Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan
Sarcopenia is a disease that affects health, functional independence and the quality of life among older adults which leads to adverse effects like falls, physical disability, hospitalization and mortality. Therefore, the current study aimed to assess the association between frailty domains, nutr...
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| Format: | Thesis |
| Language: | English |
| Published: |
2024
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| Online Access: | http://eprints.usm.my/61998/ http://eprints.usm.my/61998/1/KEERTHANA%20SREE%20AP%20GANGGAYA-TESIS%20P-SKM000623%28R%29.pdf%20-%20E.pdf |
| _version_ | 1848884862316969984 |
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| author | Ganggaya, Keerthana Sree |
| author_facet | Ganggaya, Keerthana Sree |
| author_sort | Ganggaya, Keerthana Sree |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Sarcopenia is a disease that affects health, functional independence and the quality
of life among older adults which leads to adverse effects like falls, physical disability,
hospitalization and mortality. Therefore, the current study aimed to assess the association
between frailty domains, nutritional status, physical fitness, physical activity, emotional
status, cognitive function and well-being of older adults with sarcopenia. This crosssectional
study involved 287 community-dwelling older adults in Kelantan aged 60 and
above, recruited through simple random sampling. The data collected were entered and
analyzed using IBM SPSS Statistics 26 software. Data on socio-demography, sleep
quality, supplement intake, geriatric syndrome, medical history, self-rated health status,
frailty domains, cognitive function, functional limitation, physical activity,
anthropometry, body composition, blood pressure, handgrip strength, physical fitness,
emotional status, quality of life and sarcopenia were obtained through interview
administered method. Binary logistic regression analysis was used to determine the factors
associated with sarcopenia. The prevalence of possible sarcopenia, sarcopenia and severe
sarcopenia were 59%, 9% and 14% respectively which was higher in men than in women
(p = 0.029). A total of 84.0% of sarcopenic subjects were underweight while 46.7% of
possible sarcopenia subjects were overweight which could lead to sarcopenic obesity.
Significant association was found between physical frailty and sarcopenia (p <0.001) but not social frailty (p = 0.227) and cognitive frailty (p = 0.345). Significant association was
found between sarcopenia and poor nutritional status, lack of physical fitness and
cognitive function. However, no significant association was found between sarcopenia,
emotional status and quality of life among older adults in Kelantan. After adjusting for
confounding factors such as age, gender, smoking and education years, the factors
associated with sarcopenia were muscle mass, gait speed, sit-to-stand test and physical
frailty were found to be factors associated with sarcopenia. Approximately, more than half
of the community-dwelling older adults in this study had possible sarcopenia (59 %).
Therefore, older adults should be educated on the steps to prevent sarcopenia via healthy
eating, exercising, emotional stress management and involvement in voluntary activities. |
| first_indexed | 2025-11-15T19:13:27Z |
| format | Thesis |
| id | usm-61998 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T19:13:27Z |
| publishDate | 2024 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-619982025-03-24T07:49:42Z http://eprints.usm.my/61998/ Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan Ganggaya, Keerthana Sree R Medicine (General) RA440-440.87 Study and teaching. Research Sarcopenia is a disease that affects health, functional independence and the quality of life among older adults which leads to adverse effects like falls, physical disability, hospitalization and mortality. Therefore, the current study aimed to assess the association between frailty domains, nutritional status, physical fitness, physical activity, emotional status, cognitive function and well-being of older adults with sarcopenia. This crosssectional study involved 287 community-dwelling older adults in Kelantan aged 60 and above, recruited through simple random sampling. The data collected were entered and analyzed using IBM SPSS Statistics 26 software. Data on socio-demography, sleep quality, supplement intake, geriatric syndrome, medical history, self-rated health status, frailty domains, cognitive function, functional limitation, physical activity, anthropometry, body composition, blood pressure, handgrip strength, physical fitness, emotional status, quality of life and sarcopenia were obtained through interview administered method. Binary logistic regression analysis was used to determine the factors associated with sarcopenia. The prevalence of possible sarcopenia, sarcopenia and severe sarcopenia were 59%, 9% and 14% respectively which was higher in men than in women (p = 0.029). A total of 84.0% of sarcopenic subjects were underweight while 46.7% of possible sarcopenia subjects were overweight which could lead to sarcopenic obesity. Significant association was found between physical frailty and sarcopenia (p <0.001) but not social frailty (p = 0.227) and cognitive frailty (p = 0.345). Significant association was found between sarcopenia and poor nutritional status, lack of physical fitness and cognitive function. However, no significant association was found between sarcopenia, emotional status and quality of life among older adults in Kelantan. After adjusting for confounding factors such as age, gender, smoking and education years, the factors associated with sarcopenia were muscle mass, gait speed, sit-to-stand test and physical frailty were found to be factors associated with sarcopenia. Approximately, more than half of the community-dwelling older adults in this study had possible sarcopenia (59 %). Therefore, older adults should be educated on the steps to prevent sarcopenia via healthy eating, exercising, emotional stress management and involvement in voluntary activities. 2024-10 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/61998/1/KEERTHANA%20SREE%20AP%20GANGGAYA-TESIS%20P-SKM000623%28R%29.pdf%20-%20E.pdf Ganggaya, Keerthana Sree (2024) Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan. Masters thesis, Universiti Sains Malaysia. |
| spellingShingle | R Medicine (General) RA440-440.87 Study and teaching. Research Ganggaya, Keerthana Sree Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title | Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title_full | Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title_fullStr | Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title_full_unstemmed | Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title_short | Association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in Kelantan |
| title_sort | association between nutritional status, frailty domains, physical activity, physical fitness, emotional status and quality of life with sarcopenia among older adults in kelantan |
| topic | R Medicine (General) RA440-440.87 Study and teaching. Research |
| url | http://eprints.usm.my/61998/ http://eprints.usm.my/61998/1/KEERTHANA%20SREE%20AP%20GANGGAYA-TESIS%20P-SKM000623%28R%29.pdf%20-%20E.pdf |