Leisure-time physical activity and sarcopenia among older adults from low- and middle-income countries.

Content Provider	Europe PMC
Author	Jacob, Louis Gyasi, Razak M. Oh, Hans Smith, Lee Kostev, Karel López Sánchez, Guillermo F. Rahmati, Masoud Haro, Josep Maria Tully, Mark A. Shin, Jae Il Yon, Dong Keon Koyanagi, Ai
Abstract	BackgroundThere are no data on the association between leisure‐time physical activity (LTPA) and sarcopenia in older adults from low‐ and middle‐income countries (LMICs). This study aimed to investigate the association between LTPA and sarcopenia in individuals aged ≥65 years living in six LMICs.MethodsCross‐sectional data from the Study on Global AGEing and Adult Health (China, Ghana, India, Mexico, Russia and South Africa) were analysed. Sarcopenia referred to the presence of both low skeletal muscle mass and weak handgrip strength. LTPA was assessed using the Global Physical Activity Questionnaire and was analysed as a dichotomized variable [high LTPA (>150 min/week of moderate‐to‐vigorous LTPA) or low LTPA (≤150 min/week)]. Multivariable logistic regression analysis was conducted to assess associations.ResultsThere were 14 585 individuals included in this study [mean (SD) age 72.6 (11.5) years; 55.0% women]. The prevalence of high LTPA and sarcopenia was 8.9% and 12.0%, respectively. After adjusting for potential confounders, low LTPA was significantly associated with higher odds for sarcopenia [prevalence odds ratio (POR) = 1.85, 95% confidence interval (CI) = 1.29–2.65] compared with high LTPA. Significant associations were found in women (POR = 3.22, 95% CI = 1.82–5.68) but not in men (POR = 1.52, 95% CI = 0.99–2.35).ConclusionsA positive and significant association between low LTPA and sarcopenia was found among older adults from LMICs. The promotion of LTPA among older adults in LMICs may aid in the prevention of sarcopenia, especially among females, pending future longitudinal research.
Page Count	9
ISSN	21905991
Journal	Journal of Cachexia, Sarcopenia and Muscle
Volume Number	14
PubMed Central reference number	PMC10067478
Issue Number	2
PubMed reference number	36872652
e-ISSN	21906009
DOI	10.1002/jcsm.13215
Language	English
Publisher	John Wiley and Sons Inc.
Publisher Date	2023-03-05
Publisher Place	Hoboken
Access Restriction	Open
Rights License	This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2023 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders.
Subject Keyword	epidemiology leisure‐time physical activity low‐ and middle‐income countries older adults sarcopenia
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Physiology (medical)