短体适能电池测试（SPPB）评分作为社区居住的老年人群中动力性腹型肥胖的鉴别器。

Short Physical Performance Battery (SPPB) score as a discriminator of dynapenic abdominal obesity among community-dwelling older adults.

机构信息

Department of Biological and Health Sciences, Physical Therapy Course, Federal University of Amapá, Juscelino Kubitschek Road, Km - 02, Jardim Marco Zero, CEP 68903-419 Macapá, Amapá, Brazil.

出版信息

Geriatr Nurs. 2021 Mar-Apr;42(2):467-472. doi: 10.1016/j.gerinurse.2021.02.016. Epub 2021 Mar 11.

DOI:10.1016/j.gerinurse.2021.02.016

PMID:33714904

Abstract

The aim of this study is to verify the utility of using physical performance to discriminate the presence of dynapenic abdominal obesity (DAO) in older adults. This cross-sectional study was conducted with 382 community-dwelling older adults. DAO was identified when dynapenia (cut-off points of <26 kilogram-force [kgf] for men and <16 kgf for women) was detected together with abdominal obesity (waist circumference >102 cm for men and >88 cm for women). Physical performance was assessed with the Short Physical Performance Battery (SPPB). SPPB scores and DAO were inversely associated even after adjustment (OR: 0.69; 95%CI: 0.58-0.83). Cut-off points of ≤9 for SPPB scores were the most efficient for discriminating the presence of DAO in both men (AUC= 0.836; 95%CI: 0.76-0.89; sensitivity: 90.91% and specificity: 60.33%) and women (AUC= 0.677; 95%CI: 0.62-0.73; sensitivity: 73.33% and specificity: 40.91%). Physical performance assessed with SPPB can discriminate DAO and be useful for the timely identification and management of this condition in older adults.

摘要

本研究旨在验证使用身体机能来鉴别老年人 dynapenic 型腹型肥胖（DAO）的有效性。该横断面研究纳入了 382 名社区居住的老年人。当检测到 dynapenia（男性 <26 千克力 [kgf]，女性 <16 kgf）与腹型肥胖（男性腰围 >102 cm，女性腰围 >88 cm）同时存在时，即可诊断为 DAO。身体机能通过短体力量表（SPPB）进行评估。即使在调整后，SPPB 评分和 DAO 仍呈负相关（OR：0.69；95%CI：0.58-0.83）。SPPB 评分≤9 的截断点在鉴别男性（AUC=0.836；95%CI：0.76-0.89；敏感性：90.91%，特异性：60.33%）和女性（AUC=0.677；95%CI：0.62-0.73；敏感性：73.33%，特异性：40.91%）中 DAO 存在时最有效。SPPB 评估的身体机能可以鉴别 DAO，并有助于及时识别和管理老年人的这种情况。