Woo Namhyun, Kim Su Hyun
College of Nursing, Kyungpook National University, South Korea.
College of Nursing, Kyungpook National University, South Korea.
Geriatr Nurs. 2014 Jul-Aug;35(4):279-82. doi: 10.1016/j.gerinurse.2014.03.001. Epub 2014 Apr 14.
This study aimed to determine the relationship between sarcopenia and fall-related injuries in community-dwelling older adults in Korea. The study population comprised 2848 subjects aged 65 years or older who participated in the Korea National Health and Nutrition Examination Surveys during 2010-2011. Sarcopenia was considered to be present if the subject's appendicular skeletal muscle mass divided by his or her weight was less than 29.9% in men, or less than 25.1% in women. The incidence of fall-related injuries during the past year among all the respondents was 4.3%, and the prevalence of sarcopenia was 32.2%. After controlling for sociodemographic variables and morbidity due to chronic diseases, the incidence of fall-related injuries remained significantly elevated among older adults with sarcopenia (odds ratio = 1.61, 95% confidence internal = 1.01-2.54). Sarcopenia should be considered when investigating means of preventing of fall-related injuries in community-dwelling older adults. To prevent falls among these persons, it is vital to implement intervention programs that increase muscle mass.
本研究旨在确定韩国社区居住的老年人中肌肉减少症与跌倒相关损伤之间的关系。研究人群包括2848名年龄在65岁及以上的受试者,他们在2010 - 2011年期间参加了韩国国家健康与营养检查调查。如果受试者的四肢骨骼肌质量除以其体重,男性低于29.9%,女性低于25.1%,则被认为存在肌肉减少症。在所有受访者中,过去一年跌倒相关损伤的发生率为4.3%,肌肉减少症的患病率为32.2%。在控制了社会人口统计学变量和慢性病发病率后,肌肉减少症的老年人中跌倒相关损伤的发生率仍然显著升高(优势比 = 1.61,95%置信区间 = 1.01 - 2.54)。在调查社区居住的老年人预防跌倒相关损伤的方法时,应考虑肌肉减少症。为了预防这些人跌倒,实施增加肌肉量的干预计划至关重要。