Caribbean Medical Journal (Aug 2023)

An evaluation of the prevalence of probable sarcopenia in older adults in a single centre in Trinidad and Tobago

  • Dr. Jo-Anne Kissoon

Abstract

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Objectives To assess the prevalence of probable sarcopenia, defined as weak handgrip strength, in community dwelling older adults, for a cohort in Trinidad and Tobago, using guidelines issued by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Secondly, to investigate the association between probable sarcopenia and factors such as sex, age, ethnicity, diabetes, metformin usage, protein intake, multiple comorbidities, level of alcohol consumption and physical activity. Method This was a cross-sectional cohort study comprising of adults aged ≥ 60 years. SARC-F scores ≥ 4 were used to screen for probable sarcopenia and the EWGSOP2 criteria, low grip strength (4 (p<0.001), number of diseases (p = 0.04), and minimal physical activity (p=0.01). In multivariate analyses, only socio-demographic variables and SARC-F but no lifestyle factors were significantly associated with probable sarcopenia. Conclusion This study found that almost 1 in every 3 persons of age above 60 years had probable sarcopenia, which was more common in males than in females. Age, sex, race, and SARC-F were significantly associated with probable sarcopenia in adjusted analyses.