Hemodialysis center, Department of Nephrology and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
Nurs Open. 2022 Mar;9(2):1096-1104. doi: 10.1002/nop2.1149. Epub 2021 Dec 14.
This study aimed to investigate the current situation of sarcopenia and anorexia of elderly maintenance haemodialysis patients and analyse the influencing factors.
A cross-sectional design was used in this study.
One hundred and twelve elderly patients on MHD in 3 haemodialysis centres in Sichuan, China, were selected. Sarcopenia was diagnosed according to the criteria of the Asian Working Group for Sarcopenia (AWGS). Anorexia was assessed with the Functional Assessment of Anorexia Cachexia Therapy/Anorexia Cachexia Subscale (FAACT/ACS). The relationship between sarcopenia and anorexia was analysed by logistic regression.
The prevalences of sarcopenia and severe sarcopenia in elderly MHD patients were 52.7% and 39.3%, respectively, and the prevalence of anorexia was 25.9%. Severe sarcopenia was independently associated with anorexia, and weekly exercise frequency was independently associated with anorexia. The low SMI value and slow gait speed were strongly associated with anorexia. This study complied with the STROBE checklist.
本研究旨在调查老年维持性血液透析患者肌少症和厌食症的现状，并分析其影响因素。
本研究采用横断面设计。
本研究选取了中国四川 3 个血液透析中心的 112 名老年维持性血液透析患者。根据亚洲肌少症工作组（AWGS）的标准诊断肌少症。采用营养评估量表/厌食症-恶病质量表亚量表（FAACT/ACS）评估厌食症。采用 logistic 回归分析肌少症与厌食症的关系。
老年维持性血液透析患者肌少症和重度肌少症的患病率分别为 52.7%和 39.3%，厌食症的患病率为 25.9%。重度肌少症与厌食症独立相关，每周运动频率与厌食症独立相关。低 SMI 值和缓慢的步态速度与厌食症密切相关。本研究符合 STROBE 清单。
