Daily Lifestyle Behaviors and Risks of Sarcopenia Among Older Adults

Overview

Journal Arch Public Health

Publisher Biomed Central

Date 2020 Dec 9

PMID 33292561

Citations 19

Authors

Pei-Lin Tzeng

Chien-Yu Lin

Ting-Fu Lai

Wan-Chi Huang

Evonne Pien

Ming-Chun Hsueh

Kun-Pei Lin

Jong-Hwan Park

Yung Liao

Affiliations

Soon will be listed here.

Abstract

Background: Lifestyle behaviors are modifiable factors that can provide information for designing intervention strategies for sarcopenia. The present study aimed to identify the relationships between a range of daily lifestyle behaviors and sarcopenia risks among older adults.

Methods: A nationwide telephone-based survey targeting older adults (≥65 years) was performed in Taiwan. Data based on self-reported daily lifestyle behaviors (food selection, physical activity, sitting time, and sleep duration), the presence or absence of sarcopenia (measured by SARC-F), and personal characteristics were obtained. Binary logistic regression models were applied.

Results: A total of 1068 older adults participated in this survey. In the adjusted model, older adults who selected unbalanced foods (odds ratio [OR] = 1.93, 95% confidence interval [CI] = 1.12-3.34), engaged in insufficient physical activity (OR = 5.14, 95% CI = 3.04-8.70), and sat for longer periods of time (OR = 1.98, 95% CI = 1.09-3.59) were more likely to have higher risks of sarcopenia. No significant association was observed for sleep duration.

Conclusions: The results of this study highlight that, among health behaviors, an unbalanced food selection (six nutrients), not meeting physical activity recommendations (150 min/week), and a higher sitting time (≥7 h/day) were risk factors for sarcopenia among older adults. Intervention programs for sarcopenia prevention in older adults should focus on promoting balanced food selection, sufficient physical activity, and reduced sitting time.

Citing Articles

Prediction of sarcopenia at different time intervals: an interpretable machine learning analysis of modifiable factors.

Chen X, Li L BMC Geriatr. 2025; 25(1):133.

PMID: 40016704 PMC: 11866656. DOI: 10.1186/s12877-025-05792-1.

Association of Daily Sitting Time and Leisure-Time Physical Activity with Sarcopenia Among Chinese Older Adults.

Liu Y, Tang Z, Hou X, Yuan Y, Hsu Y, Lin J Healthcare (Basel). 2025; 13(3).

PMID: 39942441 PMC: 11816827. DOI: 10.3390/healthcare13030251.

Musculoskeletal Failure.

Joy E, Briesacher M, Wiegand B Am J Lifestyle Med. 2024; 18(6):826-829.

PMID: 39507912 PMC: 11536489. DOI: 10.1177/15598276241256878.

The Relationship Between MOTS-c K14Q Polymorphism and Sarcopenia, Blood Lipids, and Mental Health in Older Korean Adults.

Kim S Biomedicines. 2024; 12(10).

PMID: 39457696 PMC: 11504729. DOI: 10.3390/biomedicines12102384.

Self-perceptions of aging, physical activity, and depressive symptoms in older community residents with varied neighborhood walkability in Taiwan.

Liao J, Lien Y, Liao Y, Lien Y BMC Geriatr. 2024; 24(1):596.

PMID: 38992578 PMC: 11242005. DOI: 10.1186/s12877-024-05123-w.

References

Rom O, Kaisari S, Aizenbud D, Reznick A . Lifestyle and sarcopenia-etiology, prevention, and treatment. Rambam Maimonides Med J. 2013; 3(4):e0024. PMC: 3678825. DOI: 10.5041/RMMJ.10091. View

Loprinzi P, Loenneke J, Hamilton D . Leisure time sedentary behavior, physical activity and frequency of protein consumption on lower extremity strength and lean mass. Eur J Clin Nutr. 2017; 71(12):1399-1404. DOI: 10.1038/ejcn.2017.101. View

Harvey J, Chastin S, Skelton D . How Sedentary are Older People? A Systematic Review of the Amount of Sedentary Behavior. J Aging Phys Act. 2014; 23(3):471-87. DOI: 10.1123/japa.2014-0164. View

Hsueh M, Rutherford R, Huang Y, Chang Chien H, Chang C, Park J . Are Older Adults without a Healthy Diet Less Physically Active and More Sedentary?. Nutrients. 2019; 11(5). PMC: 6566680. DOI: 10.3390/nu11051119. View

