Maruya Kohei, Fujita Hiroaki, Arai Tomoyuki, Asahi Ryoma, Morita Yasuhiro, Ishibashi Hideaki
Department of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University, Saitama, Japan.
Department of Physical Therapy, Faculty of Health Science, Japan University of Health Sciences, Saitama, Japan.
Osteoporos Sarcopenia. 2019 Mar;5(1):23-26. doi: 10.1016/j.afos.2019.03.002. Epub 2019 Mar 16.
To clarify the prevalence and characteristics of pain associated with sarcopenia and to verify the usefulness of evaluation of pain for sarcopenia.
In total, 759 community-dwelling people (aged 65-79 years) with or without sarcopenia and lower limb pain were classified into 4 groups (NSp, nonsarcopenia; NSpP, nonsarcopenia with pain; Sp, sarcopenia; and SpP, sarcopenia with pain). Body composition, motor function, history of fractures since age 50 years, and number of falls in the past 1 year were compared between the groups.
Participant proportions by group were: NSp, 53.9%; NSpP, 42.8%; Sp, 1.3%; and SpP, 2.0%. Participants with lower limb pain showed low single leg standing, walking speed, and 2-step value scores and high 25-question Geriatric Locomotive Functional Scale (GLFS-25) score after adjusting for age, sex, body mass index, and presence of sarcopenia. The SpP group showed lower functional reach test and higher GLFS-25 scores than the Sp group. Regarding the history of fractures since 50 years of age and falls in past 1 year, a high retention rate of fracture was noted in the NSpP group. They also experienced significantly more falls in the past 1 year than those in the NSp group. The SpP group noted more falls and fractures although it was insignificant.
The results indicate that participants with lower limb pain showed declining motor function and a high risk for falls and fractures. Sarcopenia could escalate this risk. Therefore, evaluating patients for both pain and sarcopenia may be useful for risk assessment and treatment.
明确与肌肉减少症相关疼痛的患病率及特征，并验证疼痛评估对肌肉减少症的有用性。
总共759名65至79岁有或无肌肉减少症及下肢疼痛的社区居民被分为4组（NSp，非肌肉减少症组；NSpP，有疼痛的非肌肉减少症组；Sp，肌肉减少症组；SpP，有疼痛的肌肉减少症组）。比较了各组之间的身体成分、运动功能、50岁以后的骨折史以及过去1年的跌倒次数。
各组参与者比例分别为：NSp组53.9%；NSpP组42.8%；Sp组1.3%；SpP组2.0%。在对年龄、性别、体重指数和肌肉减少症的存在情况进行校正后，下肢疼痛的参与者单腿站立、步行速度和两步值评分较低，而25项老年运动功能量表（GLFS - 25）评分较高。SpP组的功能性伸展测试得分低于Sp组，GLFS - 25评分高于Sp组。关于50岁以后的骨折史和过去1年的跌倒情况，NSpP组的骨折留存率较高。他们在过去1年中的跌倒次数也明显多于NSp组。SpP组的跌倒和骨折次数更多，尽管不显著。
结果表明，下肢疼痛的参与者运动功能下降，跌倒和骨折风险较高。肌肉减少症可能会加剧这种风险。因此，对患者进行疼痛和肌肉减少症的评估可能有助于风险评估和治疗。
