Application of comprehensive geriatric assessment in identifying risk and protective factors for sarcope-nia in individuals aged≥90 years
ZHANG Tian
SHA Jiangming
JIANG Liming
HU Xinyi
YIN Quanzhong
GU Yihang
Abstract：Objective To explore the application of comprehensive geriatric assessment(CGA)in identifying risk and protective factors for sarcopenia among individuals aged≥90 years.Methods A total of 190 ultra-elderly patients aged≥90 years who were treated in Jiangyin People's Hospital Medical Group and Jiangyin Community Health Service Cen-ter from January 2018 to August 2022 were enrolled.CGA was conducted for comprehensive evaluation,and logistic re-gression analysis was performed to identify sarcopenia-related factors.Results Among 190 participants,118(62.11%)were diagnosed with sarcopenia.Risk factors included polypharmacy(OR=1.303,95%CI:1.100-1.543),sleep disor-ders(OR=2.974,95%CI:1.307-6.770),smoking history(OR=2.511,95%CI:1.067-5.910),depression(OR=4.157,95%CI:1.776-9.730),and nutritional risk(OR=2.402,95%CI:1.071-5.389)(all P<0.05).Protective fac-tors included being married(OR=0.345,95%CI:0.139-0.858),BMI(OR=0.702,95%CI:0.592-0.833),elevated uric acid(OR=0.996,95%CI:0.993-1.000),and total cholesterol(OR=0.535,95%CI:0.314-0.912)(all P<0.05).Conclusions The prevalence of sarcopenia in individuals aged≥90 years is significantly higher than in the gen-eral elderly population.CGA highlights modifiable factors such as polypharmacy,smoking,marital status,metabolic indi-cators(BMI,cholesterol,uric acid,nutritional risk),and psychosocial factors(depression,sleep disorders),offering ev-idence for multidimensional interventions.
Keywords：sarcopeniacomprehensive geriatric assessmentoldest-oldaged
Publication Date：2025-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 18-23 )