PDF(Pubmed)
Abstract：
This study aimed to investigate the ecological system factors that influence discrimination of sarcopenia among older individuals living in contemporary society. Data analysis included information from 618 older adults individuals aged 65 years or older residing in South Korea. To assess variations in ecological system factors related to SARC-F scores, we conducted correlation analysis and t-tests. Discriminant analysis was used to identify factors contributing to group discrimination. The key findings are summarized as follows. First, significant differences at the p < 0.001 level were observed between the SARC-F score groups in various aspects, including attitudes toward life, wisdom in life, health management, social support, media availability, sports environment, collectivist values, and values associated with death. Further, service environment differences were significant at p < 0.01 level, while social belonging and social activities exhibited significance at p < 0.05. Second, factors influencing group discrimination based on the SARC-F scores were ranked in the following order: health management, attitudes toward life, fear of own death, wisdom in life, physical environment, sports environment, media availability, social support, fear of the own dying, collectivist values, service environment, social activities, and social belonging. Notably, the SARC-F tool, which is used for sarcopenia discrimination, primarily concentrates on physical functioning and demonstrates relatively low sensitivity. Therefore, to enhance the precision of sarcopenia discrimination within a score-based group discrimination process, it is imperative to incorporate ecological system factors that exert a significant influence. These modifications aimed to enhance the clarity and precision of the text in an academic context.
摘要：
这项研究旨在调查影响生活在当代社会中的老年人对肌少症的歧视的生态系统因素。数据分析包括来自居住在韩国的618名65岁或以上的老年人的信息。为了评估与SARC-F得分相关的生态系统因子的变化，我们进行了相关分析和t检验。使用判别分析来确定导致群体歧视的因素。主要发现总结如下。首先,SARC-F评分组在各个方面观察到p<0.001水平的显着差异，包括对生活的态度，生活中的智慧，健康管理,社会支持,媒体可用性,体育环境,集体主义价值观,以及与死亡相关的价值观。Further,服务环境差异在p<0.01水平显著，而社会归属感和社会活动在p<0.05时表现出显著性。第二,影响基于SARC-F分数的群体歧视的因素按以下顺序排序：健康管理，对生活的态度，害怕自己的死亡，生活中的智慧，物理环境,体育环境,媒体可用性,社会支持,对自己死亡的恐惧，集体主义价值观,服务环境,社会活动,和社会归属感。值得注意的是,SARC-F工具，用于肌肉减少症的歧视，主要集中在身体功能和显示相对较低的灵敏度。因此,为了在基于分数的群体歧视过程中提高肌少症歧视的准确性，必须纳入产生重大影响的生态系统因素。这些修改旨在提高学术背景下文本的清晰度和准确性。
