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