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欧洲肌肉减少症共识的更新:腹膜透析的诊断和患病率有哪些变化?

Update of the European consensus on sarcopenia: what has changed in diagnosis and prevalence in peritoneal dialysis?

作者信息

da Silva Maryanne Zilli Canedo, Vogt Barbara Perez, Reis Nayrana Soares do Carmo, Caramori Jacqueline Costa Teixeira

机构信息

Universidade Estadual Paulista (UNESP), Department of Internal Medicine, Faculdade de Medicina de Botucatu, Botucatu, Brazil.

Universidade Federal de Uberlândia (UFU), Faculdade de Medicina, Uberlândia, Brazil.

出版信息

Eur J Clin Nutr. 2019 Aug;73(8):1209-1211. doi: 10.1038/s41430-019-0468-z. Epub 2019 Jul 12.

Abstract

Patients on peritoneal dialysis (PD) may be affected by sarcopenia, which is a progressive and generalized skeletal muscle disorder characterized by muscle mass atrophy with decline of muscle strength and function. The aim was to evaluate differences in the diagnosis and prevalence of sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP). The screening for sarcopenia was performed in PD patients older than 18 years, with evaluation of appendicular skeletal muscle mass index (ASMMI), handgrip strength (HGS) and gait speed (GS). The diagnosis was according to the 2010 and 2019 versions of EWGSOP consensus on sarcopenia. Fifty subjects on PD were included, mean age 55.74 ± 16.22 years old, 52% female. The prevalence of sarcopenia ranged from 4 to 10% according to cut points and references used.

摘要

接受腹膜透析(PD)的患者可能会受到肌肉减少症的影响,这是一种进行性全身性骨骼肌疾病,其特征是肌肉质量萎缩,同时肌肉力量和功能下降。目的是根据老年人肌肉减少症欧洲工作组(EWGSOP)评估肌肉减少症在诊断和患病率方面的差异。对18岁以上的PD患者进行肌肉减少症筛查,评估四肢骨骼肌质量指数(ASMMI)、握力(HGS)和步速(GS)。诊断依据是2010年和2019年版EWGSOP关于肌肉减少症的共识。纳入了50名接受PD的受试者,平均年龄55.74±16.22岁,女性占52%。根据所使用的切点和参考标准,肌肉减少症的患病率在4%至10%之间。

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