Department of General Medicine, Affiliated Jiangyin Hospital of Nantong University;
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 Center from January 2018 to August 2022 were enrolled. CGA was conducted for comprehensive evaluation, and logistic regression 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 disorders(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 factors 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 general elderly population. CGA highlights modifiable factors such as polypharmacy, smoking, marital status, metabolic indicators(BMI, cholesterol, uric acid, nutritional risk), and psychosocial factors(depression, sleep disorders), offering evidence for multidimensional interventions.
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China Classification Code:R685
Citation Information:
[1]张恬,沙江明,江黎明等.老年综合评估在≥90岁超高龄人群肌少症影响因素分析中的应用[J].老年医学研究,2025,6(02):18-23.
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江苏省卫生健康委员会临床适宜技术推广应用项目（LSD2022007,老年综合评估技术在基层医疗机构中的推广应用）;江苏省卫生健康委员会临床技术应用研究项目（LD2022005,老年医学临床技术应用研究项目单位）