Volume 22 Issue 8
Aug.  2024
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WU Xiaoxue, CHEN Hongzhen, ZHENG Kun, YU Hongmei, XIA Li. Correlation between hypertension and sarcopenia in the community-dwelling older residents[J]. Chinese Journal of General Practice, 2024, 22(8): 1371-1375. doi: 10.16766/j.cnki.issn.1674-4152.003639
Citation: WU Xiaoxue, CHEN Hongzhen, ZHENG Kun, YU Hongmei, XIA Li. Correlation between hypertension and sarcopenia in the community-dwelling older residents[J]. Chinese Journal of General Practice, 2024, 22(8): 1371-1375. doi: 10.16766/j.cnki.issn.1674-4152.003639

Correlation between hypertension and sarcopenia in the community-dwelling older residents

doi: 10.16766/j.cnki.issn.1674-4152.003639
Funds:

 CSTB2023NSCQ-MSX0119

  • Received Date: 2023-12-18
    Available Online: 2024-11-19
  •   Objective  To investigate the correlation between sarcopenia and hypertension in community-dwelling older residents in Chongqing.  Methods  A total of 615 elderly who received medical check-ups at the community health center in Chongqing from March 2023 to August 2023 were selected. General information was collected by questionnaire and skeletal muscle mass, 6-meter walking speed, grip strength, and blood pressure were also measured. Subjects were divided into sarcopenia group and non-sarcopenia group according to the guidelines of Asian Working Group for Sarcopenia 2019. The factors influencing sarcopenia were determined by binary logistic regression analysis. The correlation between blood pressure and diagnostic indices of sarcopenia was performed by Pearson correlation analysis.  Results  Among the 615 elderly from Chongqing community, 80 elderly (13.0%) were diagnosed with sarcopenia. Compared with the non-sarcopenia group, the age, prevalence of hypertension and diabetes in the sarcopenia group were significantly higher, while the BMI was significantly lower (P < 0.05). Logistic regression analysis showed that older age (OR=1.140, 95% CI: 1.098-1.183), hypertension (OR=2.058, 95% CI: 1.195-3.545) were associated with increased risk of sarcopenia (P < 0.05). Pearson correlation analysis showed that grip strength (r=-0.132, P=0.017), appendicular skeletal muscle mass (r=-0.134, P=0.016), skeletal muscle mass index (r=-0.121, P=0.030) were negatively correlated with systolic blood pressure.  Conclusion  The risk of sarcopenia was increased with and hypertension in community-dwelling older residents. SBP can effectively reflect the muscle mass and strength of the elderly with hypertension. Therefore, screening for sarcopenia elderly in community-dwelling older residents should be done as early as possible, and sarcopenia should be prevented by effective blood pressure control.

     

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