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Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)

Author

Listed:
  • Yuri Seo

    (Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul 02447, Korea)

  • Miji Kim

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

  • Hyungeun Shin

    (Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul 02447, Korea)

  • Changwon Won

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

Abstract

Sarcopenia is associated with adverse health outcomes among older individuals. However, little is known about its association with neighborhood environmental factors. We explored the relationship between sarcopenia and perceived neighborhood environmental factors among community-dwelling older adults aged 70–84 years. We analyzed 1778 participants (mean age of 75.9 ± 3.8 years; 54.0% women) who lived in urban areas and underwent dual-energy X-ray absorptiometry from the Korean Frailty and Aging Cohort Study. Sarcopenia was defined according to the Asian Working Group for Sarcopenia 2019 definition. Perceived neighborhood environmental factors were assessed using the Environmental Module of the International Physical Activity Questionnaire (IPAQ-E). In the multivariate analysis, compared to the fifth quintile of the IPAQ-E score, the odds ratios (ORs) and 95% confidence intervals (CIs) for sarcopenia in the first, second, third, and fourth quintiles were 2.13 (1.40–3.24), 1.72 (1.12–2.64), 1.75 (1.15–2.66), and 1.62 (1.06–2.47), respectively. These neighborhood environmental characteristics were linked with an increased likelihood of sarcopenia: no public transportation access (OR = 2.04; 95% CI = 1.19–3.48), poor recreational facilities access (OR = 1.39; 95% CI = 1.01–1.90), absence of destination (OR = 1.53; 95% CI = 1.06–2.20), many hill hazards (OR = 1.36; 95% CI = 1.03–1.78), and lack of traffic safety (OR = 1.35; 95% CI = 1.02–1.78). Thus, better neighborhood environmental strategies may help prevent sarcopenia among urban-dwelling older adults.

Suggested Citation

  • Yuri Seo & Miji Kim & Hyungeun Shin & Changwon Won, 2021. "Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6292-:d:572505
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    References listed on IDEAS

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    1. John R. Beard & Shannon Blaney & Magda Cerda & Victoria Frye & Gina S. Lovasi & Danielle Ompad & Andrew Rundle & David Vlahov, 2009. "Neighborhood Characteristics and Disability in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 252-257.
    2. Yung Liao & Kazuhiro Harada & Ai Shibata & Kaori Ishii & Koichiro Oka & Yoshio Nakamura & Shigeru Inoue & Teruichi Shimomitsu, 2011. "Perceived Environmental Factors Associated with Physical Activity among Normal-Weight and Overweight Japanese Men," IJERPH, MDPI, vol. 8(4), pages 1-13, March.
    3. Emily Joy Nicklett & Matthew C. Lohman & Matthew Lee Smith, 2017. "Neighborhood Environment and Falls among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 14(2), pages 1-15, February.
    4. Yung Liao & I-Ting Wang & Hsiu-Hua Hsu & Shao-Hsi Chang, 2015. "Perceived Environmental and Personal Factors Associated with Walking and Cycling for Transportation in Taiwanese Adults," IJERPH, MDPI, vol. 12(2), pages 1-15, February.
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    Cited by:

    1. Masataka Ando & Naoto Kamide & Miki Sakamoto & Yoshitaka Shiba & Haruhiko Sato & Akie Kawamura & Shuichiro Watanabe, 2022. "The Effects of Neighborhood Physical and Social Environment on Physical Function among Japanese Community-Dwelling Older Adults: A One-Year Longitudinal Study," IJERPH, MDPI, vol. 19(13), pages 1-10, June.

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