Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/248048
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dc.titleThe prevalence patterns and risk factor profiles of poor muscle health and its associated components in multiethnic older Asians: The PIONEER study
dc.contributor.authorGupta, Preeti
dc.contributor.authorVu, Tai-Anh
dc.contributor.authorMan, Ryan EK
dc.contributor.authorFenwick, Eva K
dc.contributor.authorTay, Laura
dc.contributor.authorNg, Yee Sien
dc.contributor.authorNg, David
dc.contributor.authorKoh, Hong Xiang Frederick
dc.contributor.authorYong, Eu-Leong
dc.contributor.authorLamoureux, Ecosse
dc.contributor.authorChew, Samuel TH
dc.date.accessioned2024-04-24T01:00:19Z
dc.date.available2024-04-24T01:00:19Z
dc.date.issued2024-04-22
dc.identifier.citationGupta, Preeti, Vu, Tai-Anh, Man, Ryan EK, Fenwick, Eva K, Tay, Laura, Ng, Yee Sien, Ng, David, Koh, Hong Xiang Frederick, Yong, Eu-Leong, Lamoureux, Ecosse, Chew, Samuel TH (2024-04-22). The prevalence patterns and risk factor profiles of poor muscle health and its associated components in multiethnic older Asians: The PIONEER study. Journal of Cachexia Sarcopenia and Muscle. ScholarBank@NUS Repository.
dc.identifier.issn2190-6009
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/248048
dc.description.abstractBackground We aim to determine the multiethnic patterns of the prevalence and associated factors of poor muscle health and its associated components in older Chinese, Malays, and Indian Asian adults. Methods We included 2199 participants (mean age ± SD: 72.9 ± 8.3 years; 54.3% female) from the baseline assessment of the Population Health and Eye Disease Profile in Elderly Singaporeans (PIONEER; 2017–2022) cohort study. Poor muscle health was defined as the presence of either low muscle mass (DEXA), or low muscle strength (handgrip strength), or low physical performance (gait speed). Its components include poor muscle function (low muscle strength and/or low physical performance without low muscle mass), pre-sarcopenia (low muscle mass only), and any sarcopenia (low muscle mass with low muscle strength and/or low physical performance). Sociodemographic, clinical, and lifestyle factors were assessed using biochemistry, clinical tests, and validated questionnaires. Regression models were utilized to evaluate the independent risk factors of poor muscle health and its components. Results The national census-adjusted prevalence of poor muscle health (88%) was similar across the three ethnic groups. However, Chinese individuals had higher prevalence of pre-sarcopenia and any sarcopenia, and a lower prevalence of poor muscle function compared with Indians or Malays. We observed ethnic differences in modifiable risk factors (low physical activity, diabetes, osteoporosis, and obesity) of poor muscle health and its components. Although obesity was protective of pre-sarcopenia (RRR = 0.19, 95% CI: 0.11, 0.36) and any sarcopenia (RRR = 0.29, 95% CI: 0.18, 0.47) in the overall population and across ethnic groups, it was associated with 1.7 times (95% CI: 1.07, 2.67) the likelihood of poor muscle function in the entire population. Conclusions Almost 90% of community dwelling Singaporean aged ≥60 years have poor muscle health across the three ethnic groups with ethnic disparities in modifiable risk factors, highlighting an urgent need for community-wide targeted interventions to promote muscle health.
dc.publisherWiley-Blackwell
dc.sourceElements
dc.typeArticle
dc.date.updated2024-04-23T13:17:53Z
dc.contributor.departmentDEAN'S OFFICE (DUKE-NUS MEDICAL SCHOOL)
dc.contributor.departmentDUKE-NUS OFFICE OF ACAD & CLINICAL DEVT
dc.contributor.departmentMEDICINE
dc.contributor.departmentOBSTETRICS & GYNAECOLOGY
dc.description.sourcetitleJournal of Cachexia Sarcopenia and Muscle
dc.published.statePublished
dc.description.redepositCompleted
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