Cited by 302Nutrition and Health in AgingFrailty in Older AdultsMuscle Physiology and Disorders

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Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle function

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dos Santos, Leandro, Cyrino, Edilson S., Antunes, Melissa, Santos, Diana A., Sardinha, Luís B.·2017·Journal of Cachexia, Sarcopenia and Muscle

DOI 10.1002/jcsm.12160PMC PMC5377449

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Abstract

Background: The loss of skeletal muscle mass (MM) or muscle function (MF) alone increases the risk for losing physical independence in older adults. We aimed to examine the independent and synergic associations of low MM and low MF, both criteria of sarcopenia, with the risk for losing projected physical independence in later life (+90 years old). Methods: Cross‐sectional analyses were conducted in 3493 non‐institutionalized older adults (1166 males). Physical independence was assessed with a 12‐item composite physical function scale. Logistic regression was used to estimate the odds‐ratio (OR) for being at risk for losing physical independence. Results: Approximately 30% of the participants were at risk for losing physical independence at 90 years of age. Independent analysis demonstrated that participants with low MM had 1.65 (95%CI: 1.27–2.31) increased odds for being at risk for losing physical independence and participants with low MF had 6.19 (95%CI 5.08–7.53) increased odds for being at risk. Jointly, having a low MM and a low MF increased the risk for losing physical independence to 12.28 (95%CI 7.95 to 18.96). Conclusions: Although low MM represents a risk factor for losing physical independence, low MF seems to play a more dominant role in this relationship, with the presence of both sarcopenia criteria representing a substantial risk for losing physical independence in later life.

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Authors: dos Santos, L., Cyrino, E. S., Antunes, M., Santos, D. A., & Sardinha, L. B.
Affiliations: Universidade Estadual de Londrina (BR)
Study and Research Group in Metabolism, Nutrition, and Exercise GEPEMENE State University of Londrina ‐ UEL Londrina Brazil
University of Lisbon (PT)
Corresponding author: Sardinha, Luís B.
ORCID: dos Santos, Leandro
Santos, Diana A.
Sardinha, Luís B.
Venue: Journal of Cachexia, Sarcopenia and Muscle
Publisher: Wiley
Published: 2016-11-08
Volume: 8
Issue: 2
Pages: 245-250
ISSN: 2190-5991 (ISSN-L)
2190-6009
DOI: 10.1002/jcsm.12160
PMC: PMC5377449
OpenAlex: W2559775223
Cited by: 302
References: 42
Citations by year: 2026: 37 · 2025: 36 · 2024: 47 · 2023: 31 · 2022: 31 · 2021: 47 · 2020: 24 · 2019: 23 · 2018: 18 · 2017: 8
FWCI: 13.15
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: Journal of Cachexia Sarcopenia and Muscle (publishedVersion, cc-by-nc-nd)
PubMed Central (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Funders: Fundação para a Ciência e a Tecnologia (SFRH/BPD/92462/2013)
Topics: Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
Keywords: sarcopenia, physical independence, older adults, muscle mass, muscle function, physical function, aging, frailty, risk factors
MeSH terms: Activities of Daily Living, Aged, Aged, 80 and over, Aging, Body Composition, Female, Humans, Male, Risk Factors, Geriatric Assessment, Odds Ratio, Muscle, Skeletal, Sarcopenia

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Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle function

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