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Association of cognitive impairment, depressive symptoms and sarcopenia among healthy older men in the veterans retirement community in southern T aiwan: A cross‐sectional study
Author(s) -
Hsu YingHsin,
Liang ChihKuang,
Chou MingYueh,
Liao MeiChen,
Lin YuTeh,
Chen LiangKung,
Lo YukKeung
Publication year - 2014
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12221
Subject(s) - sarcopenia , medicine , geriatric depression scale , depression (economics) , gerontology , bioelectrical impedance analysis , mood , cross sectional study , logistic regression , cognition , mini–mental state examination , national health and nutrition examination survey , cognitive impairment , physical therapy , preferred walking speed , body mass index , psychiatry , depressive symptoms , population , environmental health , pathology , economics , macroeconomics
Aim To evaluate the association of cognitive impairment, depressive mood and sarcopenia among older men living in the veterans retirement community in southern T aiwan Methods This cross‐sectional study recruited 353 men aged 65 years and older. In addition to demographic characteristics, all participants were measured for gait speed, handgrip strength and muscle mass by using bioelectrical impedance analysis ( BIA ). The diagnosis of sarcopenia was made according to the E uropean W orking G roup on S arcopenia in O lder P eople criteria. Slow walking speed was defined as ≤0.8 meter/second. Low muscle strength was defined as the handgrip strength less than 22.5 kg which was adjusted according to T aiwanese norms. A height‐adjusted muscle mass of 8.87 kg/m2 from a previous T aiwanese study was defined as low muscle mass. Cognitive function was evaluated by the M ini‐ M ental S tate E xamination ( MMSE ), and the G eriatric D epression S cale‐15 ( GDS ‐15) was used for screening of depressive symptoms. Results Among the 353 participants (mean age 82.7 ± 5.3 years), 30.9% (109/353) were classified as sarcopenic. Multivariate logistic regression showed that sarcopenia was independently associated with cognitive impairment (adjusted OR 3.03, 95% CI 1.63–5.65, P < 0.001) and depressive symptoms (adjusted OR 2.25, 95% CI 1.03–4.89, P = 0.04). Conclusions Sarcopenia was significantly associated with cognitive impairment and depressive symptoms among otherwise healthy older men living in the veterans retirement community. Further outcome study is required to explore the interrelationship of cognition, depressive symptoms and sarcopenia in older adults. Geriatr Gerontol Int 2014; 14 (Suppl. 1): 102–108.