ASSOCIATION BETWEEN RISK OF FALL AND RELATED FACTORS IN SARCOPENIA PATIENTS

Abstract

ABSTRACT

Objectives: This study aims to evaluate related factors affecting the risk of fall in older sarcopenic patients. Methods: A cross-sectional study was conducted in 294 participants aged ≥ 60 years old at National Geriatric Hospital in Hanoi, Vietnam, from July to October 2022. Sarcopenia was defined by the criteria proposed by Asian Working Group for Sarcopenia (AWGS 2019). Risk of fall was assessed through 21-item index. The T-test and Chi-square were used to compare groups. The relationship between sarcopenia and risk of fall was estimated by deriving odd ratios from multiple logistic regression models. Results: Mean age 75.68±8.20, 78.2% female. In multivariate logistic regression, age (adjusted OR=2.907, 95%CI:1.777-4.754), marital status (adjusted OR=2.352, 95%CI:1.390-3979), diabetes (adjusted OR=1994, 95%CI:1225-3246), heart failure (adjusted OR=1.947, 95%CI:1.086-3.493), depression (adjusted OR=2.298, 95%CI:1.005-5.253), hypertension (adjusted OR=1.885, 95%CI:1.166-3.046), ADL (adjusted OR=4.724, 95%CI: 2.867-7.783), IADL (adjusted OR= 8.403, 95%CI:4.689-15.061), sleep quality (adjusted OR=3.027, 95%CI: 1.837-4.987) were significantly associated with high risk of fall in sarcopenic patients defined by AWGS 2019 criteria. Conclusion: Patients with sarcopenia have high prevalence of fall and high risk of fall. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.