Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries

Louis Jacob; Razak M. Gyasi; Hans Oh; Lee Smith; Karel Kostev; Guillermo F. López Sánchez; Masoud Rahmati; Josep Maria Haro; Mark A. Tully; Jae Il Shin; Dong Keon Yon; Ai Koyanagi

doi:10.1002/jcsm.13215

Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries

Louis Jacob, Razak M. Gyasi, Hans Oh, Lee Smith, Karel Kostev, Guillermo F. López Sánchez, Masoud Rahmati, Josep Maria Haro, Mark A. Tully, Jae Il Shin, Dong Keon Yon, Ai Koyanagi

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Abstract

Background: There are no data on the association between leisure‐time physical activity (LTPA) and sarcopenia in older adults from low‐ and middle‐income countries (LMICs). This study aimed to investigate the association between LTPA and sarcopenia in individuals aged ≥65 years living in six LMICs.
Methods: Cross‐sectional data from the Study on Global AGEing and Adult Health (China, Ghana, India, Mexico, Russia and South Africa) were analysed. Sarcopenia referred to the presence of both low skeletal muscle mass and weak handgrip strength. LTPA was assessed using the Global Physical Activity Questionnaire and was analysed as a dichotomized variable [high LTPA (>150 min/week of moderate‐to‐vigorous LTPA) or low LTPA (≤150 min/week)]. Multivariable logistic regression analysis was conducted to assess associations.
Results: There were 14 585 individuals included in this study [mean (SD) age 72.6 (11.5) years; 55.0% women]. The prevalence of high LTPA and sarcopenia was 8.9% and 12.0%, respectively. After adjusting for potential confounders, low LTPA was significantly associated with higher odds for sarcopenia [prevalence odds ratio (POR) = 1.85, 95% confidence interval (CI) = 1.29–2.65] compared with high LTPA. Significant associations were found in women (POR = 3.22, 95% CI = 1.82–5.68) but not in men (POR = 1.52, 95% CI = 0.99–2.35).
Conclusions: A positive and significant association between low LTPA and sarcopenia was found among older adults from LMICs. The promotion of LTPA among older adults in LMICs may aid in the prevention of sarcopenia, especially among females, pending future longitudinal research.

Original language	English
Pages (from-to)	1130-1138
Number of pages	9
Journal	Journal of Cachexia, Sarcopenia and Muscle
Volume	14
Issue number	2
Early online date	5 Mar 2023
DOIs	https://doi.org/10.1002/jcsm.13215
Publication status	Published online - 5 Mar 2023

Bibliographical note

Funding Information:
This paper uses data from WHO's Study on Global AGEing and Adult Health (SAGE). SAGE is supported by the US National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323‐08‐CN‐0020 and Y1‐AG‐1005‐01 and through Research Grants R01‐AG034479 and R21‐AG034263. Finally, the authors of this manuscript certify that they comply with the ethical guidelines for authorship and publishing in the . Journal of Cachexia, Sarcopenia and Muscle 40

Publisher Copyright:
© 2023 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders.

Keywords

Original Article
Original Articles
epidemiology
leisure‐time physical activity
low‐ and middle‐income countries
older adults
sarcopenia
leisure-time physical activity
low- and middle-income countries
Leisure Activities
Cross-Sectional Studies
Humans
Male
Sarcopenia/epidemiology
Exercise
Female
Aged
Developing Countries
Hand Strength

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Jacob, L., Gyasi, R. M., Oh, H., Smith, L., Kostev, K., López Sánchez, G. F., Rahmati, M., Haro, J. M., Tully, M. A., Shin, J. I., Yon, D. K., & Koyanagi, A. (2023). Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries. Journal of Cachexia, Sarcopenia and Muscle, 14(2), 1130-1138. Advance online publication. https://doi.org/10.1002/jcsm.13215

