Volume 19 Issue 5
May  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(5): 821-824, 845
ZHOU Xuan, CHEN Wen-ying, ZHANG Shan, HONG Xiu-fang, XIONG Yan-hua. Study on the relationship between different degrees of sarcopenia and the risk of falls in the elderly in the community[J]. Chinese Journal of General Practice, 2021, 19(5): 821-824, 845. doi: 10.16766/j.cnki.issn.1674-4152.001926
Citation: ZHOU Xuan, CHEN Wen-ying, ZHANG Shan, HONG Xiu-fang, XIONG Yan-hua. Study on the relationship between different degrees of sarcopenia and the risk of falls in the elderly in the community[J]. Chinese Journal of General Practice, 2021, 19(5): 821-824, 845. doi: 10.16766/j.cnki.issn.1674-4152.001926
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Study on the relationship between different degrees of sarcopenia and the risk of falls in the elderly in the community

doi: 10.16766/j.cnki.issn.1674-4152.001926

  • Department of General Medicine, Zhejiang Hospital, Hangzhou, Zhejiang 310000, China

Funds:

 2019KY005

 2020KY386

  • Received Date: 2020-04-05
    Available Online: 2022-02-16
    Abstract
  •   Objective  The aim of this study was to explore the relationship between sarcopenia and the risk of falls among the elderly in the community.  Methods  This study selected 500 elderly people in the districts of five community street health service centers in Hangzhou as the research objects, and divide them into Non-myopathy group, pre-sarcopenia group, myopathy group and severe myopathy group, the postural stability related indexes were measured in random sequence, and the factors related to fall risk in patients with different degrees of myopathy were analyzed by single factor analysis and Spearman analysis.  Results  The average speed of centre of pressure (CoP) in the severe stage of sarcopenia is significantly higher in feet apart/eyes closed feet apart with eyes closed (FAEC), feet together/eyes open feet close together eyes open (FTEO) and feet together/eyes closed feet together eyes close (FTEC) than in the prophase of non-sarcopenia and pre-sarcopenia. the mediolateral (ML) movement distance in the severe stage of sarcopenia is significantly longer in Feet apart with eyes open (FAEO), FAEC, FTEO and FTEC than in the non-sarcopenia and pre-sarcopenia (all P < 0.05), while the difference in anteroposterior (AP) movement distance is not statistically significant (P > 0.05). There were statistically significant differences in age, smoking history, drinking history, fall history in the past year, impaired balance function, decreased reaction, lower limb muscle strength, body mass index (BMI) and modified falls efficacy scale (MFES) scores among the four groups (all P < 0.05); Spearman analysis found that different degrees of myopathy were positively correlated with impaired balance function, decreased response and decreased lower limb muscle strength, while negatively correlated with BMI. The severity of sarcopenia and sarcopenia were positively correlated with the fall history and MFES score in the past year. The severity of sarcopenia was also positively correlated with the drinking history, CoP average speed and ML moving distance.  Conclusion  The risk of falls in the elderly with severe stage of sarcopenia is related to the history of falls, decreased response, lower limb muscle strength, impaired balance function, posture stability, and fear of falls in the past year. Community intervention strategies should be improved based on these risk factors.

     

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