Beaudart C, Dawson A, Shaw S, Harvey N, Kanis J, Binkley N . Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review. Osteoporos Int. 2017; 28(6):1817-1833. PMC: 5457808. DOI: 10.1007/s00198-017-3980-9. View

Reid K, Naumova E, Carabello R, Phillips E, Fielding R . Lower extremity muscle mass predicts functional performance in mobility-limited elders. J Nutr Health Aging. 2008; 12(7):493-8. PMC: 2544628. DOI: 10.1007/BF02982711. View

Hashemi R, Motlagh A, Heshmat R, Esmaillzadeh A, Payab M, Yousefinia M . Diet and its relationship to sarcopenia in community dwelling Iranian elderly: a cross sectional study. Nutrition. 2014; 31(1):97-104. DOI: 10.1016/j.nut.2014.05.003. View

Santilli V, Bernetti A, Mangone M, Paoloni M . Clinical definition of sarcopenia. Clin Cases Miner Bone Metab. 2015; 11(3):177-80. PMC: 4269139. View

Rezende L, Rodrigues Lopes M, Rey-Lopez J, Matsudo V, Luiz O . Sedentary behavior and health outcomes: an overview of systematic reviews. PLoS One. 2014; 9(8):e105620. PMC: 4140795. DOI: 10.1371/journal.pone.0105620. View

10.

Nemoto Y, Sato S, Takahashi M, Takeda N, Matsushita M, Kitabatake Y . The association of single and combined factors of sedentary behavior and physical activity with subjective cognitive complaints among community-dwelling older adults: Cross-sectional study. PLoS One. 2018; 13(4):e0195384. PMC: 5901918. DOI: 10.1371/journal.pone.0195384. View

11.

Kim S, Kim M, Won C . Validation of the Korean Version of the SARC-F Questionnaire to Assess Sarcopenia: Korean Frailty and Aging Cohort Study. J Am Med Dir Assoc. 2017; 19(1):40-45.e1. DOI: 10.1016/j.jamda.2017.07.006. View

12.

Beaudart C, Rizzoli R, Bruyere O, Reginster J, Biver E . Sarcopenia: burden and challenges for public health. Arch Public Health. 2015; 72(1):45. PMC: 4373245. DOI: 10.1186/2049-3258-72-45. View

13.

Byrne D, Rolando L, Aliyu M, McGown P, Connor L, Awalt B . Modifiable Healthy Lifestyle Behaviors: 10-Year Health Outcomes From a Health Promotion Program. Am J Prev Med. 2016; 51(6):1027-1037. DOI: 10.1016/j.amepre.2016.09.012. View

14.

Schaap L, Pluijm S, Deeg D, Harris T, Kritchevsky S, Newman A . Higher inflammatory marker levels in older persons: associations with 5-year change in muscle mass and muscle strength. J Gerontol A Biol Sci Med Sci. 2009; 64(11):1183-9. PMC: 2759573. DOI: 10.1093/gerona/glp097. View

15.

Wang J, Lee C, Chang C, Jane S, Chen M . The development and psychometric testing of the geriatric health promotion scale. J Nurs Res. 2015; 23(1):56-64. DOI: 10.1097/jnr.0000000000000077. View

16.

Wu T, Liaw C, Chen F, Kuo K, Chie W, Yang R . Sarcopenia Screened With SARC-F Questionnaire Is Associated With Quality of Life and 4-Year Mortality. J Am Med Dir Assoc. 2016; 17(12):1129-1135. DOI: 10.1016/j.jamda.2016.07.029. View

17.

Stenholm S, Kronholm E, Bandinelli S, Guralnik J, Ferrucci L . Self-reported sleep duration and time in bed as predictors of physical function decline: results from the InCHIANTI study. Sleep. 2011; 34(11):1583-93. PMC: 3198213. DOI: 10.5665/sleep.1402. View

18.

Gangwisch J, Heymsfield S, Boden-Albala B, Buijs R, Kreier F, Opler M . Sleep duration associated with mortality in elderly, but not middle-aged, adults in a large US sample. Sleep. 2008; 31(8):1087-96. PMC: 2542954. View

19.

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

20.

Pourmotabbed A, Ghaedi E, Babaei A, Mohammadi H, Khazaie H, Jalili C . Sleep duration and sarcopenia risk: a systematic review and dose-response meta-analysis. Sleep Breath. 2019; 24(4):1267-1278. DOI: 10.1007/s11325-019-01965-6. View