@article{e3567606640e40ab88fd2553919b3d43,

title = "Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries",

abstract = "Background: There are no data on the association between leisure‐time physical activity (LTPA) and sarcopenia in older adults from low‐ and middle‐income countries (LMICs). This study aimed to investigate the association between LTPA and sarcopenia in individuals aged ≥65 years living in six LMICs. Methods: Cross‐sectional data from the Study on Global AGEing and Adult Health (China, Ghana, India, Mexico, Russia and South Africa) were analysed. Sarcopenia referred to the presence of both low skeletal muscle mass and weak handgrip strength. LTPA was assessed using the Global Physical Activity Questionnaire and was analysed as a dichotomized variable [high LTPA (>150 min/week of moderate‐to‐vigorous LTPA) or low LTPA (≤150 min/week)]. Multivariable logistic regression analysis was conducted to assess associations. Results: There were 14 585 individuals included in this study [mean (SD) age 72.6 (11.5) years; 55.0% women]. The prevalence of high LTPA and sarcopenia was 8.9% and 12.0%, respectively. After adjusting for potential confounders, low LTPA was significantly associated with higher odds for sarcopenia [prevalence odds ratio (POR) = 1.85, 95% confidence interval (CI) = 1.29–2.65] compared with high LTPA. Significant associations were found in women (POR = 3.22, 95% CI = 1.82–5.68) but not in men (POR = 1.52, 95% CI = 0.99–2.35). Conclusions: A positive and significant association between low LTPA and sarcopenia was found among older adults from LMICs. The promotion of LTPA among older adults in LMICs may aid in the prevention of sarcopenia, especially among females, pending future longitudinal research.",

keywords = "Original Article, Original Articles, epidemiology, leisure‐time physical activity, low‐ and middle‐income countries, older adults, sarcopenia, leisure-time physical activity, low- and middle-income countries, Leisure Activities, Cross-Sectional Studies, Humans, Male, Sarcopenia/epidemiology, Exercise, Female, Aged, Developing Countries, Hand Strength",

author = "Louis Jacob and Gyasi, {Razak M.} and Hans Oh and Lee Smith and Karel Kostev and {L{\'o}pez S{\'a}nchez}, {Guillermo F.} and Masoud Rahmati and Haro, {Josep Maria} and Tully, {Mark A.} and Shin, {Jae Il} and Yon, {Dong Keon} and Ai Koyanagi",

note = "Funding Information: This paper uses data from WHO's Study on Global AGEing and Adult Health (SAGE). SAGE is supported by the US National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323‐08‐CN‐0020 and Y1‐AG‐1005‐01 and through Research Grants R01‐AG034479 and R21‐AG034263. Finally, the authors of this manuscript certify that they comply with the ethical guidelines for authorship and publishing in the . Journal of Cachexia, Sarcopenia and Muscle 40 Publisher Copyright: {\textcopyright} 2023 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders.",

year = "2023",

month = mar,

day = "5",

doi = "10.1002/jcsm.13215",

language = "English",

volume = "14",

pages = "1130--1138",

journal = "Journal of Cachexia, Sarcopenia and Muscle",

issn = "2190-5991",

publisher = "Wiley-Blackwell",

number = "2",

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TY - JOUR

T1 - Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries

AU - Jacob, Louis

AU - Gyasi, Razak M.

AU - Oh, Hans

AU - Smith, Lee

AU - Kostev, Karel

AU - López Sánchez, Guillermo F.

AU - Rahmati, Masoud

AU - Haro, Josep Maria

AU - Tully, Mark A.

AU - Shin, Jae Il

AU - Yon, Dong Keon

AU - Koyanagi, Ai

N1 - Funding Information: This paper uses data from WHO's Study on Global AGEing and Adult Health (SAGE). SAGE is supported by the US National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323‐08‐CN‐0020 and Y1‐AG‐1005‐01 and through Research Grants R01‐AG034479 and R21‐AG034263. Finally, the authors of this manuscript certify that they comply with the ethical guidelines for authorship and publishing in the . Journal of Cachexia, Sarcopenia and Muscle 40 Publisher Copyright: © 2023 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders.

