Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults

• Published in: Clinical interventions in aging Vol. 16; pp. 1119 - 1129
• Main Authors: Swan, Lauren, Warters, Austin, O'Sullivan, Maria
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2021; Taylor & Francis Ltd; Dove
• Subjects: Activities of daily living; Adults; Aged; Aged, 80 and over; Alcohol; Arthritis; Chronic illnesses; Cross-Sectional Studies; Demographic aspects; Disease; Economic aspects; Education; Educational attainment; Hand Strength - physiology; Health aspects; Health Status Disparities; Humans; Hydraulics; Income distribution; Independent Living - statistics & numerical data; Longitudinal Studies; Male; Mortality; Muscle strength; Muscle Strength - physiology; Muscle, Skeletal - physiology; Obesity - epidemiology; Older people; Original Research; Osteoarthritis; Overweight; Population; Prevalence; Risk Factors; Sarcopenia; Sarcopenia - diagnosis; Sarcopenia - epidemiology; Social aspects; Social classes; Sociodemographics; Socioeconomic Factors; Ireland; aging; socioeconomic position; hand grip strength; muscle function; sarcopenia
• ISSN: 1178-1998; 1176-9092; 1178-1998
• DOI: 10.2147/CIA.S310774

Maintaining skeletal muscle function throughout life is a crucial component of successful aging. Disadvantaged socioeconomic position (SEP) is associated with adverse health outcomes, but has not been extensively studied for the muscle disease sarcopenia. We aimed to determine the prevalence of probable sarcopenia, a precursor to sarcopenia diagnosis, based on the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) guidelines overall, and according to SEP. This cross-sectional study comprised 3342 community-dwelling older adults [mean age (SD) 68.9 ± 6.3 years] from Wave 1 of the Irish Longitudinal Study on Ageing. Probable sarcopenia was identified using gender-specific cut-off values for handgrip strength as recommended by EWGSOP2. SEP was defined by educational attainment. Multivariate regression analysis was employed to determine associations between probable sarcopenia and pre-defined risk factors. Overall, 23.4% of the population had probable sarcopenia and was significantly higher in the subset with low compared with high SEP (28.9% vs 18.1%, p<0.001). Consistent with this, multivariate logistic regression analysis showed that disadvantaged SEP was a significant determinant of probable sarcopenia [OR, CI 1.48 (1.17, 1.87) p<0.001]. Other known risk factors, namely, increased age, low physical activity, comorbidity, and osteoarthritis were significantly associated with an increased likelihood of probable sarcopenia, while overweight/obesity appeared to be protective. Disadvantaged SEP was an independent determinant of probable sarcopenia in community-dwelling older adults. These findings highlight that SEP and health inequality should be considered in prevention and treatment policy for sarcopenia in the community.