Association between Sarcopenia, Protein Intake, and Physical Activity in Older Adults at Hospital María Auxiliadora, Perú
DOI:
https://doi.org/10.12873/454narreaKeywords:
Aged, Physical Activity, Protein, SarcopeniaAbstract
Background: Sarcopenia is a prevalent issue among older adults, especially in hospital settings, and its prevention requires addressing factors such as protein intake and physical activity.
Objective: To determine the association between sarcopenia, protein intake, and physical activity in older adults at Hospital María Auxiliadora in Lima, Peru.
Methods: An observational, analytical, cross-sectional study conducted in 56 older adults from a hospital, where sarcopenia risk was assessed using the SARC-F questionnaire, protein intake was measured by a food frequency questionnaire adapted by Cortez for older adult patients, and physical activity level was evaluated with the IPAQ and IPAQ-E questionnaires.
Results: The mean age was 71.0 ± 6.37 years; 71.43% were women. Sarcopenia risk was present in 30.35% of participants. The average protein intake was 1.00 ± 0.30 g/kg, with no significant differences between groups with and without risk (0.98 ± 0.32 vs. 1.01 ± 0.29; p = 0.83). Most participants had a low physical activity level, with no significant differences by risk status (p = 0.27). In logistic regression, neither protein intake (OR = 0.922; p = 0.93) nor moderate physical activity level (OR = 0.611; p = 0.30) showed a statistically significant association with sarcopenia risk.
Conclusions: No significant association was found between sarcopenia, protein intake, and physical activity level in this sample. However, the importance of promoting adequate protein intake and regular physical activity for the prevention and management of sarcopenia in older patients is emphasized.
References
1. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. doi:10.1093/ ageing/afy169.
2. Papadopoulou S. Sarcopenia: A contemporary health problem among older adult populations. Nutrients. 2020;12(5):1295. doi:10.3390/nu12051295.
3. Dodds RM, Roberts HC, Cooper C, Sayer AA. The epidemiology of sarcopenia. J Clin Densitom. 2015;18(4):461-466. doi:10.1016/ j.jocd.2015.04.012.
4. Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta-analysis of general population studies. J Diabetes Metab Disord. 2017;16(1):21. doi:10.1186/s40200-017-0302-x.
5. Wang T, Feng X, Tang X, Chen X, Wu L, Liu B, et al. Association of possible sarcopenia with major chronic diseases and multimorbidity among middle-aged and older adults: A national cross-sectional study in China. Geriatr Gerontol Int. 2023;23(10):925-931. doi:10.1111/ggi.14684.
6. Ramos-Ramirez K, Soto A. Sarcopenia in-hospital mortality and prolonged hospital stay in elderly subjects admitted to a Peruvian reference hospital. Acta Med Per. 2020;37(4):447-454.
7. Coelho-Júnior HJ, Calvani R, Tosato M, Landi F, Picca A, Marzetti E. Protein intake and physical function in older adults: a systematic review and meta-analysis. Ageing Res Rev. 2022;81:101731. doi:10.1016/j.arr.2022.101731.
8. Flores-Flores O, Zevallos-Morales A, Pollard SL, Checkley W, Siddharthan T, Hurst JR, et al. Sarcopenia and sarcopenic obesity among community-dwelling Peruvian adults: a cross-sectional study. PLoS One. 2024;19(4):e0300224. doi:10.1371/journal. pone.0300224.
9. Tramontano A, Veronese N, Sergi G, Manzato E, RodriguezHurtado D, Maggi S. Prevalence of sarcopenia and associated factors in the healthy older adults of the Peruvian Andes. Arch Gerontol Geriatr. 2017;68:49-54. doi:10.1016/j.archger.2016.10.002.
10. Wu W, Chen F, Ma H, Lu J, Zhang Y, Zhou H, et al. Dietary protein requirements of older adults with sarcopenia determined by the indicator amino acid oxidation technology. Front Nutr. 2025;12:1486482. doi:10.3389/fnut.2025.1486482.
11. Nascimento C, Ingles M, Salvador-Pascual A, Cominetti M, Gomez-Cabrera M, Viña J. Sarcopenia, frailty and their prevention by exercise. Free Radic Biol Med. 2019;132:42-49. doi:10.1016/ j.freeradbiomed.2018.11.036.
12. Stoodley IL, Berthon BS, Scott HA, et al. Protein Intake and Physical Activity Levels as Determinants of Sarcopenia Risk in Community-Dwelling Older Adults. Nutrients. 2024;16(9):1380. doi:10.3390/nu16091380.
