Knowledge, Attitude, and Practice Toward Sarcopenia Among Older Adults in Two Cities in Zhejiang Province, China

Overview

Journal Prev Med Rep

Date 2024 Aug 23

PMID 39175592

Authors

Hong Fan

Mengqi Li

Chenghui Zhang

Haigang Sun

Suying Shi

Beiyan Ma

Affiliations

Soon will be listed here.

Abstract

Objective: To explore the knowledge, attitudes, and practice (KAP) towards sarcopenia among older adults in Zhejiang province, China.

Methods: This cross-sectional study was conducted between April 2023 and January 2024 among older community residents who participated in a physical examination in Shaoxing People's Hospital Physical Examination Center, Shaoxing Yuecheng District Fushan Street Community Health Service Center, Shaoxing Yuecheng District Beihai Street Community Health Service Center, Shaoxing City, and Outpatient Department of Yongkang First People's Hospital. Their demographic characteristics and KAP towards sarcopenia were collected by a self-designed questionnaire. Structural equation modeling (SEM) was used to explore the relationship among KAP dimensions.

Results: A total of 1092 valid questionnaires were included. The median knowledge, attitude, and practice scores were 0 (0, 0) (possible range: 0-22), 31 (30, 31) (possible range: 8-40), and 17 (15, 21) (possible range: 6-30), respectively. The SEM showed that knowledge directly positively influenced attitude (β = 0.121, P < 0.001) and practice (β = 0.171, P < 0.001). Attitude directly positively influenced practice (β = 0.116, P < 0.001); therefore, the knowledge showed an indirect influence on practice via attitude.

Conclusion: Older adults in two cities in Zhejiang province, China, showed insufficient knowledge but moderate attitude and practice towards sarcopenia. It is imperative to design interventions to improve knowledge about sarcopenia and improve self-management and patient outcomes.

References

Andrade C, Menon V, Ameen S, Praharaj S . Designing and Conducting Knowledge, Attitude, and Practice Surveys in Psychiatry: Practical Guidance. Indian J Psychol Med. 2021; 42(5):478-481. PMC: 7750837. DOI: 10.1177/0253717620946111. View

Marzetti E, Calvani R, Tosato M, Cesari M, Bari M, Cherubini A . Sarcopenia: an overview. Aging Clin Exp Res. 2017; 29(1):11-17. DOI: 10.1007/s40520-016-0704-5. View

Van Ancum J, Meskers C, Reijnierse E, Yeung S, Jonkman N, Trappenburg M . Lack of Knowledge Contrasts the Willingness to Counteract Sarcopenia Among Community-Dwelling Adults. J Aging Health. 2019; 32(7-8):787-794. DOI: 10.1177/0898264319852840. View

Ren X, Zhang X, He Q, Du L, Chen K, Chen S . Prevalence of sarcopenia in Chinese community-dwelling elderly: a systematic review. BMC Public Health. 2022; 22(1):1702. PMC: 9454186. DOI: 10.1186/s12889-022-13909-z. View

Silva R, Figueiredo M, Darder J, Santos A, Tyrrell M . Sarcopenia screening in elderly in primary health care: nurse knowledge and practices. Rev Bras Enferm. 2020; 73(suppl 3):e20200421. DOI: 10.1590/0034-7167-2020-0421. View

Swoboda C, Van Hulle J, McAlearney A, Huerta T . Odds of talking to healthcare providers as the initial source of healthcare information: updated cross-sectional results from the Health Information National Trends Survey (HINTS). BMC Fam Pract. 2018; 19(1):146. PMC: 6116497. DOI: 10.1186/s12875-018-0805-7. View

Latkin C, Edwards C, Davey-Rothwell M, Tobin K . The relationship between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland. Addict Behav. 2017; 73:133-136. PMC: 5519338. DOI: 10.1016/j.addbeh.2017.05.005. View

Akalu Y, Ayelign B, Molla M . Knowledge, Attitude and Practice Towards COVID-19 Among Chronic Disease Patients at Addis Zemen Hospital, Northwest Ethiopia. Infect Drug Resist. 2020; 13:1949-1960. PMC: 7322118. DOI: 10.2147/IDR.S258736. View

Reijnierse E, de van der Schueren M, Trappenburg M, Doves M, Meskers C, Maier A . Lack of knowledge and availability of diagnostic equipment could hinder the diagnosis of sarcopenia and its management. PLoS One. 2017; 12(10):e0185837. PMC: 5624620. DOI: 10.1371/journal.pone.0185837. View

10.

Ter Beek L, Vanhauwaert E, Slinde F, Orrevall Y, Henriksen C, Johansson M . Unsatisfactory knowledge and use of terminology regarding malnutrition, starvation, cachexia and sarcopenia among dietitians. Clin Nutr. 2016; 35(6):1450-1456. DOI: 10.1016/j.clnu.2016.03.023. View

11.

Anton S, Woods A, Ashizawa T, Barb D, Buford T, Carter C . Successful aging: Advancing the science of physical independence in older adults. Ageing Res Rev. 2015; 24(Pt B):304-27. PMC: 4661112. DOI: 10.1016/j.arr.2015.09.005. View

12.

Liu Q, Wang L, Ma Y, Geng Y . Association between dietary knowledge and muscle mass in Chinese older adults: a cross-sectional and longitudinal study. BMJ Open. 2023; 13(12):e075964. PMC: 10711816. DOI: 10.1136/bmjopen-2023-075964. View

13.

Hammouh F, Abdullah M, Al-Bakheit A, Al-Awwad N, Dabbour I, Al-Jawaldeh A . Nutrition Knowledge, Attitudes, and Practices (KAPs) among Jordanian Elderly-A Cross-Sectional Study. Nutrients. 2023; 15(9). PMC: 10181286. DOI: 10.3390/nu15092220. View

14.

Pacifico J, Geerlings M, Reijnierse E, Phassouliotis C, Lim W, Maier A . Prevalence of sarcopenia as a comorbid disease: A systematic review and meta-analysis. Exp Gerontol. 2019; 131:110801. DOI: 10.1016/j.exger.2019.110801. View

15.

Wang Z, Xu X, Gao S, Wu C, Song Q, Shi Z . Effects of Internet-Based Nutrition and Exercise Interventions on the Prevention and Treatment of Sarcopenia in the Elderly. Nutrients. 2022; 14(12). PMC: 9229368. DOI: 10.3390/nu14122458. View

16.

Cruz-Jentoft A, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T . Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2018; 48(1):16-31. PMC: 6322506. DOI: 10.1093/ageing/afy169. View

17.

Beran T, Violato C . Structural equation modeling in medical research: a primer. BMC Res Notes. 2010; 3:267. PMC: 2987867. DOI: 10.1186/1756-0500-3-267. View

18.

Ooi H, Welch C . Obstacles to the Early Diagnosis and Management of Sarcopenia: Current Perspectives. Clin Interv Aging. 2024; 19:323-332. PMC: 10893890. DOI: 10.2147/CIA.S438144. View

19.

Bergen N, Labonte R . "Everything Is Perfect, and We Have No Problems": Detecting and Limiting Social Desirability Bias in Qualitative Research. Qual Health Res. 2019; 30(5):783-792. DOI: 10.1177/1049732319889354. View

20.

Alduraywish S, Altamimi L, Aldhuwayhi R, Alzamil L, Alzeghayer L, Alsaleh F . Sources of Health Information and Their Impacts on Medical Knowledge Perception Among the Saudi Arabian Population: Cross-Sectional Study. J Med Internet Res. 2020; 22(3):e14414. PMC: 7118549. DOI: 10.2196/14414. View