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Longitudinal Association between Sarcopenia and Cognitive Impairment among Older Adults in Rural Malaysia

Author

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  • K. Ramoo

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
    These authors contributed equally to this work.)

  • Noran N. Hairi

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
    Faculty of Public Health, Universitas Airlangga, Surabaya City 60115, Indonesia
    These authors contributed equally to this work.)

  • A. Yahya

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
    These authors contributed equally to this work.)

  • W. Y. Choo

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • F. Mohd Hairi

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • D. Peramalah

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • S. Kandiben

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • A. Bulgiba

    (Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia)

  • Z. Mohd Ali

    (Negeri Sembilan State Health Department (JKNNS), Seremban 70300, Malaysia)

  • I. Abdul Razak

    (Negeri Sembilan State Health Department (JKNNS), Seremban 70300, Malaysia)

  • N. Ismail

    (Disease Control Division, Ministry of Health Malaysia, Putrajaya 62590, Malaysia)

  • N. S. Ahmad

    (Mental Health, Injury Prevention, Violence and Substance Abuse Sector, Disease Control Division, Ministry of Health, Putrajaya 62590, Malaysia)

Abstract

Sarcopenia is a condition that is highly prevalent among older adults. This condition is linked to numerous adverse health outcomes, including cognitive impairment that impairs healthy ageing. While sarcopenia and cognitive impairment may share a common pathway, limited longitudinal studies exist to show the relationship between these two conditions. Therefore, this study aimed to examine the longitudinal association between sarcopenia and cognitive impairment. This is a cohort study among older adults residing in Kuala Pilah District, Negeri Sembilan, Malaysia. There were 2404 respondents at the baseline and 1946 respondents at one-year follow-up. Cognitive impairment was determined using Mini-mental State Examination scores. Sarcopenia was identified using the Asian Working Group for Sarcopenia 2019 criteria, gait speed was measured using a 4-meter gait test, handgrip strength was assessed using Jamar handheld dynamometer, and appendicular skeletal muscle mass was measured using bioelectrical impedance analysis. Generalized estimating equation (GEE) was used to determine the longitudinal association between sarcopenia and cognitive impairment, presented as relative risk (RR) and its 95% confidence interval. The prevalence of sarcopenia was 5.0% (95% CI 4.00–5.90), and severe sarcopenia was 3.60% (95% CI 2.84–4.31). Upon adjusting for covariates, older adults with sarcopenia have an 80 per cent increased risk of cognitive impairment compared to those without (RR 1.80; 95% CI 1.18–2.75). Similarly, severe sarcopenia was found to significantly increase the risk of cognitive impairment by 101 per cent in the adjusted model (RR 2.01; 95% CI 1.24–3.27). Our study showed that sarcopenia, severe sarcopenia, low physical activity, depressive symptoms, hearing impairment and chronic pain were associated with a higher risk of cognitive impairment among community-dwelling older adults. Therefore, early intervention to prevent sarcopenia, depressive symptoms, hearing impairment, chronic pain, and higher physical activity among older adults is recommended.

Suggested Citation

  • K. Ramoo & Noran N. Hairi & A. Yahya & W. Y. Choo & F. Mohd Hairi & D. Peramalah & S. Kandiben & A. Bulgiba & Z. Mohd Ali & I. Abdul Razak & N. Ismail & N. S. Ahmad, 2022. "Longitudinal Association between Sarcopenia and Cognitive Impairment among Older Adults in Rural Malaysia," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4723-:d:793482
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    References listed on IDEAS

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    1. Miji Kim & Chang Won Won, 2019. "Sarcopenia Is Associated with Cognitive Impairment Mainly Due to Slow Gait Speed: Results from the Korean Frailty and Aging Cohort Study (KFACS)," IJERPH, MDPI, vol. 16(9), pages 1-18, April.
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