COI project center, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
School of Health and Sports Science, Juntendo University, 1-1 Hirakagakuendai, Inzai, Chiba, 270-1695, Japan.
BMC Musculoskelet Disord. 2021 Jul 24;22(1):639. doi: 10.1186/s12891-021-04524-x.
Low muscle strength has been focused on as an essential characteristic of sarcopenia, and the 30-s chair stand test (CS-30) could be a particularly useful test for assessing muscle strength. While it is speculated to be a beneficial tool for the assessment of sarcopenia, this remains to be verified. In this study, we examined the reliability and optimal diagnostic score of the CS-30 for assessing sarcopenia in elderly Japanese participants.
This cross-sectional study included 678 participants (443 females and 235 males) who underwent the test for sarcopenia as per the Asian Working Group for Sarcopenia (AWGS) 2019, the CS-30 test, and the isometric knee-extension muscle strength test. ROC analysis was used to estimate the optimal CS-30 scores at which sarcopenia was detected.
CS-30 scores were positively associated with sarcopenia (OR: 0.88; 95% CI:0.82-0.93). The AUC of the CS-30 for sarcopenia definition were 0.84 (p < 0.001) for females and 0.80 (p < 0.001) for males. The optimal number of stands in the CS-30 that predicted sarcopenia was 15 for females (sensitivity, 76.4%; specificity, 76.8%) and 17 for males (sensitivity, 75.0%; specificity, 71.7%).
The CS-30 was found to be a reliable test for sarcopenia screening in the elderly Japanese population.
低肌肉力量一直被认为是肌肉减少症的一个重要特征,30 秒椅子站立测试(CS-30)可能是评估肌肉力量的一项特别有用的测试。虽然有人推测它是评估肌肉减少症的有益工具,但这仍有待验证。在这项研究中,我们检查了 CS-30 对评估日本老年参与者肌肉减少症的可靠性和最佳诊断评分。
这项横断面研究纳入了 678 名参与者(443 名女性和 235 名男性),他们根据亚洲肌肉减少症工作组(AWGS)2019 标准进行了肌肉减少症测试、CS-30 测试和等长膝关节伸展肌力测试。使用 ROC 分析来估计检测肌肉减少症的最佳 CS-30 评分。
CS-30 评分与肌肉减少症呈正相关(OR:0.88;95%CI:0.82-0.93)。CS-30 对女性肌肉减少症定义的 AUC 为 0.84(p<0.001),对男性为 0.80(p<0.001)。CS-30 预测肌肉减少症的最佳站立次数为女性 15 次(敏感性为 76.4%,特异性为 76.8%),男性 17 次(敏感性为 75.0%,特异性为 71.7%)。
CS-30 被发现是日本老年人群中筛查肌肉减少症的一项可靠测试。