Prevalence of Sarcopenia and Its Association with Socioeconomic Status among the Elderly in Tehran
Prevalence of Sarcopenia and Its Association with Socioeconomic Status among the Elderly in Tehran
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DOI：
10.4314/ejhs.v26i4.11
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发表时间：
2016-07-01
影响因子：
1.2
通讯作者：
Tavakoli, Sogand
中科院分区：
文献类型：
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作者：
Dorosty, Ahmadreza;Arero, Godana;Tavakoli, Sogand
背景：肌肉减少症是一种综合征，其特征是骨骼肌质量和力量进行性和全面丧失。它给医疗保健系统带来了巨大的成本。社会经济地位也是老年人面临健康挑战的根本原因。因此，研究肌肉减少症与社会经济地位之间的关系对于改善老年人的健康老龄化非常重要。本研究的目的是调查德黑兰老年人肌肉减少症的患病率及其与社会经济地位的关系。 方法：从 2014 年 8 月至 2015 年 7 月，对德黑兰卫生中心的 310 名男性和 334 名女性老年人（60 岁及以上）进行了横断面和病例对照研究。在研究设计过程中设置了随机化、限制性和匹配性，以尽量减少选择偏差。然后通过电话招募研究参与者。参与者的电话号码已经以电子方式记录在电话簿中。当同一屋子里有两位老人时，随机只邀请一位老人。采用SPSS 22版分析肌肉减少症与社会经济状况之间的关联。结果：老年人肌肉减少症的总体患病率为16.5%。低收入老年人的患病率（20.5%）相对高于中等收入老年人（18.2%），而在高收入老年人中，肌少症的比例很低（12.8%）。研究结果表明，339 人（52.6%）处于低收入阶层，304 人（47.1%）处于中等收入阶层，1 人（0.2%）处于高收入阶层。 结论：社会经济地位与肌少症之间存在显着相关性（P 值 < 0.001）。低社会经济阶层患肌肉减少症的奇怪风险比中高收入阶层高 0.97 倍。
BACKGROUND: Sarcopenia is a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It imposes significant costs on health care systems. Socioeconomic status is also the root cause of healthy challenges among the elderly. Therefore, investigating the association between sarcopenia and socioeconomic status is very important to improve healthy ageing of the elderly. The aim of this study was to investigate the prevalence of sarcopenia and its association with socioeconomic status among the elderly in Tehran.METHODS: Cross-sectional and case-control studies were conducted from August 2014-July 2015 among 310 men and 334 women elderly (60 and over years old) in Tehran health centers. Randomization, restriction and matching were setting during study design to minimize selection bias. Then study participants were recruited via phone call. Participants' phone numbers were already recorded in a telephone book electronically. When there were two elderly people in the same house, only one person was invited randomly. Association between sarcopenia and socio-economic status was analyzed by SPSS version 22.RESULTS: The overall prevalence of sarcopenia in the elderly was 16.5%. Prevalenceamong the lowincome elderly was relatively higher than (20.5%) that among those with middle income status (18.2%) while in the higher income, the proportion of sarcopenia was very low (12.8%). The findings indicated that 339(52.6%) were in low-income status, 304(47.1%) were in middle-income status and 1(.2%) in high-income class.CONCLUSION: There was a significant association between socioeconomic status and sarcopenia (Pvalue < 0.001). The odd risk of sarcopenia was 0.97 times more likely higher in low socioeconomic class than those who were in middle and high income classes.