握力可预测欧洲骨骼肌肉状况脆弱老年人的抑郁症状。
Grip strength as a predictor of depressive symptoms among vulnerable elderly Europeans with musculoskeletal conditions.
机构信息
Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.
CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.
出版信息
Sci Rep. 2021 Oct 29;11(1):21329. doi: 10.1038/s41598-021-00751-3.
The present study aimed to investigate the grip strength (GS) discrimination capacity and cutoffs points for depressive symptoms among vulnerable elderly individuals with musculoskeletal conditions. The Survey of Health, Aging, and Retirement in Europe wave 6 was analyzed. GS was measured by a handgrip dynamometer, and EURO-D scale was used to assess depressive symptoms. GS cutoff values for depressive symptoms were calculated using the receiver operating characteristics curve. 2206 participants, mean age 74.0 (73.7-74.3), 78.8% with osteoarthritis/other rheumatism, enrolled in the study. Sensitivity varies between 0.44 (men, ≥ 85 years) and 0.82 (men, 75-84 years), and specificity varying between 0.35 (women, 75-84 years) and 0.70 (men 75-84 years). GS is associated with depressive symptoms just for women and it is not possible to use a GS cutoff point for screening depressive symptoms for vulnerable men and women with musculoskeletal conditions over the age of 65 years.
本研究旨在探讨握力（GS）对有肌肉骨骼疾病的脆弱老年人抑郁症状的区分能力和截断值。分析了第六波欧洲健康、老龄化和退休调查。使用握力计测量 GS，使用 EURO-D 量表评估抑郁症状。使用受试者工作特征曲线计算 GS 截断值以评估抑郁症状。共有 2206 名参与者，平均年龄 74.0（73.7-74.3）岁，78.8%患有骨关节炎/其他风湿病，参与了该研究。男性（≥85 岁）和男性（75-84 岁）的敏感性分别在 0.44 和 0.82 之间，女性（75-84 岁）和男性（75-84 岁）的特异性分别在 0.35 和 0.70 之间。GS 与抑郁症状相关，但仅针对女性，对于 65 岁以上有肌肉骨骼疾病的脆弱男性和女性，无法使用 GS 截断值来筛查抑郁症状。
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