PY - 2023/3/5

Y1 - 2023/3/5

N2 - Background: There are no data on the association between leisure‐time physical activity (LTPA) and sarcopenia in older adults from low‐ and middle‐income countries (LMICs). This study aimed to investigate the association between LTPA and sarcopenia in individuals aged ≥65 years living in six LMICs. Methods: Cross‐sectional data from the Study on Global AGEing and Adult Health (China, Ghana, India, Mexico, Russia and South Africa) were analysed. Sarcopenia referred to the presence of both low skeletal muscle mass and weak handgrip strength. LTPA was assessed using the Global Physical Activity Questionnaire and was analysed as a dichotomized variable [high LTPA (>150 min/week of moderate‐to‐vigorous LTPA) or low LTPA (≤150 min/week)]. Multivariable logistic regression analysis was conducted to assess associations. Results: There were 14 585 individuals included in this study [mean (SD) age 72.6 (11.5) years; 55.0% women]. The prevalence of high LTPA and sarcopenia was 8.9% and 12.0%, respectively. After adjusting for potential confounders, low LTPA was significantly associated with higher odds for sarcopenia [prevalence odds ratio (POR) = 1.85, 95% confidence interval (CI) = 1.29–2.65] compared with high LTPA. Significant associations were found in women (POR = 3.22, 95% CI = 1.82–5.68) but not in men (POR = 1.52, 95% CI = 0.99–2.35). Conclusions: A positive and significant association between low LTPA and sarcopenia was found among older adults from LMICs. The promotion of LTPA among older adults in LMICs may aid in the prevention of sarcopenia, especially among females, pending future longitudinal research.

AB - Background: There are no data on the association between leisure‐time physical activity (LTPA) and sarcopenia in older adults from low‐ and middle‐income countries (LMICs). This study aimed to investigate the association between LTPA and sarcopenia in individuals aged ≥65 years living in six LMICs. Methods: Cross‐sectional data from the Study on Global AGEing and Adult Health (China, Ghana, India, Mexico, Russia and South Africa) were analysed. Sarcopenia referred to the presence of both low skeletal muscle mass and weak handgrip strength. LTPA was assessed using the Global Physical Activity Questionnaire and was analysed as a dichotomized variable [high LTPA (>150 min/week of moderate‐to‐vigorous LTPA) or low LTPA (≤150 min/week)]. Multivariable logistic regression analysis was conducted to assess associations. Results: There were 14 585 individuals included in this study [mean (SD) age 72.6 (11.5) years; 55.0% women]. The prevalence of high LTPA and sarcopenia was 8.9% and 12.0%, respectively. After adjusting for potential confounders, low LTPA was significantly associated with higher odds for sarcopenia [prevalence odds ratio (POR) = 1.85, 95% confidence interval (CI) = 1.29–2.65] compared with high LTPA. Significant associations were found in women (POR = 3.22, 95% CI = 1.82–5.68) but not in men (POR = 1.52, 95% CI = 0.99–2.35). Conclusions: A positive and significant association between low LTPA and sarcopenia was found among older adults from LMICs. The promotion of LTPA among older adults in LMICs may aid in the prevention of sarcopenia, especially among females, pending future longitudinal research.

KW - Original Article

KW - Original Articles

KW - epidemiology

KW - leisure‐time physical activity

KW - low‐ and middle‐income countries

KW - older adults

KW - sarcopenia

KW - leisure-time physical activity

KW - low- and middle-income countries

KW - Leisure Activities

KW - Cross-Sectional Studies

KW - Humans

KW - Male

KW - Sarcopenia/epidemiology

KW - Exercise

KW - Female

KW - Aged

KW - Developing Countries

KW - Hand Strength

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U2 - 10.1002/jcsm.13215

DO - 10.1002/jcsm.13215

M3 - Article

C2 - 36872652

SN - 2190-5991

VL - 14

SP - 1130

EP - 1138

JO - Journal of Cachexia, Sarcopenia and Muscle

JF - Journal of Cachexia, Sarcopenia and Muscle

IS - 2

ER -

Leisure‐time physical activity and sarcopenia among older adults from low‐ and middle‐income countries

Abstract

Bibliographical note

Keywords

UN SDGs

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