The proportion of elderly and sarcopenia cases is expected to increase in the coming decades. Early diagnosis of sarcopenia using muscle strength as a criterion is important to prevent adverse health effects. The repetitive chair stand test is an effective tool for assessing muscle strength. Poor test performance may indicate an individual with potential sarcopenia. The aim of this study was to investigate the effect of the ability to perform the five-repetition chair stand test on the prevalence of sarcopenia in residents of western Slovenian nursing homes. 83 candidates (age 83.8±7.6 years, 69% of whom were women) we included in the study. The prevalence of sarcopenia was determined according to European Working Group for Sarcopenia guidelines and the five-repetition chair stand test was used to assess physical performance. Relative risk with a 95% confidence interval was calculated to assess the difference in risk for sarcopenia between the complete rises and the incomplete rises group. 37% of participants were diagnosed as sarcopenic, of whom approximately half were unable to complete the 5-chair stand test. The risk of sarcopenia was twice as high in participants who were unable to complete the test (RR = 2.05 (CI 1.21-3.49); p=0.0077). The inability to complete the repeated chair stand test in older adults from nursing homes significantly increases the risk of sarcopenia. Therefore, this test could be useful in identifying individuals at high risk.
References
1.
Beaudart C, Zaaria M, Pasleau F, Reginster JY, Bruyère O. Health Outcomes of Sarcopenia: A Systematic Review and MetaAnalysis. PLoS ONE. 2017. p. 169548.
2.
Bijlsma A, Meskers C, Ling C, Narici M, Kurrle S, Cameron I, et al. Defining sarcopenia: the impact of different diagnostic criteria on the prevalence of sarcopenia in a large middle aged cohort. Age. 2013. p. 871–81.
3.
Boshnjaku A. Is age-related sarcopenia a real concern for my developing country. Journal of Cachexia, Sarcopenia and Muscle. 2022. p. 2589–92.
4.
Cesari M, Kritchevsky S, Newman A, Simonsick E, Harris T, Penninx B, et al. Health, Aging and Body Composition Study. Added value of physical performance measures in adverse health-related events: results from the Health, Aging and Body Composition Study. Journal of the American Geriatric Society. 2009. p. 16–31.
5.
Dodds R, Murray J, Granic A, Hurst C, Uwimpuhwe, Richardson S, et al. Prevalence and factors associated with poor performance in the 5-chair stand test: findings from the Cognitive Function and Ageing Study II and proposed Newcastle protocol for use in the assessment of sarcopenia. Journal of Cachexia, Sarcopenia and Muscle. 2021. p. 308–18.
6.
Filippin L, Teixeira V, Da Silva M, Miraglia F, Da Silva. Sarcopenia: a predictor of mortality and the need for early diagnosis and intervention. Aging Clinical and Experimental Research. 2015. p. 249–54.
7.
Guralnik J, Simonsick E, Ferrucci L, Glynn R, Berkmal L, Blazer D, et al. A Short Physical Performance Battery Assessing Lower Extremity Function: Association with Self-Reported Disability and Prediction of Mortality and Nursing Home Admission. Journal of Gerontology. 1994. p. 85–94.
8.
Hurst C, Robinson S, Witham M, Dodds R, Granic A, Buckland C, et al. Resistance exercise as a treatment for sarcopenia: prescription and delivery. Age and Ageing. 2022. p. 3.
9.
Johansson J, Strand B, Morseth B, Arnesdatter Hopstock L, Grimsgaad S. Differences in sarcopenia prevalence between upper-body and lowerbody based EWGSOP2 muscle strength criteria: the Tromsø study 2015-2016. BMC Geriatrics. 2020. p. 461.
10.
Petermann-Rocha F, Balntzi V, Gray S, Lara J, Ho F, Pell J, et al. Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta-analysis. Journal of Cachexia, Sarcopenia and Muscle. 2022. p. 86–99.
11.
Pinheiro P, Carneiro J, Coqueiro R, Pereira R, Fernandes M. Chair Stand Test" as Simple Tool for Sarcopenia Screening in Elderly Women. The Journal of Nutrition. 2016. p. 56–9.
12.
Population structure and aging. 2023.
13.
Rodríguez-Rejón A, Ruiz-López M, Wanden-Berghe C, Artacho R. Prevalence and Diagnosis of Sarcopenia in Residential Facilities: A Systematic Review. Advances in Nutrition. 2019. p. 51–8.
14.
Sayer A, Cruz-Jentoft A. Sarcopenia definition, diagnosis and treatment: consensus is growing. Age and Ageing. 2022. p. 220.
15.
Shea C, Ward R, Welch S, Kiely D, Goldstein R, Bean J, et al. Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients. American Journal of Physical Medicine & Rehabilitation. 2018. p. 426–32.
16.
Shen Y, Shi Q, Nong K, Li S, Yue J, Huang J, et al. Exercise for sarcopenia in older people: A systematic review and network metaanalysis. Journal of Cachexia, Sarcopenia and Muscle. 2023.
17.
Shikenbaru T, Ishiyama D, Katata H, Sasaki S, Hatanaka Y, Koyama S, et al. Relevance of the five-repetition sit-to-stand test for diagnosing sarcopenia in elderly inpatients with cardiac disease. Japanese Journal of Geriatrics. 2019. p. 181–7.
18.
Urzi F, Šimunič B, Buzan E. Basis for Sarcopenia Screening With the SARC-CalF in Nursing Homes. Journal of the American Medical Directors Association. 2017.
19.
Xu J, Wan C, Ktoris K, Esmee M, Reijnierse E, Maier A. Sarcopenia Is Associated with Mortality in Adults: A Systematic Review and Meta-Analysis. Gerontology. 2021. p. 361–76.
20.
Yoshiko A, Ogawa M, Shimizu K, Radaelli R, Neske R, Maeda H, et al. Chair sit-to-stand performance is associated with diagnostic features of sarcopenia in older men and women. Archives of Gerontology and Geriatrics. 2021. p. 104463.
21.
Zanker J, Blackwell T, Patel S, Duchowny K, Brennan-Olsen S, Cummin S. Factor analysis to determine relative contributions of strength, physical performance, body composition and muscle mass to disability and mobility disability outcomes in older men. Experimental Gerontology. 2022. p. 111714.
22.
Zhang F, Ferrucci L, Culham E, Metter E, Guralnik J, Deshpande N, et al. Performance on five times sit-to-stand task as a predictor of subsequent falls and disability in older persons. Journal of Aging and Health. Exercise and Quality of Life; 2013. p. 5–9.
23.
Mla: Šporin M, Zerbo Šporin D. Inability to perform the five-chair stand test predicts increased risk of sarcopenia in nursing home residents. Exercise and Quality of Life. 2023. p. 5–9.
24.
Šporin M, Zerbo Šporin D. Inability to perform the five-chair stand test predicts increased risk of sarcopenia in nursing home residents. Exercise and Quality of Life. 2023. p. 5–9.
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