Henwood Tim, Hassan Bothaina, Swinton Paul, Senior Hugh, Keogh Justin
The University of Queensland, School of Human Movement and Nutritional Sciences, Brisbane, Australia; Bond University, Faculty of Health Sciences and Medicine, Gold Coast, Australia; AgeFIT Solutions, Brisbane, Australia.
The University of Queensland, School of Nursing and Midwifery, Brisbane, Australia; Alexandria University, Faculty of Nursing, Alexandria, Egypt.
Geriatr Nurs. 2017 Sep-Oct;38(5):406-411. doi: 10.1016/j.gerinurse.2017.02.003. Epub 2017 Mar 11.
The consequences of and transition into sarcopenia with long-term survival was investigated in the nursing home setting. Eligible residents from 11 nursing homes were followed-up 18-months after their assessment for sarcopenia using the European Working Group on Sarcopenia in Older People criteria, with other demographic, physical and cognitive health measures collected. Of the 102 older adults who consented at baseline, 22 had died and 58 agreed to participate at follow-up, 51.7% of whom had sarcopenic. Sarcopenia at baseline was associated with a depression (p < .001), but not mortality, hospitalization, falls or cognitive decline at follow-up. Age was the strongest predictor of mortality (p = .05) with the relative risk of death increasing 5.2% each year. The prevalence of sarcopenia is high and increases with long-term survival in end-of-life care. However, the risk of sarcopenia-related mortality is not as great as from increasing age alone.
在养老院环境中，对肌肉减少症的后果以及长期生存情况下向肌肉减少症的转变进行了调查。根据老年人肌肉减少症欧洲工作组的标准，对来自11家养老院的符合条件的居民在评估肌肉减少症18个月后进行随访，并收集其他人口统计学、身体和认知健康指标。在基线时同意参与的102名老年人中，22人死亡，58人同意参与随访，其中51.7%患有肌肉减少症。基线时的肌肉减少症与抑郁症相关（p <.001），但与随访时的死亡率、住院率、跌倒或认知衰退无关。年龄是死亡率的最强预测因素（p =.05），每年死亡的相对风险增加5.2%。在临终护理中，肌肉减少症的患病率很高，且随着长期生存而增加。然而，与肌肉减少症相关的死亡风险并不像仅因年龄增长那么大。
