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老年人符合肌少症和可能肌少症标准的特征差异:从研究到初级保健。

Differences in Characteristics between Older Adults Meeting Criteria for Sarcopenia and Possible Sarcopenia: From Research to Primary Care.

机构信息

Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul 02447, Korea.

Department of Biomedical Science and Technology, College of Medicine, East-West Medical Research Institute, Kyung Hee University, Seoul 02447, Korea.

出版信息

Int J Environ Res Public Health. 2022 Apr 4;19(7):4312. doi: 10.3390/ijerph19074312.

Abstract

Identification of possible sarcopenia, which is a simple assessment of sarcopenia, has been proposed for the earlier detection of sarcopenia in primary care settings; however, there are no studies comparing the differences in characteristics of older adults with possible sarcopenia or sarcopenia. This study aimed to compare the characteristics of “possible sarcopenia” in real-world primary care and “sarcopenia” in research settings. A total of 2129 older adults were enrolled from the Korean Frailty and Aging Cohort Study. Possible sarcopenia and sarcopenia were defined using Asian Working Group for Sarcopenia 2019; the possible sarcopenia for real-world primary care was defined by a combination of case findings using low calf circumference or the SARC-F questionnaire and 5-times chair stand test, without considering the measurement of handgrip strength. The prevalence of possible sarcopenia was higher in women than in men; however, that of sarcopenia was higher in men than in women (all, p < 0.001). Older men and women with possible sarcopenia had a lower education level, longer time taken for the Timed Up and Go test, more severe mobility limitation, lower scores on the EuroQol-5 dimension and 12-item short-form survey for physical health, and more cognitive dysfunction than those with sarcopenia did (all, p < 0.05). In conclusion, the participants with possible sarcopenia differed from those with sarcopenia in some characteristics. Identifying differences in characteristics may be helpful to screening and earlier diagnosis of sarcopenia in real-world primary care, as well as in research, which can lay the foundations for personalized lifestyle intervention in diet and exercise.

摘要

可能的肌少症的识别,即肌少症的简单评估,已被提议用于在初级保健环境中更早地发现肌少症;然而,尚无研究比较可能存在肌少症或肌少症的老年人的特征差异。本研究旨在比较真实世界初级保健中的“可能的肌少症”和研究环境中的“肌少症”的特征。共纳入了 2129 名来自韩国虚弱与衰老队列研究的老年人。使用亚洲肌少症工作组 2019 年定义可能的肌少症和肌少症;在真实世界的初级保健中,可能的肌少症是通过使用小腿围度低或 SARC-F 问卷和 5 次椅站测试的病例发现的组合来定义的,而不考虑握力的测量。可能的肌少症在女性中的患病率高于男性;然而,肌少症在男性中的患病率高于女性(均,p<0.001)。可能的肌少症的老年男性和女性受教育程度较低,完成计时起立行走测试的时间较长,移动能力受限更严重,EuroQol-5 维度和 12 项简明健康调查问卷的身体部分评分较低,认知功能障碍的发生率更高(均,p<0.05)。总之,可能存在肌少症的参与者与存在肌少症的参与者在某些特征上存在差异。确定特征差异可能有助于在真实世界的初级保健和研究中筛查和更早地诊断肌少症,为饮食和运动等个性化生活方式干预奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5951/8998728/98461dc80211/ijerph-19-04312-g001.jpg

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