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Sarcopenia As a Potential Risk Factor for Senile Blepharoptosis: Nationwide Surveys (KNHANES 2008-2011)

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Journal Sci Rep
Specialty Science
Date 2023 Mar 29
PMID 36991014
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Abstract

As the world's population is aging, sarcopenia is recognized as essential to assess people's lifelong condition and do appropriate early intervention. Senile blepharoptosis is also a problem in old age deteriorating visual function and causing a cosmetic decline. We investigated the association between sarcopenia and the prevalence of senile blepharoptosis, using a nationwide representative survey in Korea. A total of 11,533 participants were recruited. We used the body mass index (BMI)- adjusted appendicular skeletal muscle (ASM) definition as the muscle mass index (MMI, ASM [kg] divided by BMI [kg/m]). The association between blepharoptosis prevalence and MMI was analyzed using multivariate logistic regression. Sarcopenia, defined as the lowest MMI quintile group in both men and women, was also associated with the prevalence of blepharoptosis (ORs 1.92, 95% CI 1.17-2.16; p < 0.001). These associations remained statistically significant after adjusting for various factors related to blepharoptosis using multivariate analysis (ORs 1.18, 95% CI 1.04-1.34; p = 0.012). Moreover, MMI was found to have a proportional relationship with eyelid lifting force (levator function), which is closely related to the occurrence and severity of ptosis. Sarcopenia is related to the prevalence of senile blepharoptosis, and patients with lower MMI were more likely to have blepharoptosis. These results suggest that sarcopenia can affect visual function and aesthetics.

References
1.
Newman A, Kupelian V, Visser M, Simonsick E, Goodpaster B, Nevitt M . Sarcopenia: alternative definitions and associations with lower extremity function. J Am Geriatr Soc. 2003; 51(11):1602-9. DOI: 10.1046/j.1532-5415.2003.51534.x. View

2.
Cahill K, Buerger Jr G, Johnson B . Ptosis associated with fatty infiltration of Müller's muscle and levator muscle. Ophthalmic Plast Reconstr Surg. 1986; 2(4):213-7. DOI: 10.1097/00002341-198601070-00008. View

3.
Kim C, Lee S . Distinct features in Koreans with involutional blepharoptosis. Plast Reconstr Surg. 2015; 135(6):1693-1699. DOI: 10.1097/PRS.0000000000001280. View

4.
Sayer A, Syddall H, Martin H, Patel H, Baylis D, Cooper C . The developmental origins of sarcopenia. J Nutr Health Aging. 2008; 12(7):427-32. PMC: 2652119. DOI: 10.1007/BF02982703. View

5.
Clauser L, Tieghi R, Galie M . Palpebral ptosis: clinical classification, differential diagnosis, and surgical guidelines: an overview. J Craniofac Surg. 2006; 17(2):246-54. DOI: 10.1097/00001665-200603000-00008. View