Sarcopenia as a predictor of decreased socialization and quality of life in older patients
Background: The preservation of socialization of older patients is becoming an important problem. A real understanding of the socialization of patients of older age groups requires a new look at the development of age-related disorders of muscle tissue. “Muscle weakness” can lead to a decrease in the desire to go out in the elderly and senile age, lack of desire to communicate with other people in the presence of significant pain and movement restrictions. The aim of the study: To study the influence of sarcopenia syndrome on socialization and quality of life of older patients. Materials and methods: We have studied older patients to identify the effects of sarcopenia syndrome in the socialization of senile people. The first part of the study was devoted to studying the prevalence of sarcopenia syndrome of varying severity among the studied patients (n = 459). In the second part of the study, a subjective assessment of the degree of socialization, an assessment of anxiety-depressive syndrome and independence in everyday life, an assessment of the quality of life using the EuroQol questionnaire (EQ-5D) was carried out. The studied samples were 108 patients aged 60 to 70 years with sarcopenia syndrome and 153 people aged 71 to 80 years with sarcopenia syndrome + pronounced degree of sarcopenia. Results: The role of the influence of sarcopenia syndrome on the socialization of older patients with diseases of the musculoskeletal system is determined. It is shown that with the increase in age, and accordingly, the degree of severity of sarcopenia syndrome, a significant subjective decrease in socialization and desire for communication was revealed in connection with the feeling of "muscle weakness". When assessing anxiety-depressive syndrome, the maximum number of points was noted in patients aged 71-80 years with a pronounced degree of sarcopenia and with diseases of the musculoskeletal system in terms of violation of social ties. Conclusion: The data obtained indicate the need for correction of sarcopenia syndrome in older patients with diseases of the musculoskeletal system to increase the level of socialization. The article proves that the expressed degree of sarcopenia reduces the degree of independence in everyday life and quality of life.
Koroleva MV, Kudashkina EV, Sharova AA, et al. Sarcopenia as a predictor of decreased socialization and quality of life in older patients. Research Results in Biomedicine. 2019;5(4):150-159. (In Russian)
DOI: 10.18413/2658-6533-2019-5-4-0-12
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