Kamo Tomohiko, Ishii Hideaki, Suzuki Keisuke, Nishida Yuusuke
Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, 2-555, Hirasuka, Satte-city, Saitama, 340-0145 Japan.
University of Human Arts and Sciences, Faculty of Health Sciences, Department of Rehabilitation, Course of Physical Therapy, 354-3, Oota, Iwatsuki-ku, Saitama-city, Saitama, 339-8555 Japan.
Geriatr Nurs. 2018 Sep-Oct;39(5):528-533. doi: 10.1016/j.gerinurse.2018.02.011. Epub 2018 Mar 16.
Sarcopenia is an important predictor of adverse outcomes in elderly people. Based on a common clinical experience, sarcopenia may be associated with activities of daily living (ADL). To our knowledge, no study has investigated the association between sarcopenia and ADL in nursing home residents requiring long-term care. This cross-sectional study included 250 nursing home residents. Nutritional status, physical function, ADL and cognitive function were assessed using Mini Nutritional Assessment-Short Form (MNA-SF), Short Physical Performance Battery (SPPB), Barthel Index (BI) and Mini-Mental State Examination (MMSE). To examine the factors that may affect self-care capacity, a stepwise multiple linear regression analysis was performed. The prevalence of sarcopenia was 45.2%. Age, MMSE, MNA-SF, SPPB, and grip strength were independently associated with BI. A high prevalence of sarcopenia was observed among nursing home residents in Japan. However, sarcopenia was not associated with ADL.
肌肉减少症是老年人不良结局的重要预测指标。根据常见的临床经验，肌肉减少症可能与日常生活活动（ADL）有关。据我们所知，尚无研究调查需要长期护理的养老院居民中肌肉减少症与ADL之间的关联。这项横断面研究纳入了250名养老院居民。使用微型营养评定简表（MNA-SF）、简短体能状况量表（SPPB）、巴氏指数（BI）和简易精神状态检查表（MMSE）评估营养状况、身体功能、ADL和认知功能。为了研究可能影响自我护理能力的因素，进行了逐步多元线性回归分析。肌肉减少症的患病率为45.2%。年龄、MMSE、MNA-SF、SPPB和握力与BI独立相关。在日本的养老院居民中观察到肌肉减少症的高患病率。然而，肌肉减少症与ADL无关。
