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人体测量指标作为老年女性肌肉减少症的筛查工具。

Anthropometric indicators as screening tools for sarcopenia in older adult women.

作者信息

Pinheiro Paloma Andrade, Coqueiro Raildo da Silva, Carneiro José Ailton Oliveira, Correia Thiago Macedo Lopes, Pereira Rafael, Fernandes Marcos Henrique

机构信息

Núcleo de Estudos em Epidemiologia do Envelhecimento (NEPE), Universidade Estadual do Sudoeste da Bahia (UESB), Jequié, Brazil.

Núcleo de Estudos em Epidemiologia do Envelhecimento (NEPE), Universidade Estadual do Sudoeste da Bahia (UESB), Jequié, Brazil.

出版信息

Enferm Clin (Engl Ed). 2020 Jul-Aug;30(4):269-274. doi: 10.1016/j.enfcli.2018.12.010. Epub 2019 Feb 5.

Abstract

OBJECTIVE

To investigate the association between sarcopenia and different anthropometric indicators, and identify the best indicator to discriminate sarcopenia in community-dwelling older adult women.

METHOD

Data from 173 older adult women (≥60 years), living in Lafaiete Coutinho, a small-sized city in northeastern Brazil, were analyzed. Sarcopenia was defined based on the European consensus on definition and diagnosis using three components: muscle mass, muscle strength and performance. The association between sarcopenia and anthropometric indicators (body mass index, corrected arm muscle area and calf perimeter) was tested using the binary logistic regression technique.

RESULTS

The adjusted regression model indicated that all anthropometric indicators were inversely associated with sarcopenia, and an increase by one unit in body mass index, corrected arm muscle area or calf circumference decreased the probability of sarcopenia in older adult women by approximately 85%, 16% and 72%, respectively.

CONCLUSION

All the studied anthropometric indicators can be used as discriminators of sarcopenia in an older adult women population. To this end body mass index exhibited better sensitivity and calf circumference better specificity. The results of the study may improve nursing practice and that of other healthcare professionals, enabling sarcopenia screening in older adult women from simple and low-cost anthropometric indicators.

摘要

目的

探讨肌肉减少症与不同人体测量指标之间的关联,并确定在社区居住的老年女性中鉴别肌肉减少症的最佳指标。

方法

对来自巴西东北部一个小城市拉法耶特·库蒂尼奥的173名老年女性(≥60岁)的数据进行分析。根据欧洲关于定义和诊断的共识,使用肌肉质量、肌肉力量和身体机能三个组成部分来定义肌肉减少症。采用二元逻辑回归技术检验肌肉减少症与人体测量指标(体重指数、校正手臂肌肉面积和小腿周长)之间的关联。

结果

调整后的回归模型表明,所有人体测量指标均与肌肉减少症呈负相关,体重指数、校正手臂肌肉面积或小腿周长每增加一个单位,老年女性患肌肉减少症的概率分别降低约85%、16%和72%。

结论

所有研究的人体测量指标均可作为老年女性人群中肌肉减少症的鉴别指标。为此,体重指数表现出更好的敏感性,小腿周长表现出更好的特异性。该研究结果可能会改善护理实践以及其他医疗保健专业人员的实践,从而能够通过简单且低成本的人体测量指标对老年女性进行肌肉减少症筛查。

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