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Sarcopenia Is Associated with Cognitive Impairment Mainly Due to Slow Gait Speed: Results from the Korean Frailty and Aging Cohort Study (KFACS)

Author

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  • Miji Kim

    (Department of Biomedical Science and Technology, College of Medicine, East-West Medical Research Institute, Kyung Hee University, Seoul 02447, Korea)

  • Chang Won Won

    (Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul 02447, Korea)

Abstract

Sarcopenia and cognitive impairment may share common risk factors and pathophysiological pathways. We examined the association between impairments in specific cognitive domains and sarcopenia (and its defining components) in community-dwelling older adults. We analyzed 1887 patients who underwent cognitive function tests and dual-energy X-ray absorptiometry from the baseline data of adults aged 70–84 years obtained from the Korean Frailty and Aging Cohort Study. Those with disability in activities of daily living, dementia, severe cognitive impairment, Parkinson’s disease, musculoskeletal complaints, neurological disorders, or who were illiterate were excluded. Cognitive function was assessed using the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet, the Frontal Assessment Battery. For sarcopenia, we used the diagnostic criteria of the Asian Working Group for Sarcopenia. The prevalence of sarcopenia was 9.6% for men and 7.6% for women. Sarcopenia (odds ratio [OR] 1.76, 95% confidence interval [CI] 1.04–2.99) and slow gait speed (OR 2.58, 95% CI 1.34–4.99) were associated with cognitive impairment in men. Only slow gait speed (OR 1.88, 95% CI 1.05–3.36) was associated with cognitive impairment in women. Sarcopenia is associated with cognitive impairment mainly due to slow gait speed. Our results suggested that cognitive impairment domains, such as processing speed and executive function, are associated with sarcopenia-related slow gait speed.

Suggested Citation

  • Miji Kim & Chang Won Won, 2019. "Sarcopenia Is Associated with Cognitive Impairment Mainly Due to Slow Gait Speed: Results from the Korean Frailty and Aging Cohort Study (KFACS)," IJERPH, MDPI, vol. 16(9), pages 1-18, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1491-:d:226387
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    References listed on IDEAS

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    1. Jung H. Lee & Kang U. Lee & Dong Y. Lee & Ki W. Kim & Jin H. Jhoo & Ju H. Kim & Kun H. Lee & Sung Y. Kim & Sul H. Han & Jong I. Woo, 2002. "Development of the Korean Version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K)," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(1), pages 47-53.
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    Cited by:

    1. Igor Cigarroa & María José Espinoza-Sanhueza & Nicole Lasserre-Laso & Ximena Diaz-Martinez & Alex Garrido-Mendez & Carlos Matus-Castillo & María Adela Martinez-Sanguinetti & Ana Maria Leiva & Fanny Pe, 2020. "Association between Walking Pace and Diabetes: Findings from the Chilean National Health Survey 2016–2017," IJERPH, MDPI, vol. 17(15), pages 1-10, July.
    2. Ji-Yeon Baek & Eunju Lee & Woo Jung Kim & Il-Young Jang & Hee-Won Jung, 2021. "A Cumulative Muscle Index and Its Parameters for Predicting Future Cognitive Decline: Longitudinal Outcomes of the ASPRA Cohort," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    3. Cheng-En Wu & Kai Way Li & Fan Chia & Wei-Yang Huang, 2022. "Interventions to Improve Physical Capability of Older Adults with Mild Disabilities: A Case Study," IJERPH, MDPI, vol. 19(5), pages 1-11, February.
    4. K. Ramoo & Noran N. Hairi & A. Yahya & W. Y. Choo & F. Mohd Hairi & D. Peramalah & S. Kandiben & A. Bulgiba & Z. Mohd Ali & I. Abdul Razak & N. Ismail & N. S. Ahmad, 2022. "Longitudinal Association between Sarcopenia and Cognitive Impairment among Older Adults in Rural Malaysia," IJERPH, MDPI, vol. 19(8), pages 1-11, April.

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