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老年女性肌肉减少症、肌肉减少性肥胖、肌肉力量与生活质量变量之间的关联。

Association between sarcopenia, sarcopenic obesity, muscle strength and quality of life variables in elderly women.

作者信息

Silva Neto Luiz S, Karnikowiski Margô G O, Tavares Adriano B, Lima Ricardo M

机构信息

Projeto Universidade da Maturidade, Universidade Federal do Tocantins, Palmas, TO, Brazil.

出版信息

Rev Bras Fisioter. 2012 Sep-Oct;16(5):360-7. Epub 2012 Sep 13.

PMID:22983215
Abstract

OBJECTIVE

To investigate the association between sarcopenia, sarcopenic obesity and muscle strength and variables related to quality of life in elderly women.

METHOD

The sample consisted of 56 female volunteers who underwent body composition analysis (BMI and x-ray absorptiometry dual-energy DXA). Handgrip strength was measured using a Jamar dynamometer. We used the SF-36 health questionnaire to analyze quality of life. The data were analyzed with descriptive statistics and the Pearson correlation coefficient; SPSS 15.0 was used to perform the statistical analysis.

RESULTS

The mean age of the subjects was 64.92±5.74 years; of the 56 volunteers evaluated, 19.64% (n=11) were classified as sarcopenic obese and 45 (80.36%) were not. Thirteen volunteers (23.21%) were classified as sarcopenic while 43 (76.78%) were not. Although there were no statistically significant differences between the studied parameters and quality of life among those with sarcopenia or sarcopenic obesity, the values were lower in affected individuals. Interestingly, handgrip strength correlated positively and significantly with all of the SF-36 dimensions except VIT (p=0.08) and SM (p=0.25).

CONCLUSIONS

Seeing that handgrip strength is a determining factor in quality of life aspects in this population, the screening and identification of small functional changes using simple clinical measures may facilitate early intervention and help prevent disability. In contrast, neither sarcopenia nor sarcopenic obesity were found to be associated with quality of life.

摘要

目的

探讨老年女性肌肉减少症、肌肉减少性肥胖与肌肉力量及生活质量相关变量之间的关联。

方法

样本包括56名女性志愿者,她们接受了身体成分分析(BMI和双能X线吸收法DXA)。使用Jamar测力计测量握力。我们使用SF-36健康问卷分析生活质量。数据采用描述性统计和Pearson相关系数进行分析;使用SPSS 15.0进行统计分析。

结果

受试者的平均年龄为64.92±5.74岁;在评估的56名志愿者中,19.64%(n = 11)被归类为肌肉减少性肥胖,45名(80.36%)未被归类。13名志愿者(23.21%)被归类为肌肉减少症患者,43名(76.78%)未被归类。尽管在肌肉减少症或肌肉减少性肥胖患者中,研究参数与生活质量之间没有统计学上的显著差异,但受影响个体的值较低。有趣的是,握力与SF-36的所有维度均呈显著正相关,但与VIT(p = 0.08)和SM(p = 0.25)除外。

结论

鉴于握力是该人群生活质量方面的一个决定因素,使用简单的临床测量方法筛查和识别微小的功能变化可能有助于早期干预并预防残疾。相比之下,未发现肌肉减少症和肌肉减少性肥胖与生活质量相关。

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