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日本老年女性仰卧起坐能力与肌肉减少症分类指标的相关性

Associations of sit-up ability with sarcopenia classification measures in Japanese older women.

作者信息

Abe Takashi, Yaginuma Yu, Fujita Eiji, Thiebaud Robert S, Kawanishi Masashi, Akamine Takuya

机构信息

Department of Sports and Life Sciences, National Institute of Fitness and Sports in Kanoya , Kagoshima, Japan.

Department of Kinesiology, Texas Wesleyan University , Fort Worth, TX, USA.

出版信息

Interv Med Appl Sci. 2016 Dec;8(4):152-157. doi: 10.1556/1646.8.2016.4.7.

Abstract

To test the hypothesis that sit-up performance is associated with sarcopenia classification measures, 93 older women aged 53-78 years were divided into three groups based on achieved repetitions (30 s) for the sit-up performance test: Group 0 (G 0,  = 33) performed 0 repetitions, Group 1-9 (G 1-9,  = 30) performed between 1 and 9 repetitions, and Group 10+ (G 10+,  = 30) performed over 10 repetitions. Dual-energy X-ray absorptiometry-derived appendicular lean soft tissue mass (aLM), handgrip strength (HGS), usual walking speed, and chair stand were measured, and low muscle mass (aLM index) and poor physical function were defined according to previous studies. Age and body mass index were similar among the three groups. HGS was higher in G 10+ compared with G 0. The prevalence rate of low muscle mass was 30% for G 0, 20% for G 1-9, and 3% for G 10+. Low HGS was observed in both G 0 (24%) and G 1-9 (20%), but not in G 10+. Only two persons in G 0 were classified as slow walking speed. Our results suggest that sit-up performance may be a useful indicator to determine the extent of sarcopenia because low muscle mass and poor function were almost non-existent in individuals who could perform over 10 sit-ups.

摘要

为了验证仰卧起坐表现与肌肉减少症分类指标相关的假设,93名年龄在53 - 78岁的老年女性根据仰卧起坐表现测试(30秒)的完成次数被分为三组:第0组(G 0,n = 33)完成0次,第1 - 9组(G 1 - 9,n = 30)完成1至9次,第10 +组(G 10 +,n = 30)完成超过10次。测量了双能X线吸收法得出的四肢瘦软组织质量(aLM)、握力(HGS)、平常步行速度和从椅子上站起的能力,并根据先前的研究定义了低肌肉量(aLM指数)和身体功能差。三组之间的年龄和体重指数相似。与G 0组相比,G 10 +组的HGS更高。G 0组低肌肉量的患病率为30%,G 1 - 9组为20%,G 10 +组为3%。G 0组(24%)和G 1 - 9组(20%)均观察到低HGS,但G 10 +组未观察到。G 0组中只有两人被归类为步行速度慢。我们的结果表明,仰卧起坐表现可能是确定肌肉减少症程度的一个有用指标,因为在能够完成超过10次仰卧起坐 的个体中,几乎不存在低肌肉量和功能差的情况。

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