Association of Protein Intake With Sarcopenia Among Institutionalized Elderly

Overview

This study has purpose to investigated the association of protein intake with sarcopenia in the institutionalized elderly at south tangerang

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: May 30, 2019

Detailed Description

Data were collected using interview with subjects or with care giver to know the basic characteristic of subjects. Anthropometric measurements were done body weight in kilograms was measured using SECA scale. Body height in meters was predicted by knee height measurement using knee height caliper. Body mass index (BMI) was calculated as weight per height square. Fat free mass was examined using bioelectrical impedance analyzer Tanita type SC-330. Independency was assessed using Barthel index. Protein intake was measured using 2×24 hour food recall and analyzed using a computer program Nutrisurvey 2007, data were compare to Recommended Dietary Allowances established for Indonesian 2018. Handgrip muscle strength was examined using Jamar handgrip dynamometer. Physical performance was measured using Short Physical Performance Battery test. Sarcopenia was diagnosed using Asian Working Group on Sarcopenia. All data collected were analyzed using Statistical Package for the Social Science (SPSS) version 20 for windows. Nominal data were described using frequency, n (%). Normality of data was tested using Kolmogorov-Smirnov test with normal distribution (p>0.05) described using mean and SD while not normal distribution (p<0.05) described using median and range minimum-maximum. The investigators used Independent T-test analysis to investigate the association.

Clinical Trial Outcome Measures

Primary Measures

  • Protein intake of the subject
    • Time Frame: After signing the consent
    • to assessed protein intake of the subject using 2×24 hour food recall and analyzed using a computer program Nutrisurvey 2007, data were compare to Recommended Dietary Allowances established for Indonesian 2018
  • Distribution of sarcopenia subject in the institutionalized elderly
    • Time Frame: After signing the consent
    • to investigate the distribution of sarcopenia subject using Asian Working Group Of Sarcopenia for diagnostic (fat Free Mass, handgrip strength,physical performance) Sarcopenia categorized low muscle mass (fat free mass) and either low muscular strength or low physical performance
  • Characteristic of fat free mass subject
    • Time Frame: After signing the consent
    • to examine fat free mas of the subject using bioelectrical impedance analyzer Tanita type SC-330 and classified by Asian gender and aged Male : Normal 53,30±4,79 kg Female : Normal 37,96±3,41 kg
  • Characteristic of handgrip strength subject
    • Time Frame: After signing the consent
    • to assessed handgrip strength of the subject using Jamar handgrip dynamometer, assessment criteria based on the Asian Working Group on Sarcopenia Male : Normal > 26 kg Female : > 18 kg
  • Characteristic of physical performance subject
    • Time Frame: After signing the consent
    • to examine physical performance (lower extremity strength) using Short Physical Performance Battery test. Classified using Asian Working Group on Sarcopenia Good physical performance score ≥9
  • Association of protein intake with sarcopenia
    • Time Frame: immediately after the procedure
    • to investigate the association of protein intake with sarcopenia. After protein intake and sarcopenia analysis were completed. The investigators used Independent T-test to analyzed the association protein intake between sarcopenia subject compare to non-sarcopenia subject

Secondary Measures

  • Nutritional status of the subjects
    • Time Frame: After signing the consent
    • to investigate nutritional status using anthropometric measurements were done body weight in kilograms was measured using SECA scale. Body height in meters was predicted by knee height measurement using knee height caliper. Body mass index (BMI) was calculated as weight per height square (kg/m2). Nutritional status categorized using WHO Asia Pacific body mass index. Categorized: < 18,5 kg/m2 : underweight 18,5-22,9 kg/m2: normal 23-24,9 kg/m2: overweight >25 kg/m2: obese 1 ≥30 kg/m2 : obese 2
  • Barthel index of the subject
    • Time Frame: After signing the consent
    • to know independency of the subject using barthel index scoring Scoring: Independent : 20 Mild Dependency : 12-19 Moderate Dependency : 9-11 Severe Dependency : 5-8 Total : 0-4 Independent, n (%) Mild Dependency, n (%) Moderate Dependency, n (%) Severe Dependency, n (%)

Participating in This Clinical Trial

Inclusion Criteria

1. Inclusion criteria were being male or female 2. aged more than 60 years old 3. signed inform consent form and literate with help from companion Exclusion Criteria:

1. subjects with history of cancer 2. history of upper and lower extremities weakness 3. history of chronic heart failure disease 4. chronic obstructive pulmonary disease

Gender Eligibility: All

Minimum Age: 60 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Indonesia University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Fiastuti Witjaksono, Dr. dr. Fiastuti Witjaksono, MKM, MS, Sp.GK (K) – Indonesia University
  • Overall Official(s)
    • Fiastuti Witjaksono, Principal Investigator, Department of Nutrition, Faculty of Medicine of Universitas Indonesia

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