Association Between Sarcopenia and Quality of Life in Community-Dwelling Older Adults: Findings From a Cross-Sectional Study
DOI:
https://doi.org/10.23917/bik.v19i1.12436Keywords:
sarcopenia, Quality of Life, community-dwelling, screening, AgedAbstract
Sarcopenia is common in older adults and contributes to functional decline, disability, and increased healthcare utilization. In community-dwelling older adults, increased risk of sarcopenia may limit daily activities and negatively affect health-related quality of life, yet evidence from community settings in Indonesia remains limited. This study examined the association between risk of sarcopenia and health-related quality of life among community-dwelling older adults. Cross-sectional study conducted in the working area of Wanasari Public Health Center, Bekasi Regency, Indonesia, February–March 2025. Community-dwelling adults aged ≥60 years (n=305) were recruited by consecutive sampling. Risk of sarcopenia was measured using the SARC-CalF (SARC-F plus calf circumference) questionnaire; health-related quality of life was measured with the EQ-5D-5L (EuroQol-5 Dimension, 5-level). Validity and reliability testing of instruments in the study sample are reported in Methods. The association between sarcopenia risk (continuous SARC-CalF score) and EQ-5D index score was assessed with Spearman’s rank correlation. The result showed that Mean age 64.65±5.20 years; 61.3% female. A total of 137/305 (44.9%) were classified as at risk of sarcopenia (SARC-CalF), and 168/305 (55.1%) as low risk. Median (range) SARC-CalF = 4 (0–20). Median EQ-5D index = 0.83 (0.41–1.00). There was a strong, negative correlation between SARC-CalF score and EQ-5D index (Spearman’s rho = –0.711, p<0.001), indicating higher sarcopenia risk relates to lower quality of life. In this community sample, higher risk of sarcopenia is strongly associated with poorer health-related quality of life. We recommend routine screening for sarcopenia risk in primary care and further analytic studies to identify independent predictors in this population
Downloads
References
Badan Pusat Statistik Provinsi Jawa Barat. (2024). Profil Penduduk Lanjut Usia Provinsi Jawa Barat 2023. Retrieved 15 Juli 2025 from https://jabar.bps.go.id/id/publication/2024/12/23/18a003afe3f3acc802f7ee83/profil-penduduk-lanjut-usia-provinsi-jawa-barat-2023.html
Beaudart, C., Demonceau, C., Reginster, J. Y., Locquet, M., Cesari, M., Cruz Jentoft, A. J., & Bruyère, O. (2023). Sarcopenia and health-related quality of life: A systematic review and meta-analysis. J Cachexia Sarcopenia Muscle, 14(3), 1228-1243. https://doi.org/10.1002/jcsm.13243
Beaudart, C., Tilquin, N., Abramowicz, P., Baptista, F., Peng, D. J., de Souza Orlandi, F., Drey, M., Dzhus, M., Fábrega-Cuadros, R., Fernandez-Garrido, J., Laurindo, L. F., Gasparik, A.-I., Geerinck, A., Emin, G., Iacob, S., Kilaitė, J., Kumar, P., Lee, S.-C., Lou, V. W. Q., . . . Bruyère, O. (2024). Quality of life in sarcopenia measured with the SarQoL questionnaire: A meta-analysis of individual patient data. Maturitas, 180, 107902. https://doi.org/https://doi.org/10.1016/j.maturitas.2023.107902
Bian, D., Li, X., Xiao, Y., Song, K., Wang, L., Shen, J., Aimaiti, M., Ma, X., Shi, C., & Li, G. (2023). Relationship between Social Support, Sarcopenia, and Cognitive Impairment in Chinese Community-Dwelling Older Adults. J Nutr Health Aging, 27(9), 726-733. https://doi.org/10.1007/s12603-023-1973-2
Biben, V., Defi, I., Irawan, G., & Setiabudiawan, B. (2016). Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling) berdasarkan Dua Nilai Cut-off Parameter Diagnosis. Majalah Kedokteran Bandung, 48, 164-170. https://doi.org/10.15395/mkb.v48n3.417
Che, Y., Xia, H., Zhang, N., Yu, S., Guo, K., Tang, Y., Sun, M., & Yan, P. (2025). The quality of life and related factors in older adults with possible sarcopenia and sarcopenia in rural areas of Xinjiang, China: a cross sectional study. BMC Geriatrics, 25(1), 304. https://doi.org/10.1186/s12877-025-05950-5
Chen, L. K., Woo, J., Assantachai, P., Auyeung, T. W., Chou, M. Y., Iijima, K., Jang, H. C., Kang, L., Kim, M., Kim, S., Kojima, T., Kuzuya, M., Lee, J. S. W., Lee, S. Y., Lee, W. J., Lee, Y., Liang, C. K., Lim, J. Y., Lim, W. S., . . . Arai, H. (2020). Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc, 21(3), 300-307.e302. https://doi.org/10.1016/j.jamda.2019.12.012
Dugarova, E. (2017). Ageing, Older Persons and the 2030 Agenda for Sustainable Development.
