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[老年门诊患者和养老院中肌肉减少症的患病率。ELLI研究]

[Prevalence of sarcopenia in geriatric outpatients and nursing homes. The ELLI study].

作者信息

Osuna-Pozo Carmen María, Serra-Rexach José Antonio, Viña José, Gómez-Cabrera María del Carmen, Salvá Antoni, Ruiz Domingo, Masanes Ferrán, Lopez-Soto Alfonso, Formiga Francesc, Cuesta Federico, Cruz-Jentoft Alfonso

机构信息

Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España.

Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España.

出版信息

Rev Esp Geriatr Gerontol. 2014 Mar-Apr;49(2):72-6. doi: 10.1016/j.regg.2013.01.006. Epub 2013 Apr 11.

Abstract

BACKGROUND

There are few systematic studies on the prevalence of sarcopenia using the new diagnostic criteria in different geriatric care settings.

OBJECTIVE

To estimate the prevalence of sarcopenia, using the European Working Group on Sarcopenia in Older People (EWGSOP) criteria in older subjects living in nursing homes and in those who attend geriatric outpatient clinics.

MATERIAL AND METHODS

A single country multicentre study in two samples of older subjects: patients cared for in outpatient geriatric clinics, and individuals living in nursing homes. Data collected will include demographic variables, medical history, medication, geriatric syndromes, functional status (assessment of basic and instrumental activities of daily living), mobility, cognitive status, comorbidity, quality of life, nutritional status, and laboratory parameters. For the diagnosis of sarcopenia, 4m walking speed, handgrip strength, and body composition measured by bioelectrical impedance analysis will be assessed.

RESULTS

Using the EWGSOP algorithm, the prevalence of sarcopenia in an elderly Spanish population will be estimated. In addition, concordance and correlation between the three parameters included in the definition (muscle mass, muscle strength, and physical performance) will be analysed, using the different existing cut-off points, and examining the diagnostic accuracy of each. Finally, demographic, anthropometric and functional data that define subjects with sarcopenia will be investigated.

CONCLUSIONS

The ELLI study should improve knowledge on the prevalence and characteristics of sarcopenia in older people in our population.

摘要

背景

关于在不同老年护理环境中使用新诊断标准的肌肉减少症患病率的系统研究较少。

目的

采用欧洲老年人肌肉减少症工作组(EWGSOP)标准,估计养老院老年人和老年门诊就诊者中肌肉减少症的患病率。

材料与方法

在两个老年受试者样本中进行单国家多中心研究:老年门诊护理的患者和养老院居住者。收集的数据将包括人口统计学变量、病史、用药情况、老年综合征、功能状态(日常生活基本和工具性活动评估)、活动能力、认知状态、合并症、生活质量、营养状况和实验室参数。对于肌肉减少症的诊断,将评估4米步行速度、握力以及通过生物电阻抗分析测量的身体成分。

结果

使用EWGSOP算法,估计西班牙老年人群中肌肉减少症的患病率。此外,将使用不同的现有切点分析定义中包含的三个参数(肌肉量、肌肉力量和身体表现)之间的一致性和相关性,并检查每个参数的诊断准确性。最后,将研究定义肌肉减少症患者的人口统计学、人体测量学和功能数据。

结论

ELLI研究应提高我们对人群中老年人肌肉减少症患病率和特征的认识。

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