Characteristics of Japanese Older Adults Whose Trunk Muscle Mass Decreased during the COVID-19 Pandemic

被引:7
作者
Hirose, Tamaki [1 ]
Sawaya, Yohei [1 ]
Ishizaka, Masahiro [1 ]
Hashimoto, Naori [2 ]
Ito, Akihiro [1 ]
Endo, Yoshiaki [1 ]
Kobayashi, Kaoru [1 ]
Yakabi, Akihiro [1 ]
Onoda, Ko [1 ]
Hara, Tsuyoshi [1 ]
Watanabe, Miyoko [1 ]
Itokazu, Masafumi [1 ]
Kubo, Akira [1 ]
Urano, Tomohiko [3 ]
机构
[1] Int Univ Hlth & Welf, Sch Hlth Sci, Dept Phys Therapy, 2600-1 Kitakanemaru, Otawara, Tochigi 3248501, Japan
[2] Senior Serv Div Otawara, 1-4-1 Honcho, Otawara, Tochigi 3248641, Japan
[3] Int Univ Hlth & Welf, Sch Med, Dept Geriatr Med, 4-3 Kozunomori, Narita, Chiba 2868686, Japan
关键词
body composition; COVID-19; frailty; sarcopenia; SARS-CoV-2; infection; REFERENCE VALUES; KIHON CHECKLIST; GOING OUTDOORS; WALKING SPEED; RELIABILITY; FREQUENCY; AGE; ASSOCIATION; DISABILITY; DIAGNOSIS;
D O I
10.3390/ijerph191811438
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The coronavirus (COVID-19) pandemic significantly affected the physical and mental functions in older adults, resulting in "corona-frailty". This 2-year prospective study characterized changes in quantitative measures and corona-frailty among a cohort of community-dwelling older women. Changes were evaluated using face-to-face interactions with 39 Japanese women (mean age: 76.1 +/- 5.9) in 2019 (pre-pandemic baseline) and 2021 (follow-up during the pandemic). Quantitative measurements of handgrip strength, walking speed, calf circumference, body composition, and background factors were evaluated. Body weight and trunk muscle mass significantly decreased at follow-up. Multiple regression analysis, using change in trunk muscle mass as the dependent variable and background factors as independent variables, identified that decrease in trunk muscle mass was associated with "being robust at baseline" and answering "Yes" to the question of "Do you go out less frequently compared with last year"? The 2-year trunk muscle mass change for each baseline frailty stage showed a significant decrease only in the robust group (-8.0%). The decrease in trunk muscle mass might be related to pandemic-induced lifestyle restraint, suggesting that robust older adults who are healthy and active should take measures that focus on trunk muscles to avoid "corona-frailty".
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页数:9
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