Yew, Sing Teng (2022) Associations of Sociodemographic Factors, Anthropometry Parameters, Lifestyle Factors, Nutritional Status and Psychological Factors with Risk of Sarcopenia among Haemodialysis Patients in Selangor. [Project Paper] (Submitted)
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Abstract
Sarcopenia among chronic kidney disease patients is gaining attention due to its significant impact on health. Progression of kidney diseases is often accompanied with the decline in muscle mass and muscle function, leading to a higher risk of sarcopenia and death. Nevertheless, sarcopenia is often understudied and has not been fully addressed in the haemodialysis literature globally and locally. Hence, this cross-sectional study aimed to assess the risk of sarcopenia and its associated factors among haemodialysis patients. A total of 100 eligible haemodialysis patients were recruited from five dialysis centres in Klang and Petaling districts by purposive sampling method. Face-to-face interviews were conducted to ascertain information on sociodemographic and other variables. Waist and calf circumference were measured by the researchers. IPAQ, MNA-SF, HADS and SARC-F questionnaires were used to assess physical activity level, nutritional status, depression and anxiety status, and risk of sarcopenia in the participants, respectively. The IBM SPSS Statistics version 26 was used for statistical analysis with a significance level set at p< 0.050. Participants were made up of 55% males and 45% females, with a large proportion of participants were Chinese (51.0%). Mean age of participants was 60 ± 13 years old, with 59.0% of the participants were older adults. It is important to note that just over half of the participants (53.0%) were at risk of protein-energy malnutrition (BMI< 23kg/m2) and a majority of the participants had central obesity (71.0%). Mean calf circumference of the participants (36.16 ± 4.71 cm) was remarkably higher than other studies. Low physical activity level was prevalent among the participants (78.0%). The nutritional status, anxiety status and depression status of the participants were satisfactory, with 67.0% being well-nourished, and most participants had no depression (80.0%) and anxiety (86.0%). Approximately one-third of the participants were at risk of sarcopenia. In this study, factors that were found to be significantly associated with risk of sarcopenia were age (r= 0.348, p< 0.001), waist circumference (r= 0.219, p= 0.029), physical activity level (χ2= 5.520, p= 0.019), nutritional status (r= -0.239, p= 0.017), depression (r= 0.438, p< 0.001) and anxiety (r= 0.429, p< 0.001). There were no significant associations between gender, ethnicity, educational level, calf circumference and smoking behavior with risk of sarcopenia among haemodialysis patients. Nothwithstanding the absence of universal consensus regarding operational criteria for sarcopenia in general and among the dialysis population, it is timely to address this under-recognized problem in clinical practice, among the dialysis patients, a vulnerable population for sarcopenia. Future studies are needed to delineate the above factors in ameliorating risk of sarcopenia in multi-centre settings as well as formulation of appropriate intervention to prevent sarcopenia among haemodialysis patients.
| Item Type: | Project Paper |
|---|---|
| Faculty: | Faculty of Medicine and Health Science |
| Depositing User: | Mr Khoirul Asrimi Md Nor |
| Date Deposited: | 21 Aug 2023 03:05 |
| Last Modified: | 21 Aug 2023 03:05 |
| URI: | http://psaspb.upm.edu.my/id/eprint/983 |
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