Jazayeri, E., Kazemipour, S., Hosseini, S. R., & Radfar, M. (2023). Quality of life in the elderly: A community study. Caspian journal of internal medicine, 14(3), 534.
Kemenkes, R. (2023). Survei kesehatan Indonesia. Survei Kesehatan Indonesia.
Marzetti, E., Calvani, R., Tosato, M., Cesari, M., Di Bari, M., Cherubini, A., Collamati, A., D’Angelo, E., Pahor, M., Bernabei, R., Landi, F., & on behalf of the, S. C. (2017). Sarcopenia: an overview. Aging Clinical and Experimental Research, 29(1), 11-17. https://doi.org/10.1007/s40520-016-0704-5
Muftiani, I. (2023). Hubungan Sarkopenia dengan Kecemasan dan Kualitas Hidup pada Pasien Lanjut Usia UNS (Sebelas Maret University)].
Putra, I. G. A. W., Aryana, I. G. P. S., Astika, I. N., Kuswardhani, R. T., Putrawan, I. B., & Purnami, K. R. (2020). Prevalensi sarkopenia dan frailty di desa Pedawe, Mangupura, Serai dan Songan. Intisari Sains Medis, 11(2), 546-550.
Smith, L., Sánchez, G. F. L., Veronese, N., Soysal, P., Kostev, K., Jacob, L., Oh, H., Tully, M. A., Butler, L., Parsa, A. D., Hwang, S. Y., Shin, J. I., & Koyanagi, A. (2022). Association between sarcopenia and quality of life among adults aged ≥ 65 years from low- and middle-income countries. Aging Clin Exp Res, 34(11), 2779-2787. https://doi.org/10.1007/s40520-022-02231-8
Tsekoura, M., Nomikou, E., Kastrinis, A., Trachani, E., & Billis, E. (2026). Quality of Life in Patients with Sarcopenia: A Study of Prevalence and Associated Factors in Western Greek Population. In P. Vlamos, GeNeDIS 2024 Cham.
Veronese, N., Koyanagi, A., Cereda, E., Maggi, S., Barbagallo, M., Dominguez, L. J., & Smith, L. (2022). Sarcopenia reduces quality of life in the long-term: longitudinal analyses from the English longitudinal study of ageing. European Geriatric Medicine, 13(3), 633-639. https://doi.org/10.1007/s41999-022-00627-3
Vitriana, Defi, I. R., Nugraha, G. I., & Setiabudiawan, B. (2016). Sarcopenia prevalence in community-dwelling elderly based on two cut-off points diagnosis parameters. MAJALAH KEDOKTERAN BANDUNG-MKB-BANDUNG MEDICAL JOURNAL, 48(3), 164-170.
Wang, L., Dai, X., Ai, J., Li, X., Deng, A., Yang, X., Zhang, Y., Tian, D., & He, L. (2025). The relationship between sarcopenia, nutritional status, physical function, and quality of life in elderly cancer patients: a path analysis. BMC Geriatrics, 25(1), 461. https://doi.org/10.1186/s12877-025-06110-5
West, E. C., Williams, L. J., Davis, J. A., & Pasco, J. A. (2025). Associations between sarcopenia and domains of quality of life in older adults: a population-based cross-sectional study. Health and Quality of Life Outcomes, 23(1), 38. https://doi.org/10.1186/s12955-025-02358-y
Widajanti, N., Ichwani, J., Dharmanta, R. S., Firdausi, H., Haryono, Y., Yulianti, E., Kandinata, S. G., Wulandari, M., Widyasari, R., & Adyanita, V. A. (2020). Sarcopenia and frailty profile in the elderly community of Surabaya: a descriptive study. Acta Med Indones, 52(1), 5-13.
World Health Organization. (2024). Ageing and Health. Retrieved 15 Juli 2025 from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
World Health Organization. (2025). Ageing: Global Population. Retrieved 2025 from https://www.who.int/news-room/questions-and-answers/item/population-ageing
Yalcin, A., Metin, Y., Karadavut, M., Gozukara, M. G., Ari, S., Gemci, E., Yurumez, B., Yigit, S., Atmis, V., Aras, S., & Varli, M. (2024). The relationship between sarcopenia, sarcopenia related quality of life and ultrasound findings of the rectus femoris muscle in older outpatients. European Geriatric Medicine, 15(1), 261-268. https://doi.org/10.1007/s41999-023-00901-y
Downloads
Submitted
Accepted
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ashar Prima, Muhammad Wildan Kamal, Amzal Mortin Andas, Puji Astuti, Indah Puspitasari, Asmiana Saputri Ilyas
This work is licensed under a Creative Commons Attribution 4.0 International License.
