用 SarQoL® 评估的肌少症患者的生活质量与营养状况之间的关联。
Associations between the quality of life in sarcopenia measured with the SarQoL® and nutritional status.
机构信息
Public Health Medical Service Office, Chungnam National University Hospital, Daejeon, Republic of Korea.
Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea.
出版信息
Health Qual Life Outcomes. 2021 Jan 22;19(1):28. doi: 10.1186/s12955-020-01619-2.
BACKGROUND
The purpose of this study was to evaluate the relationship between nutritional status and health-related quality of life after adjusting for essential factors of muscle mass, calf circumference, grip strength, and the timed up and go (TUG) test for diagnosis of sarcopenia.
METHODS
The subjects of this study were those who visited a health care center or a senior welfare center among the aged 65 years or older living in a community in two counties (Jinju, Sacheon), and the survey was conducted from April to August 2019. Among them, those with cardiovascular disease, cognitive disorder, or malignancy were excluded. To determine the nutritional status of the elderly subjects, a questionnaire-based screening tool called DETERMINE was used. Developed as a health-related quality of life tool for sarcopenia, the Sarcopenia-specific Quality of Life (SarQoL) questionnaire was used. For screening of sarcopenia, a rapid questionnaire based on self-reported information about falls, mobility, and strength known as the SARC-F questionnaire was used. Assessment of sarcopenia included skeletal muscle mass, calf circumference, grip strength, and the TUG test.
RESULTS
A total of 324 elderly people living in rural villages who were able to move to senior and welfare centers was surveyed. As a result of evaluating the association between SarQoL and nutritional risk in elderly subjects, the association was statistically significant in the moderate-risk group (B = - 5.542, p = 0.001) and in the high-risk group (B = - 8.136, p < 0.001) in comparison to the low-risk group. Significant correlations were found in all seven domains of SarQoL, except the fear domain.
CONCLUSIONS
This study confirms an association between quality of life dimensions surveyed by the SarQoL questionnaire and nutritional status in elderly subjects. Therefore, appropriate interventions are needed following brief evaluation of sarcopenia and nutritional deficiency among elderly people in communities.
背景
本研究旨在评估在调整肌肉质量、小腿围、握力和计时起立行走（TUG）测试等肌肉量基本因素后，营养状况与健康相关生活质量之间的关系，以诊断肌少症。
方法
本研究的对象是居住在两个县（晋州、泗川）社区中年龄在 65 岁或以上、曾到保健中心或老年人福利中心就诊的人群，并于 2019 年 4 月至 8 月进行了调查。排除患有心血管疾病、认知障碍或恶性肿瘤的人群。为了确定老年人的营养状况，使用了一种名为 DETERMINE 的基于问卷的筛查工具。用于肌少症健康相关生活质量评估的 Sarcopenia-specific Quality of Life（SarQoL）问卷也被用于本研究。为了筛查肌少症，使用了一种基于自我报告的与跌倒、移动和力量相关的快速问卷，即 SARC-F 问卷。肌少症的评估包括骨骼肌量、小腿围、握力和 TUG 测试。
结果
对能够前往老年人福利中心的 324 名农村老年人进行了调查。在评估老年受试者 SarQoL 与营养风险之间的相关性时，与低风险组相比，中度风险组（B=-5.542，p=0.001）和高风险组（B=-8.136，p<0.001）的相关性具有统计学意义。在 SarQoL 的所有七个领域，除了恐惧领域，都发现了显著的相关性。
结论
本研究证实了 SarQoL 问卷所调查的生活质量维度与老年受试者营养状况之间存在关联。因此，需要对社区中老年人进行肌少症和营养缺乏的简要评估后，进行适当的干预。
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