Pengaruh Diabetes Melitus Tipe 2 terhadap Sarkopenia pada Lansia
DOI:
https://doi.org/10.28932/jmh.v4i2.2886Keywords:
diabetes melitus tipe 2, lansia, sarkopeniaAbstract
Sarkopenia adalah penurunan massa otot dan umum terjadi pada lansia. Sarkopenia dikaitkan dengan proses selular seperti penurunan faktor-faktor anabolisme otot dan peningkatan faktor-faktor inflamasi yang berdampak pada proses katabolisme otot. Terjadinya sarkopenia dikaitkan dengan bermacam-macam faktor risiko, salah satunya adalah diabetes melitus tipe 2 (DM tipe 2). DM adalah penyakit metabolik dengan karakteristik hiperglikemia yang terjadi akibat kelainan sekresi insulin, kerja insulin atau kedua-duanya. Tujuan penelitian ini adalah untuk mengetahui pengaruh DM tipe 2 terhadap sarkopenia pada lansia. Metode penelitian adalah studi observasional analitik dengan desain cross-sectional. Terdapat 60 subjek penelitian yang memenuhi kriteria inklusi dan eksklusi, yang terdiri dari 22 lansia yang menderita DM tipe 2 dan 38 lansia yang tidak menderita DM tipe 2. Analisis data menggunakan uji statistik Chi-Square pada tabel 2x2 dengan α = 0,05. Hasil penelitian menunjukkan bahwa proporsi penderita sarkopenia pada lansia yang menderita DM tipe 2 (61,9 %) lebih banyak daripada lansia yang tidak menderita DM tipe 2 (38,1) dengan nilai p = 0,003. Nilai Odds Ratio sebesar 5,471, menunjukkan bahwa lansia yang memiliki riwayat DM tipe 2 berisiko 5 kali lebih besar mengalami sarkopenia. Dapat disimpulkan terdapat pengaruh DM tipe 2 terhadap sarkopenia pada lansia.Downloads
References
Riviati N, Setiati S, Laksmi PW, Abdullah M. Factors Related with Handgrip Strength in Elderly Patients. Acta Med Indones. 2017;49(3):215–9.
Lang T, Streeper T, Cawthon P, Baldwin K, Taaffe DR, Harris TB. Sarcopenia: Etiology, clinical consequences, intervention, and assessment. Osteoporos Int. 2010;21(4):543–59.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412–23.
Malmstrom TK, Morley JE. SARC-F: A simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013;14(8):531–2.
Care D, Suppl SS. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes. Diabetes Care. 2019;42:S13–28.
Mesinovic J, Zengin A, De Courten B, Ebeling PR, Scott D. Sarcopenia and type 2 diabetes mellitus: A bidirectional relationship. Diabetes, Metab Syndr Obes Targets Ther. 2019;12:1057–72.
Khamseh ME, Malek M, Aghili R, Emami Z. Sarcopenia and diabetes: Pathogenesis and consequences. Br J Diabetes Vasc Dis. 2011;11(5):230–4.
Wang T, Feng X, Zhou J, Gong H, Xia S, Wei Q, et al.. Type 2 diabetes mellitus is associated with increased risks of sarcopenia and pre-sarcopenia in Chinese elderly. Sci Rep. 2016;6:1–7.
Vitriana Vitriana, Irma Ruslina Defi, Gaga Nugraha Irawan, Budi Setiabudiawan. Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling) berdasarkan Dua Nilai Cut-off Parameter Diagnosis. MKB. 2016; 48(3)
Morisky DE, Ang A, Wood MK, Ward HJ. Predictive Validity of a Medication Adherence Measure for Hypertension in an Outpatient Setting. Journal Clinical Hypertension. 2008; 5(10): 348–354.
Kim KS, Park KS, Kim MJ, Kim SK, Cho YW, Park SW. Type 2 diabetes is associated with low muscle mass in older adults. Geriatr Gerontol Int. 2014;14(SUPPL.1):115–21.
Kim TN, Park MS, Yang SJ, Yoo HJ, Kang HJ, Song W, et al.. Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes: The Korean Sarcopenic Obesity Study (KSOS). Diabetes Care. 2010;33(7):1497–9.
Leenders M, Verdijk LB, van der Hoeven L, Adam JJ, van Kranenburg J, Nilwik R, et al.. Patients with type 2 diabetes show a greater decline in muscle mass, muscle strength, and functional capacity with aging. J Am Med Dir Assoc [Internet]. 2013;14(8):585–92. Available from: http://dx.doi.org/10.1016/j.jamda.2013.02.006
Jung EY, Seo JW, Lee JH, Suh YS, Kim DH. Association between Sarcopenia and Diabetes according to Age in Korean Adults. KJFP 2016;6:242-248.
Chung SM, Moon JS and Chang MC. Prevalence of Sarcopenia and Its Association With Diabetes: A Meta-Analysis of Community-Dwelling Asian Population. Front. Med. 2021;8:681232.
Al-Haj Mohd MMM, Phung H, Sun J, Morisky DE. Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC Public Health. 2016;16(1):1–11.
Mokolomban C, Wiyono WI, Mpila DA. Kepatuhan Minum Obat Pada Pasien Diabetes Melitus Tipe 2 Disertai Hipertensi Dengan Menggunakan Metode Mmas-8. Pharmacon. 2018;7(4):69–78.
Wong MCS, Wu CHM, Wang HHX, Li HW, Hui EMT, Lam AT, et al. Association between the 8-item Morisky medication adherence scale (MMAS-8) score and glycaemic control among Chinese diabetes patients. J Clin Pharmacol. 2015;55(3):279–87.
Cetrone M, Mele A, Tricarico D. Effects of the antidiabetic drugs on the age-related atrophy and sarcopenia associated with diabetes type II. Curr Diabetes Rev. 2014;10(4):231–7.
Mesinovic J, Zengin A, De Courten B, Ebeling PR, Scott D. Sarcopenia and type 2 diabetes mellitus: a bidirectional relationship. Diabetes Metab Syndr Obes. 2019;12:1057-72.
Mele A, Calzolaro S, Cannone G, Cetrone M, Conte D, Tricarico D. Database search of spontaneous reports and pharmacological investigations on the sulfonylureas and glinides-induced atrophy in skeletal muscle. Pharmacol Res Perspect. 2014;2(1): e00028
Ai Y, Xu R, Liu L. The prevalence and risk factors of sarcopenia in patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Diabetol Metab Syndr. 2021;13(1):93. doi:10.1186/s13098-021-00707-7
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