Impact of Severe Sarcopenia on Depressive Symptoms and Quality of Life in Community-Dwelling Older Adults With Dementia: A Cross-Sectional Study.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI:10.3928/00989134-20250811-01

Yu-Nu Wang, Wen-Chuin Hsu, An-Yi Hsu, Jeng Wang, Sajad Yarahmadi

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引用次数: 0

Abstract

Purpose: To examine the impact of sarcopenia severity on depressive symptoms and quality of life (QoL) among community-dwelling older adults with dementia, using the 2019 Asian Working Group for Sarcopenia criteria.

Method: A cross-sectional study was conducted at neurological outpatient clinics in Taiwan. Participants included 120 older adults aged ≥65 years with dementia (as determined by a Clinical Dementia Rating score ≤2). Sarcopenia severity was classified based on muscle mass, strength, and physical performance. Depressive symptoms and QoL were assessed using the Center for Epidemiologic Studies Depression Scale and Medical Outcomes Study Short Form-36, respectively.

Results: Severe sarcopenia was significantly associated with poorer QoL (p < 0.05), and no significant association was found between sarcopenia and depressive symptoms.

Conclusion: Sarcopenia severity negatively impacts QoL in older adults with dementia. Routine nursing assessments should include sarcopenia screening to guide interventions aimed at improving QoL, such as resistance training and nutritional support.

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重度肌肉减少症对社区老年痴呆患者抑郁症状和生活质量的影响：一项横断面研究

目的：利用2019年亚洲肌少症标准工作组，研究肌少症严重程度对社区老年痴呆患者抑郁症状和生活质量（QoL）的影响。方法：对台湾地区神经科门诊进行横断面研究。参与者包括120名年龄≥65岁的老年痴呆症患者（由临床痴呆评分≤2分确定）。骨骼肌减少症的严重程度根据肌肉质量、力量和身体表现进行分类。分别使用流行病学研究中心抑郁量表和医疗结果研究简表-36评估抑郁症状和生活质量。结果：重度肌少症与较差的生活质量显著相关（p < 0.05），而与抑郁症状无显著相关性。结论：骨骼肌减少严重程度对老年痴呆患者生活质量有负面影响。常规护理评估应包括肌少症筛查，以指导旨在改善生活质量的干预措施，如抗阻训练和营养支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.