Research Article

Prevalensi sarkopenia dan frailty di desa Pedawe, Mangupura, Serai dan Songan

I Gusti Agung Wilaja Putra , I Gusti Putu Suka Aryana, I Nyoman Astika, RA Tuty Kuswardhani, Ida Bagus Putrawan, Ketut Rai Purnami

I Gusti Agung Wilaja Putra
Program Studi Pendidikan Dokter Spesialis Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia. Email: wilaja_putra@yahoo.co.id

I Gusti Putu Suka Aryana
Departemen/ KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia

I Nyoman Astika
Departemen/ KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia

RA Tuty Kuswardhani
Departemen/ KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia

Ida Bagus Putrawan
Departemen/ KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia

Ketut Rai Purnami
Departemen/ KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/ RSUP Sanglah, Denpasar, Bali, Indonesia
Online First: August 01, 2020 | Cite this Article
Putra, I., Aryana, I., Astika, I., Kuswardhani, R., Putrawan, I., Purnami, K. 2020. Prevalensi sarkopenia dan frailty di desa Pedawe, Mangupura, Serai dan Songan. Intisari Sains Medis 11(2): 546-550. DOI:10.15562/ism.v11i2.667


Background: Frailty is characterized by a decrease in multi-organ physiological functions. Sarcopenia and frailty have a significant impact on individuals and society so it is necessary to know the prevalence in the community. This study aimed to determine the prevalence of sarcopenia and frailty in rural areas

Method: The was a cross-sectional study in the elderly population in the villages of Pedawa, Mangupura, Serai and Songan. Measurement of muscle mass using bioelectrical impedance analysis (BIA) and categorized based on the recommendation of the Asian Working Group for Sarcopenia (AWGS). Frailty is established through a screening questionnaire based on the Cardiovascular Health Study. The study was chosen by simple random sampling and population register data.

Results: The study involved 235 elderly people with 117 people in Pedawe village, 71 people in Mangupura village, 34 people in Serai village and 13 people in Songan village with a composition of 35.5% men and 64.5% women. In this study sarcopenia in women was 51% and men 49%, while frailty was experienced in 58.9% women and 41.02% men. The mean age is 67.7 years. The prevalence of total sarcopenia is 59% with the lowest percentage ranging from the villages of Mangupura (30%), Songan (53.8%), Pedawe (70.9%), and Serai (79.4%). The overall frailty prevalence in the four villages is 17% with the percentage starting from the lowest being Mangupura (1.4%), Serai (5.9%), Songan (22.2%) and Pedawe (29.1%).

Conclusions: The prevalence of sarcopenia and frailty is most common among elderly women. The highest prevalence of sarcopenia was found in Serai village and frailty prevalence was highest in Pedawe village.

 

Latar Belakang: Frailty ditandai dengan adanya penurunan fungsi fisiologis multi organ. Sarkopenia dan frailty memberikan dampak yang bermakna bagi individu dan bagi masyarakat sehingga perlu untuk mengetahui prevalensinya di masyarakat. Penelitian ini bertujuan untuk mengetahui prevalensi sarkopenia dan frailty di daerah pedesaan

Metode: Penelitian menggunakan studi potong lintang pada populasi lansia di desa Pedawa, Mangupura, Serai dan Songan. Pengukuran massa otot menggunakan bioelectrical impedance analysis (BIA) dan dikategorikan berdasarkan rekomendasi Asian Working Group for Sarcopenia (AWGS). Frailty ditegakkan melalui kuesioner skrining berdasarkan Cardiovascular Health Study. Penelitian dipilih dengan cara simple random sampling dan data register penduduk.

Hasil: Penelitian melibatkan 235 orang lanjut usia dengan jumlah 117 orang di desa Pedawe, 71 orang di desa Mangupura, 34 orang di desa Serai dan 13 orang di desa Songan dengan komposisi 35,5% laki-laki dan 64,5% perempuan. Pada penelitian ini sarkopenia pada perempuan adalah 51% dan laki-laki 49%, sedangkan frailty dialami 58,9% perempuan dan 41,02% laki-laki. Rerata usia adalah 67,7 tahun. Prevalensi sarkopenia total adalah 59% dengan persentase masing-masing mulai dari yang terendah adalah desa Mangupura (30%), Songan (53,8%), Pedawe (70,9%), dan Serai (79,4%).  Prevalensi frailty keseluruhan di empat desa adalah 17% dengan persentase masing-masing  mulai dari yang terendah adalah desa Mangupura (1,4%), Serai (5,9%), Songan (22,2%) dan Pedawe (29,1%).

Kesimpulan: Prevalensi sarkopenia dan frailty paling banyak ditemukan pada lansia perempuan. Prevalensi sarkopenia paling tinggi didapatkan di desa Serai dan prevalensi frailty didapatkan paling tinggi di desa Pedawe.

References

Collard RM, Boter HB, Schoevers RA, dkk. Prevalence of frailty in community dwelling older person: a systematic review. J Am Geriatr Soc. 2012;60(8):1487-1492.

Han P, Kang L, Guo Q, dkk. Prevalence and factors associated with sarcopeniain suburb-dwelling older chinese using the asianworking group for sarcopenia definition. J Gerontolog A Biol Sci Med Sci. 2015;0(0):1-7

Ishii S, Tanaka T, Shibasaki K, dkk. Development of a simple screening test for sarcopenia in older adults. Geriatr Gerontol Int. 2014; 14 (Suppl. 1): 93–101

Limpawattana P, Kotruchin P, dan Pongchaiyakul C. Sarcopenia in asia. Osteoporosis and sarcopenia. 2015;1:92-97

Merchant RA, Chen MZ, Tan LW, Lim MY, Ho HK. Singapore healthy older people everyday (HOPE) study: prevalence of frailty and associated factors in older adults. JAMDA. 2017:1.e1-1.e6

Omron Health Care Inc. Instruction Manual Omron Full Body Sensor Body Composition Monitor and Scale Model HBF-510. Illinois: Omron Healthcare Inc; 2008

Sternberg SA, Wershof Schwartz A. The identification of frailty: A systematic literature review. J Am Geriatr Soc. 2011;59:2129–2138.

von Haehling S, Morley JE, dan Anker SD. An overview of sarcopenia: facts and numbers on prevalence and clinical impact. J Cachexia Sarcopenia Muscle. 2010;1:129–133

Wang H, Hai S, Zhou J, Liu P, Dong BR. Estimation of prevalence of sarcopenia by using a new bioelectrical impedance analysis in chinese community-dwelling elderly people. BMC Geriatrics. 2016;16(216): 1-9


No Supplementary Material available for this article.
Article Views      : 22
PDF Downloads : 11