13. Lee E, Kim ID, Lim ST. Physical activity and protein-intake strategies to prevent sarcopenia in older people. Int Health. 2025;17(4):423-430. doi:10.1093/inthealth/ihae064.
14. Wilkinson DJ, Piasecki M, Atherton PJ. Represents skeletal muscle anabolic resistance and promotion strategies. J Cachexia Sarcopenia Muscle. 2018;9(5):722-736. doi:10.1002/jcsm.12334.
15. Beaudart C, Dawson A, Shaw SC, Harvey NC, Kanis JA, Binkley N, et al. Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review. Osteoporos Int. 2017; 28(6):1817-1833. doi:10.1007/s00198-017-3980-9.
16. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24): 1451–1462. doi:10.1136/bjsports-2020-102955.
17. Parra-Rizo MA, Sanchis-Soler G, Saucedo-Moreno EM, PardoGarcía I. Physical activity and quality of life in older adults in Latin America: A systematic review. Int J Environ Res Public Health. 2021;18(12):6419. doi:10.3390/ijerph18126419.
18. Cigarroa I, Zapata-Lamana R, Leiva-Gajardo G, Vásquez E, Parrado-Romero E, Vásquez-Gómez J, et al. Adherence characteristics and reasons for abandonment of physical exercise-based interventions in older adults in Latin America: a scoping review. Retos. 2022;(44):10-26. doi:10.47197/retos.v44i0.89359.
19. Churchward-Venne TA, Burd NA, Phillips SM. Nutritional regulation of muscle protein synthesis with resistance exercise: strategies to enhance anabolism. Nutrition & Metabolism. 2012;9:40. doi:10.1186/1743-7075-9-40.
20. Labata-Lezaun N, Llurda-Almuzara L, López-de-Celis C, Rodríguez-Sanz J, González-Rueda V, Hidalgo-García C, MunizPardos B, Pérez-Bellmunt A. Effectiveness of protein supplementation combined with resistance training on muscle strength and physical performance in elderly: A systematic review and metaanalysis. Nutrients. 2020;12(9):2607. doi:10.3390/nu12092607.
21. Kim J, Kim R, Choi H, Lee S, Bae G. Understanding of sarcopenia: From definition to therapeutic strategies. Arch Pharm Res. 2021; 44(9):876-889. doi:10.1007/s12272-021-01316-0.
22. Waltz T, Fivenson E, Morevati M, Li C, Becker K, Bohr V, et al. Sarcopenia, aging and prospective interventional strategies. Curr Med Chem. 2017;25(40):5588-5596. doi:10.2174/0929867324 666170523164955.
23. Xu J, Wan C, Ktoris K, Reijnierse EM, Maier A. Sarcopenia is associated with mortality in adults: A systematic review and meta-analysis. Gerontology. 2022;68(4):361-376. doi:10.1159/000521971.
24. Hospital María Auxiliadora. Reseña histórica del Hospital María Auxiliadora [Internet]. Lima: Hospital María Auxiliadora; 2006 [citado 2025 Ago 12]. Disponible en: https://www.hma.gob.pe/v2/ pdf/historia/historia.pdf.
25. Argimón JM, Jiménez J. Métodos de investigación clínica y epidemiológica. 3ª ed. Barcelona: Elsevier; 2013.
26. Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2020;21(3):300-307.e2. doi:10.1016/j.jamda.2019.12.012.
27. Bahat G, Yilmaz O, Kılıç C, Oren MM, Karan MA. Performance of SARC-F in Regard to Sarcopenia Definitions, Muscle Mass and Functional Measures. J Nutr Health Aging. 2018;22(8):898-903.
28. Cortez E. Sarcopenia y nivel de ingesta proteica de pacientes adultos cardiometabólicos del hospital Nacional Hipólito Unanue, Lima – Perú. (Tesis) Lima, Perú. Universidad Nacional Mayor de San Marcos. 2020.
29. Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc. 2013;14(8):542-59. doi:10.1016/ j.jamda.2013.05.021.
30. Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Bosy-Westphal A, et al. Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group. Clin Nutr. 2014;33(6):929-36. doi:10.1016/j.clnu.2014.04.007
31. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-1395.
32. Cleland C, Ferguson S, Ellis G, Hunter RF. Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Med Res Methodol. 2018;18(1):176.
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