Yi Qi C. 1, Wen Yuan K. 1, Winnie C. 2, Harvinder Kaur GS. 2
1 B. Sc (Hons) in Dietetics with Nutrition, International Medical University (IMU), Kuala Lumpur
2 Department of Nutrition and Dietetics, International Medical University (IMU), Kuala Lumpur
This study investigated the association between cognitive function and sedentary behaviour with sarcopenia among older adults with Type 2 Diabetes Mellitus (T2DM) in a primary care setting.
In this retrospective study, a total of 107 multi-ethnic HD patients were recruited from 3 dialysis centres in Pulau Pinang. Data was collected via face-to-face interview. Food security status was assessed using the validated 10-items USDA-FSSM. Differences in food intakes and post-dialysis weight before and during the full-blown MCO (6th week) in 2020 were determined and analyzed using general linear model.
Results & Discussion
Majority of the participants were males (52.3%), with a mean age of 69.9¬±5.4 years and have been having diabetes for an average of 12.1¬±8.0 years. The studied population had a high prevalence of sarcopenia (95.5%) with 91.3% of males and 100% of females. Males were more muscular with a higher skeletal muscle mass, RASM and HGS than females, (p<0.001) while females had more body fat. However, all participants, regardless of gender revealed a low RASM value and all females had a low HGS. Also, sarcopenic participants were older than non-sarcopenic participants (70.3¬±5.3 years old vs 62.0¬±1.4 years old). There were no significant association between cognitive function and sedentary behaviour with sarcopenia, (p>0.05). 20.5% participants had impaired cognition and an average MMSE score of sarcopenic (26.1¬±3.5 points) was similar to that of non-sarcopenic (26.5¬±3.5 points). 43% participants had sedentary behaviour which age, body fat (%), fat-free mass (kg and %) were greatly associated with sedentary behaviour among participants.
This study suggested that cognitive function and sedentary behaviour were not associated with sarcopenia among T2DM older adults in a primary care setting. Further studies with larger sampling are needed to confirm the preliminary findings in this study.