, Vafaei A, Câmara SMd, Oliveira TS, Maciel ÁC.
Sarcopenic obesity and physical performance in middle aged women: a cross-sectional study
in Northeast Brazil. BMC Public Health. 2015;16:1-10.
59. Hai S, Cao L, Wang H, Zhou J, Liu P, Yang Y, et al. Association between sarcopenia
and nutritional status and physical activity among community‐dwelling Chinese adults aged
60 years and older. Geriatrics & gerontology international. 2017;17(11):1959-66.
60. Liguori I, Curcio F, Russo G, Cellurale M, Aran L, Bulli G, et al. Risk of malnutrition
evaluated by mini nutritional assessment and sarcopenia in noninstitutionalized elderly
people. Nutrition in Clinical Practice. 2018;33(6):879-86.
61. Park Y-S, Hong H-P, Ryu S-r, Lee S, Shin W-S. Effects of textured food masticatory
performance in older people with different dental conditions. BMC geriatrics.
2022;22(1):384.
62. Alatas H, Serin Y, Arslan N. Nutritional Status and Risk of Sarcopenia among
Hospitalized Older Adults Residing in a Rural Region in Turkey. Annals of geriatric
medicine and research. 2023;27(4):293.
63. Easton JF, Stephens CR, Román-Sicilia H, Cesari M, Pérez-Zepeda MU.
Anthropometric measurements and mortality in frail older adults. Experimental gerontology.
2018;110:61-6.
64. Kusaka S, Takahashi T, Hiyama Y, Kusumoto Y, Tsuchiya J, Umeda M. Large calf
circumference indicates non-sarcopenia despite body mass. Journal of physical therapy
science. 2017;29(11):1925-8.
65. Sato PHR, Ferreira AA, Rosado EL. The prevalence and risk factors for sarcopenia
in older adults and long-living older adults. Archives of gerontology and geriatrics.
2020;89:104089.
66. Murawiak M, Krzymińska-Siemaszko R, Kaluźniak-Szymanowska A,
Lewandowicz M, Tobis S, Wieczorowska-Tobis K, et al. Sarcopenia, obesity, sarcopenic
obesity and risk of poor nutritional status in polish community-dwelling older people aged
60 years and over. Nutrients. 2022;14(14):2889.
67. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al.
Sarcopenia: revised European consensus on definition and diagnosis. Age and ageing.
2019;48(1):16-31.
68. Granic A, Sayer AA, Robinson SM. Dietary patterns, skeletal muscle health, and
sarcopenia in older adults. Nutrients. 2019;11(4):745.
69. Coelho-Junior HJ, Milano-Teixeira L, Rodrigues B, Bacurau R, Marzetti E, Uchida
M. Relative protein intake and physical function in older adults: a systematic review and
meta-analysis of observational studies. Nutrients. 2018;10(9):1330.
70. Carbone JW, McClung JP, Pasiakos SM. Recent advances in the characterization of
skeletal muscle and whole-body protein responses to dietary protein and exercise during
negative energy balance. Advances in Nutrition. 2019;10(1):70-9.