Functional and emotional impact of COVID-19 lockdown on older adults with sarcopenia living in a nursing home: A 15-month follow-up

This study aimed to detect the functional and emotional impact of COVID-19 lockdown on institutionalized older adults with sarcopenia during a 15-month follow-up. A prospective longitudinal cohort study was conducted in a nursing home. Participants were screened for sarcopenia, and those with a scor...

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Bibliographic Details
Published in:Nursing & health sciences 2023-12, Vol.25 (4), p.597-608
Main Authors: Cezón-Serrano, Natalia, Arnal-Gómez, Anna, Arjona-Tinaut, Laura, Cebrià I Iranzo, Maria Àngels
Format: Article
Language:English
Subjects:
Aged
Clinical assessment
Cohort analysis
Communicable Disease Control
COVID-19
Deterioration
Follow-Up Studies
Gait
Geriatric Assessment
Hand Strength
Health surveys
Humans
Limbs
Longitudinal Studies
Nursing Homes
Older people
Prospective Studies
Quadriceps
Quality of Life
Sarcopenia
Sarcopenia - complications
Sarcopenia - diagnosis
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Summary:This study aimed to detect the functional and emotional impact of COVID-19 lockdown on institutionalized older adults with sarcopenia during a 15-month follow-up. A prospective longitudinal cohort study was conducted in a nursing home. Participants were screened for sarcopenia, and those with a score of ≥4 points according to SARC-F questionnaire were included. Assessments were performed pre-lockdown (T1), 12 months (T2) after, and at a 15-month follow-up (T3). Functional measurements included chair stand test, handgrip, biceps brachii and quadriceps femoris strengths, appendicular skeletal mass, gait speed, Short Physical Performance Battery, and Timed Up-and-Go test. Emotional assessments included Short-Form Health Survey, Geriatric Depression Scale-Short Form, and the Mini-Mental State Examination. The analyzed sample showed a reduction in bicep strength, and other upper and lower limb strength variables showed a decreasing trend with no changes regarding muscle mass. Physical performance showed a change, specifically a deterioration in the subtest related to balance. Cognitive and emotional components were affected and quality of life was decreased. It is of paramount importance to focus on sarcopenic older adults since their characteristics can deteriorate when isolation measures are conducted.
ISSN:1441-0745
1442-2018
DOI:10.1111/nhs.13050