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Associations between Frailty in Older Adults and Malnutrition in Rural Areas: 2019 Updated Version of the Asian Working Group for Sarcopenia

Yonsei Medical Journal 2021년 62권 3호 p.249 ~ 254
서애림, 김미지, 김보경, 서영미, 이경예, 박기수, 유준일,
소속 상세정보
서애림 ( Seo Ae-Rim ) - Gyeongsang National University College of Medicine Department of Preventive Medicine
김미지 ( Kim Mi-Ji ) - Gyeongsang National University College of Medicine Department of Preventive Medicine
김보경 ( Kim Bo-Kyoung ) - Gyeongsang National University College of Medicine Department of Preventive Medicine
서영미 ( Seo Young-Mi ) - Gyeongsang National University Hospital Center for Farmer’s Safety and Health
이경예 ( Lee Gyeong-Ye ) - Gyeongsang National University Hospital Center for Farmer’s Safety and Health
박기수 ( Park Ki-Soo ) - Gyeongsang National University College of Medicine Department of Preventive Medicine
유준일 ( Yoo Jun-Il ) - Gyeongsang National University Hospital Department of Orthopaedic Surgery

Abstract


Purpose: The purpose of this study was to evaluate the prevalence of frailty among an older adult population living in rural communities and to determine if frailty is associated with nutritional status after adjusting for sarcopenia and depression.

Materials and Methods: This research used baseline data from the Namgaram-2 study. Frailty was evaluated using the Kaigo-Yobo checklist in an older Korean population. The nutritional statuses of older people were measured using the Korean version of the mini nutritional assessment (MNA). The recent criteria of the Asian Working Group for Sarcopenia were applied for diagnosis of sarcopenia, and depression was assessed using the Geriatric Depression Scale-Short Form.

Results: The prevalence of frailty was 18.8% (male: 9.6%; female: 23.4%) and was significantly higher in individuals in their 80s [male, 35.3% (p<0.001); female, 42.3% (p<0.001)], those of poor economic status [male, 18.2% (p=0.012); female, 34.9% (p<0.001)], those with hypertension [female, 27.7% (p=0.008)], those with sarcopenia [male, 34.1% (p<0.001); female, 37.2% (p<0.001)], those with depression [male, 46.4% (p<0.001); female, 51.7% (p<0.001)], and those at high risk of malnutrition [male, 44.4% (p<0.001); female, 51.7% (p<0.001)]. After adjusting for demographic variables, including hypertension, diabetes, sarcopenia and depression, frailty was significantly associated with nutritional status [male: odds ratio (OR)=6.73, 95% confidence interval (CI), 1.84?24.65; female: OR=4.83, 95% CI, 2.88?8.11].

Conclusion: For older adults, MNA is a suitable tool of use in assessing both nutritional status and frailty. Moreover, the nutritional status of older adults appears to be associated with frailty, even after corrections for physical and psychological function.

키워드

Frailty; sarcopenia; malnutrition; depression; older adult

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