Socioeconomic Determinants of Sarcopenia among the Elderly Population in Mandera County, Kenya
Main Article Content
Abstract
Sarcopenia, characterized by the progressive loss of skeletal muscle mass, strength, and
function, is a significant public health concern among aging populations. Limited data
exist in resource-constrained settings like Mandera County, Kenya. This study assessed
socioeconomic determinants of sarcopenia among the elderly in Mandera County. The
study employed a descriptive cross-sectional design targeting individuals aged 65 years. A
sample size of 186 participants was determined using the Cochran (1953) formula, with a
multistage sampling approach to ensure representation across sub-counties, wards, and
villages. Data collection involved non-structured questionnaires and physical
measurements including handgrip strength, calf circumference, gait speed, and MUAC.
Findings revealed that 60.7% of participants had confirmed severe sarcopenia.
Socioeconomic factors significantly influenced status; 86% of those without health
insurance exhibited confirmed or severe sarcopenia, compared to 14% with insurance (p =
0.019). Education was a key determinant (p < 0.001): 38.0% of those with no formal
education and 49.0% with primary education had confirmed or severe sarcopenia,
compared to 9.9% with secondary and 4.4% with tertiary education. Marital status (p =
0.261), living arrangement (p = 0.184), source of income (p = 0.879), and profession type
(p = 0.141) showed no significant correlation. In conclusion, socioeconomic disadvantages
contribute to severe sarcopenia. The study underscores the need for enhanced healthcare
access for the elderly. It is recommended that county governments integrate routine
sarcopenia screening into healthcare programs alongside community-based nutrition and
physical activity initiatives. Further research should explore additional biological and
environmental factors in similar low-resource settings.
Article Details
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(a) That I/We have made substantial contribution during the conception and design, or acquisition of data, or analysis and interpretation of the data,
(b) That I/We have participated in drafting the article or revising it critically for important intellectual content,
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