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应用生物电阻抗评估老年社区居住韩国成年人四肢骨骼肌量。

Assessment of appendicular skeletal muscle mass by bioimpedance in older community-dwelling Korean adults.

机构信息

Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

出版信息

Arch Gerontol Geriatr. 2014 May-Jun;58(3):303-7. doi: 10.1016/j.archger.2013.11.002. Epub 2013 Nov 16.

Abstract

It is crucial to investigate age-related body composition changes in geriatric medicine. Bioelectrical impedance analysis (BIA) is easy to perform, non-invasive, relatively inexpensive, and portable. However, the accuracy of measurement by BIA is questionable. To develop and cross-validate the predictive equation for estimated appendicular skeletal muscle mass (ASM) using BIA in older community-dwelling Korean adults, we include two cohorts: study participants aged 65-80 years in the Ansung cohort for the Korean Health and Genome Study (men, n=285; women, n=435) used as equation-generating group, and Korean Longitudinal Study of Health Aging (KLoSHA) as cross-validation group (men, n=202; women, n=208). Dual energy X-ray absorptiometry (DXA) and BIA were performed in both cohorts. Using multiple linear regression analysis, we drew a predictive equation for DXA-measured ASM by BIA resistance. From DXA and BIA measurements in the Ansung cohort, we generated the estimated equation ASM (kg)=[(Ht(2)/R×0.104)+(age×-0.050)+(gender×2.954)+(weight×0.055)]+5.663 where Ht is height in centimeters; R is BIA resistance in 250Ω; for gender, men=1 and women=0; and age is in years. We validated this equation in the KLoSHA. The r(2) of the estimated ASM was 0.890. This BIA equation provides valid estimates of ASM in older Korean adults.

摘要

研究老年医学中与年龄相关的身体成分变化至关重要。生物电阻抗分析(BIA)易于操作、非侵入性、相对便宜且便携。然而,BIA 测量的准确性值得怀疑。为了开发和交叉验证使用 BIA 预测老年社区居住的韩国成年人四肢骨骼肌质量(ASM)的预测方程,我们包括两个队列:安城队列的韩国健康与基因组研究(男性,n=285;女性,n=435)年龄在 65-80 岁的参与者用作方程生成组,以及韩国健康老龄化纵向研究(KLoSHA)作为交叉验证组(男性,n=202;女性,n=208)。两个队列均进行了双能 X 射线吸收法(DXA)和 BIA 检查。使用多元线性回归分析,我们通过 BIA 电阻绘制了 DXA 测量的 ASM 的预测方程。从安城队列的 DXA 和 BIA 测量中,我们生成了估计的 ASM 方程(kg)= [(Ht(2)/R×0.104)+(age×-0.050)+(gender×2.954)+(weight×0.055)]+5.663 其中 Ht 为身高厘米;R 为 BIA 电阻 250Ω;性别,男性=1,女性=0;年龄为年。我们在 KLoSHA 中验证了该方程。估计的 ASM 的 r(2)为 0.890。该 BIA 方程可有效估计韩国老年成年人的 ASM。

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