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[跌倒风险与骨折。诊断肌少症和肌少症性腿部疾病以预防跌倒和骨折:其难点与陷阱]

[Fall risk and fracture. Diagnosing sarcopenia and sarcopenic leg to prevent fall and fracture: its difficulty and pit falls].

作者信息

Hida Tetsuro, Harada Atsushi

机构信息

Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Japan.

出版信息

Clin Calcium. 2013 May;23(5):707-12.

PMID:23628684
Abstract

Diagnosis of sarcopenia is based on the combination of physical-performance assessment and muscle-mass measurement. Physical performance was estimated by gait speed and grip strength. Common measuring procedures for skeletal muscle mass were dual energy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) . Skeletal muscle mass index (SMI) was calculated from following formula ; [SMI (kg/m(2)) = (arm lean mass + leg lean mass) /height(2)] . Sarcopenia and sarcopenic leg are associated with poor body balance, falls, and subsequent fracture. Treatment of sarcopenia may result in successful prevention of fall and fracture for frail elderly.

摘要

肌肉减少症的诊断基于身体机能评估和肌肉量测量的结合。身体机能通过步速和握力进行评估。骨骼肌量的常用测量方法是双能X线吸收法(DXA)和生物电阻抗分析(BIA)。骨骼肌量指数(SMI)通过以下公式计算:[SMI(kg/m²)=(手臂瘦体重+腿部瘦体重)/身高²]。肌肉减少症和少肌性腿与身体平衡差、跌倒及随后的骨折相关。治疗肌肉减少症可能成功预防体弱老年人跌倒和骨折。

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